{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T14:32:47Z","timestamp":1793111567101,"version":"4.5.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1007\/s11695-026-08972-z","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T10:31:36Z","timestamp":1791455496000},"page":"5880-5890","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Persistent Abdominal Pain After Endoscopic Sleeve Gastroplasty: A Multicenter Case Series and Hypothesis-Generating Management Framework"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1691-8196","authenticated-orcid":false,"given":"Eduard","family":"Espinet-Coll","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4549-3606","authenticated-orcid":false,"given":"Manoel","family":"Galvao-Neto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Jerez-Ortiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"P\u00e9rez-Ferrer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Bernab\u00e9u-L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8800-5372","authenticated-orcid":false,"given":"Arnulfo","family":"Fern\u00e1ndez-Zulueta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Nebreda-Dur\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"8972_CR1","unstructured":"World Health Organization. Obesity and overweight. Fact sheet. Geneva: WHO; 8 Dec 2025. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight"},{"issue":"6","key":"8972_CR2","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1055\/a-2292-2494","volume":"56","author":"P Jirapinyo","year":"2024","unstructured":"Jirapinyo P, Hadefi A, Thompson CC, et al. American Society for Gastrointestinal Endoscopy-European Society of Gastrointestinal Endoscopy guideline on primary endoscopic bariatric and metabolic therapies for adults with obesity. Endoscopy. 2024;56(6):437\u201356. PMID:38641332.","journal-title":"Endoscopy"},{"issue":"5","key":"8972_CR3","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1016\/j.gie.2015.06.038","volume":"82","author":"S Sullivan","year":"2015","unstructured":"ASGE Bariatric Endoscopy Task Force, Sullivan S, Kumar N, Edmundowicz SA, et al. ASGE position statement on endoscopic bariatric therapies in clinical practice. Gastrointest Endosc. 2015;82(5):767\u201372. https:\/\/doi.org\/10.1016\/j.gie.2015.06.038 . Epub 2015 Aug 15. PMID: 26282949.","journal-title":"Gastrointest Endosc"},{"issue":"12","key":"8972_CR4","doi-asserted-by":"publisher","first-page":"4318","DOI":"10.1007\/s11695-024-07510-z","volume":"34","author":"BK Abu Dayyeh","year":"2024","unstructured":"Abu Dayyeh BK, Stier C, Alqahtani A, et al. IFSO Bariatric Endoscopy Committee Evidence-Based Review and Position Statement on Endoscopic Sleeve Gastroplasty for Obesity Management. Obes Surg. 2024;34(12):4318\u201348. https:\/\/doi.org\/10.1007\/s11695-024-07510-z . Epub 2024 Nov 1.","journal-title":"Obes Surg"},{"issue":"6","key":"8972_CR5","doi-asserted-by":"publisher","first-page":"386","DOI":"10.17235\/reed.2018.4503\/2016","volume":"110","author":"E Espinet-Coll","year":"2018","unstructured":"Espinet-Coll E, L\u00f3pez-Nava Breviere G, Nebreda Dur\u00e1n J, et al. Spanish Consensus Document on Bariatric Endoscopy. Part 1. General considerations. Rev Esp Enferm Dig. 2018;110(6):386\u201399.https:\/\/doi.org\/10.17235\/reed.2018.4503\/2016","journal-title":"Rev Esp Enferm Dig"},{"key":"8972_CR6","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1016\/j.gie.2013.04.197","volume":"78","author":"BK Abu Dayyeh","year":"2013","unstructured":"Abu Dayyeh BK, Rajan E, Gostout CJ. Endoscopic sleeve gastroplasty: a potential endoscopic alternative to surgical sleeve gastrectomy for treatment of obesity. Gastrointest Endosc. 