Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Mar 16, 2020; 12(3): 111-118
Published online Mar 16, 2020. doi: 10.4253/wjge.v12.i3.111
Gallbladder perforation due to endoscopic sleeve gastroplasty: A case report and review of literature
João de Siqueira Neto, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Sérgio Alexandre Barrichello, Kelly E Harthorn, Christopher C Thompson
João de Siqueira Neto, Department of Surgery, Federal University of Espirito Santo, Vitoria 29075-910, Espirito Santo, Brazil
Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Sérgio Alexandre Barrichello, Gastrointestinal Endoscopy Unit, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo 05403-000, São Paulo, Brazil
Diogo Turiani Hourneaux de Moura, Kelly E Harthorn, Christopher C Thompson, Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, United States
Author contributions: de Moura DTH and Barrichello SA conceived and designed the study; de Siqueira Neto J performed the procedure; Ribeiro IB carried out the literature search; Harthorn KE and Thompson CC reviewed the case and edited the manuscript; all authors contributed to finalizing the present version of the paper and approved the manuscript for publication.
Informed consent statement: Written informed consent was obtained from the patient.
Conflict-of-interest statement: Thompson CC reports personal fees from Boston Scientific, personal fees from Olympus, outside the submitted work.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Christopher C Thompson, FASGE, MD, MSc, PhD, Professor, Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis St., Thorn 1404, Boston, MA 02115, United States. cthompson@hms.harvard.edu
Received: November 6, 2019
Peer-review started: November 6, 2019
First decision: November 20, 2019
Revised: November 29, 2019
Accepted: December 23, 2019
Article in press: December 23, 2019
Published online: March 16, 2020
Core Tip

Core tip: Despite broader acceptance of endoscopic sleeve gastroplasty for weight loss management, the procedure can still present challenges for endoscopists. Although the inadvertent puncture of organs adjacent to the stomach is a rare occurrence, it can lead to catastrophic outcomes. Early identification of possible unintended events and an assertive approach to case management can be life-saving. Patient selection and optimal technique remain under debate. With broader adoption of endoscopic sleeve gastroplasty worldwide, risk mitigation strategies must be emphasized to optimize procedural safety.