Skip to content
DraconiticResearch
Search Sources API
203,234 studies31 sourcesUpdated just now
Peer-reviewedCC BYCureus

Stomach Volvulus Combined With Small Bowel Obstruction Eight Years After Laparoscopic Gastric Plication: A Case Report.

  • Nikolaos Pararas1
  • Anastasia Pikouli1
  • Despoina Papantoniou1
  • Dionysios Dellaportas1
  • Emmanouil Pikoulis1
  1. 13rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Read full textPDFDOICite

Abstract

Laparoscopic gastric plication (LGP) is a restrictive bariatric procedure that reduces gastric volume without resection and without the use of staplers or prosthetic materials. We present the case of a 25-year-old female patient who had undergone LGP eight years earlier and presented with acute abdominal pain, vomiting, and recurrent episodes of obstructive jaundice. Computed tomography demonstrated gastric volvulus, and emergency laparotomy revealed a partially unfolded plicated fundus due to ruptured sutures, causing a mixed-type gastric volvulus, together with intussusception of ischemic, hypertrophic gastric mucosa from the plicated fundus through the pylorus into the duodenum, obstructing the duodenal lumen. We took down the plication, reduced the intussuscepted mucosa, and performed a sleeve gastrectomy. The postoperative course was uneventful, and the jaundice resolved. Gastric volvulus and mucosal intussusception causing obstruction are rare but potentially devastating late complications of greater curvature plication. Awareness of this spectrum of complications allows timely recognition and treatment and should be considered when choosing a bariatric procedure.

Related

  1. Case Report: Lithium-induced bradycardia triggered by cecal volvulus: a case of obstruction-associated drug accumulation
    Akram Alnounou, Henry Zou, Madison Laird +4
    Frontiers in gastroenterology (Lausanne, Switzerland)Peer-reviewedCC BYFull textGeneral medicineEurope PMC
  2. Robot-assisted laparoscopic upper urinary tract reconstruction for ureteropelvic junction obstruction combined with congenital renal anomalies: a single-center retrospective case series of 38 patients.
    Shimeng Zhao, Kunlin Yang, Zhihua Li +7
    Translational andrology and urologyPeer-reviewedCC BY-NC-NDFull textObstetrics, gynaecology & paediatricsEurope PMC
  3. Surgical management of cecal volvulus using endoscopic reduction as a bridge to elective laparoscopic surgery: a three-case series
    Kaita Suzuki, Koshiro Harata, Ryo Taguchi +9
    Journal of surgical case reportsPeer-reviewedCC BYFull textSurgery & anaesthesiaEurope PMCPMC
  4. Comparison of outcomes of open, laparoscopic, and robot-assisted laparoscopic pyeloplasty in children with pelviureteric junction obstruction: a systematic review and meta-analysis
    Panagiotis Nikolinakos, Nikolaos Chatzikrachtis, Abhisekh Chatterjee +11
    Translational andrology and urologyPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  5. Laparoscopic Transperitoneal Dismembered Pyeloplasty by Anderson-Hynes Procedure in Left Pelviureteric Junction Outlet Obstruction of a Horseshoe Kidney: A Case Report
    Aman Arora, Ishaan Shinde, Irshad A Khan +2
    CureusPeer-reviewedCC BYFull textObstetrics, gynaecology & paediatricsEurope PMCPMC

Cite

BibTeXRIS
BibTeX
@article{pararas2026stomach,
  title = {{Stomach Volvulus Combined With Small Bowel Obstruction Eight Years After Laparoscopic Gastric Plication: A Case Report.}},
  author = {Nikolaos Pararas and Anastasia Pikouli and Despoina Papantoniou and Dionysios Dellaportas and Emmanouil Pikoulis},
  journal = {Cureus},
  year = {2026},
  month = oct,
  doi = {10.7759/cureus.118504},
  url = {https://europepmc.org/article/MED/42927364},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Stomach Volvulus Combined With Small Bowel Obstruction Eight Years After Laparoscopic Gastric Plication: A Case Report.
AU  - Nikolaos Pararas
AU  - Anastasia Pikouli
AU  - Despoina Papantoniou
AU  - Dionysios Dellaportas
AU  - Emmanouil Pikoulis
PY  - 2026
DA  - 2026/10/24
JO  - Cureus
DO  - 10.7759/cureus.118504
UR  - https://europepmc.org/article/MED/42927364
AB  - Laparoscopic gastric plication (LGP) is a restrictive bariatric procedure that reduces gastric volume without resection and without the use of staplers or prosthetic materials. We present the case of a 25-year-old female patient who had undergone LGP eight years earlier and presented with acute abdominal pain, vomiting, and recurrent episodes of obstructive jaundice. Computed tomography demonstrated gastric volvulus, and emergency laparotomy revealed a partially unfolded plicated fundus due to ruptured sutures, causing a mixed-type gastric volvulus, together with intussusception of ischemic, hypertrophic gastric mucosa from the plicated fundus through the pylorus into the duodenum, obstructing the duodenal lumen. We took down the plication, reduced the intussuscepted mucosa, and performed a sleeve gastrectomy. The postoperative course was uneventful, and the jaundice resolved. Gastric volvulus and mucosal intussusception causing obstruction are rare but potentially devastating late complications of greater curvature plication. Awareness of this spectrum of complications allows timely recognition and treatment and should be considered when choosing a bariatric procedure.
SN  - 2168-8184
ER  -