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DOI: 10.1055/s-2004-814526
Esophageal Perforation as a Complication of EndoCinch Endoluminal Gastroplication
Publication History
Submitted 19 August 2003
Accepted after Revision 21 January 2004
Publication Date:
09 July 2004 (online)
![](https://www.thieme-connect.de/media/endoscopy/200407/lookinside/thumbnails/10.1055-s-2004-814526-1.jpg)
Endoscopic gastroplasty is being promoted as a new minimally invasive procedure for the treatment of gastroesophageal reflux disease. In the case presented here, however, we encountered abdominal perforation as a severe complication of this procedure. Because immediate action was taken when the symptoms developed, and by maintaining close collaboration with the surgeons, it was possible to keep the treatment minimally invasive: the leakage was detected endoscopically and the defect was closed laparoscopically and covered by a fundoplication. This experience emphasises the importance of appropriate management of complications as part of the evaluation of new endoscopic methods.
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D. Tuebergen, M.D.
Department of General Surgery, University of Muenster
Waldeyerstraße 1 · 48149 Muenster · Germany
Fax: +49-251-58482
Email: dtueberg@uni-muenster.de