2013;78:530\u20135.","journal-title":"Gastrointest Endosc"},{"issue":"1","key":"8972_CR7","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1007\/s11695-020-04915-4","volume":"31","author":"MG Neto","year":"2021","unstructured":"Neto MG, Silva LB, de Quadros LG, et al. Brazilian Endoscopic Sleeve Gastroplasty Collaborative. Brazilian Consensus on Endoscopic Sleeve Gastroplasty. Obes Surg. 2021;31(1):70\u20138. https:\/\/doi.org\/10.1007\/s11695-020-04915-4 . Epub 2020 Aug 20. PMID: 32815105.","journal-title":"Obes Surg"},{"issue":"10350","key":"8972_CR8","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1016\/S0140-6736(22)01280-6","volume":"400","author":"BK Abu Dayyeh","year":"2022","unstructured":"Abu Dayyeh BK, Bazerbachi F, Vargas EJ, et al. Endoscopic sleeve gastroplasty for treatment of class 1 and 2 obesity (MERIT): a prospective, multicentre, randomised trial. Lancet. 2022;400(10350):441\u201351. https:\/\/doi.org\/10.1016\/S0140-6736(22)01280-6 . Epub 2022 Jul 28. PMID: 35908555.","journal-title":"Lancet"},{"issue":"10","key":"8972_CR9","doi-asserted-by":"publisher","first-page":"2649","DOI":"10.1007\/s11695-017-2693-7","volume":"27","author":"G Lopez-Nava","year":"2017","unstructured":"Lopez-Nava G, Sharaiha RZ, Vargas EJ, et al. Endoscopic Sleeve Gastroplasty for Obesity: a Multicenter Study of 248 Patients with 24 Months Follow-Up. Obes Surg. 2017;27(10):2649\u201355.https:\/\/doi.org\/10.1007\/s11695-017-2693-7","journal-title":"Obes Surg"},{"issue":"5","key":"8972_CR10","doi-asserted-by":"publisher","first-page":"1043","DOI":"10.1016\/j.cgh.2019.08.022","volume":"18","author":"A Hedjoudje","year":"2020","unstructured":"Hedjoudje A, Abu Dayyeh BK, Cheskin LJ, et al. Efficacy and safety of endoscopic sleeve gastroplasty: a systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2020;18(5):1043\u2013e534.","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"3","key":"8972_CR11","doi-asserted-by":"publisher","first-page":"1253","DOI":"10.1007\/s00464-019-06889-6","volume":"34","author":"P Li","year":"2020","unstructured":"Li P, Ma B, Gong S, et al. Efficacy and safety of endoscopic sleeve gastroplasty for obesity patients: a meta-analysis. Surg Endosc. 2020;34(3):1253\u201360.","journal-title":"Surg Endosc"},{"issue":"5","key":"8972_CR12","doi-asserted-by":"publisher","first-page":"1971","DOI":"10.1007\/s11695-020-04449-9","volume":"30","author":"AA de Miranda Neto","year":"2020","unstructured":"de Miranda Neto AA, de Moura DTH, Ribeiro IB, et al. Efficacy and Safety of Endoscopic Sleeve Gastroplasty at Mid Term in the Management of Overweight and Obese Patients: a Systematic Review and Meta-Analysis. Obes Surg. 2020;30(5):1971\u201387. . https:\/\/doi.org\/10.1007\/s11695-020-04449-9","journal-title":"Obes Surg"},{"issue":"4","key":"8972_CR13","first-page":"549","volume":"16","author":"S Singh","year":"2020","unstructured":"Singh S, Hourneaux de Moura DT, Khan A, et al. Safety and efficacy of endoscopic sleeve gastroplasty worldwide for treatment of obesity: a systematic review and meta-analysis. Surg Obes Relat Dis. 2020;16(4):549\u201359.","journal-title":"Surg Obes Relat Dis"},{"issue":"5","key":"8972_CR14","doi-asserted-by":"publisher","first-page":"1481","DOI":"10.1007\/s11695-023-06778-x","volume":"33","author":"M Fehervari","year":"2023","unstructured":"Fehervari M, Baumann T, Ahmed S, et al. Medium-term weight loss and remission of comorbidities following endoscopic sleeve gastroplasty: a systematic review and meta-analysis. Obes Surg. 2023;33(5):1481\u201392.","journal-title":"Obes Surg"},{"issue":"1","key":"8972_CR15","doi-asserted-by":"publisher","first-page":"101","DOI":"10.4103\/jmas.jmas_3_22","volume":"19","author":"M Bhandari","year":"2023","unstructured":"Bhandari M, Kosta S, Reddy M, et al. Four-year outcomes for endoscopic sleeve gastroplasty from a single centre in India. J Minim Access Surg. 2023;19(1):101\u20136. https:\/\/doi.org\/10.4103\/jmas.jmas_3_22 . PMID: 36124467; PMCID: PMC10034804.","journal-title":"J Minim Access Surg"},{"issue":"5","key":"8972_CR16","doi-asserted-by":"publisher","first-page":"1051","DOI":"10.1016\/j.cgh.2020.09.055","volume":"19","author":"RZ Sharaiha","year":"2021","unstructured":"Sharaiha RZ, Hajifathalian K, Kumar R, et al. Five-Year Outcomes of Endoscopic Sleeve Gastroplasty for the Treatment of Obesity. Clin Gastroenterol Hepatol. 2021;19(5):1051\u2013e10572. https:\/\/doi.org\/10.1016\/j.cgh.2020.09.055 . Epub 2020 Oct 1. PMID: 33011292.","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"1","key":"8972_CR17","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1016\/j.gie.2024.12.017","volume":"102","author":"A Lahooti","year":"2025","unstructured":"Lahooti A, Westerveld D, Johnson K, et al. Improvement in obesity-related comorbidities 5 years after endoscopic sleeve gastroplasty: a prospective cohort study. Gastrointest Endosc. 2025;102(1):26\u201336. https:\/\/doi.org\/10.1016\/j.gie.2024.12.017 . Epub 2024 Dec 16. PMID: 39694295.","journal-title":"Gastrointest Endosc"},{"issue":"3","key":"8972_CR18","doi-asserted-by":"publisher","first-page":"979","DOI":"10.1007\/s11695-026-08505-8","volume":"36","author":"MG Neto","year":"2026","unstructured":"Neto MG, Bhandari M, Reddy M, et al. Endoscopic Sleeve Gastroplasty: 6-Year Outcomes in 1,377 Patients. Obes Surg. 2026;36(3):979\u201387. https:\/\/doi.org\/10.1007\/s11695-026-08505-8 . Epub 2026 Feb 17. PMID: 41703242.","journal-title":"Obes Surg"},{"issue":"4","key":"8972_CR19","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1007\/s00268-021-06394-9","volume":"46","author":"E Stenberg","year":"2022","unstructured":"Stenberg E, Dos Reis Falc\u00e3o LF, O\u2019Kane M, et al. Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update. World J Surg. 2022;46(4):729\u201351.","journal-title":"World J Surg"},{"issue":"Suppl 6","key":"8972_CR20","doi-asserted-by":"publisher","first-page":"AB63","DOI":"10.1016\/j.gie.2022.04.180","volume":"95","author":"P Jirapinyo","year":"2022","unstructured":"Jirapinyo P, Seo DJ, D\u2019Ascanio C, et al. Enhanced recovery after surgical endoscopy (ERASE): optimal anesthesia for bariatric endoscopy. Gastrointest Endosc. 2022;95(Suppl 6):AB63\u20134. https:\/\/doi.org\/10.1016\/j.gie.2022.04.180.","journal-title":"Gastrointest Endosc"},{"issue":"4","key":"8972_CR21","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1016\/j.igie.2023.08.001","volume":"2","author":"C D\u2019Ascanio","year":"2023","unstructured":"D\u2019Ascanio C, Schuler E, Jirapinyo P, et al. Implementation of an Enhanced Recovery After Surgical Endoscopy protocol to improve outcomes following endoscopic sleeve gastroplasty. IGIE. 2023;2(4):560\u20137. PMID: 41646057; PMCID: PMC12851082.","journal-title":"IGIE"},{"key":"8972_CR22","doi-asserted-by":"crossref","first-page":"S131","DOI":"10.1016\/j.soard.2015.07.010","volume":"12","author":"J Chen","year":"2016","unstructured":"Chen J, Mackenzie J, Zhai Y, et al. Preventing returns to the emergency department following bariatric surgery: lessons learned from the early years of a bariatric program. Surg Obes Relat Dis. 2016;12:S131. (Abstract).","journal-title":"Surg Obes Relat Dis"},{"key":"8972_CR23","doi-asserted-by":"publisher","first-page":"1994","DOI":"10.1016\/j.soard.2019.06.029","volume":"15","author":"ME Smith","year":"2019","unstructured":"Smith ME, Bonham AJ, Varban OA, et al. Financial impact of improving patient care setting selection after bariatric surgery. Surg Obes Relat Dis. 2019;15:1994\u20132001. https:\/\/doi.org\/10.1016\/j.soard.2019.06.029.","journal-title":"Surg Obes Relat Dis"},{"issue":"6","key":"8972_CR24","doi-asserted-by":"publisher","first-page":"1078","DOI":"10.1016\/j.gie.2021.11.038","volume":"95","author":"KJ Nass","year":"2022","unstructured":"Nass KJ, Zwager LW, van der Vlugt M, et al. Novel classification for adverse events in GI endoscopy: the AGREE classification. Gastrointest Endosc. 2022;95(6):1078\u2013e10858. https:\/\/doi.org\/10.1016\/j.gie.2021.11.038.","journal-title":"Gastrointest Endosc"},{"issue":"2","key":"8972_CR25","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1016\/j.gie.2025.03.642","volume":"102","author":"P Jirapinyo","year":"2025","unstructured":"Jirapinyo P, Advani R, Al-Sabban A, et al. Establishing standards of practice for endoscopic sleeve gastroplasty: a global expert consensus using a modified Delphi method. Gastrointest Endosc. 2025;102(2):285\u20139. https:\/\/doi.org\/10.1016\/j.gie.2025.03.642 . Epub 2025 Mar 20. PMID: 40120862.","journal-title":"Gastrointest Endosc"},{"key":"8972_CR26","first-page":"1182","volume":"32","author":"G Donatelli","year":"2022","unstructured":"Donatelli G, Dumont JL, Cereatti F, et al. Endoscopic sleeve gastroplasty technical principles and adverse event prevention. Obes Surg. 2022;32:1182\u201390.","journal-title":"Obes Surg"},{"issue":"6","key":"8972_CR27","doi-asserted-by":"publisher","first-page":"1969","DOI":"10.1007\/s11695-022-06039-3","volume":"32","author":"E Espinet-Coll","year":"2022","unstructured":"Espinet-Coll E, D\u00edaz-Gal\u00e1n P, Nebreda-Dur\u00e1n J, et al. Persistence of Sutures and Gastric Reduction After Endoscopic Sleeve Gastroplasty: Radiological and Endoscopic Assessment. Obes Surg. 2022;32(6):1969\u201379. https:\/\/doi.org\/10.1007\/s11695-022-06039-3 . Epub 2022 Mar 30. PMID: 35353330.","journal-title":"Obes Surg"},{"issue":"10","key":"8972_CR28","doi-asserted-by":"publisher","first-page":"6819","DOI":"10.1007\/s00464-025-12049-w","volume":"39","author":"M Vannucci","year":"2025","unstructured":"Vannucci M, Sun D, Lan B, et al. Endoscopic sleeve gastroplasty video assessment: do technical features influence ESG integrity and weight loss at 6 and 12 months follow-up? Surg Endosc. 2025;39(10):6819\u201327. https:\/\/doi.org\/10.1007\/s00464-025-12049-w . Epub 2025 Aug 13. PMID: 40804543.","journal-title":"Surg Endosc"},{"issue":"10","key":"8972_CR29","doi-asserted-by":"publisher","first-page":"E1349","DOI":"10.1055\/a-1221-9835","volume":"8","author":"E Espinet-Coll","year":"2020","unstructured":"Espinet-Coll E, Nebreda-Dur\u00e1n J, Galvao-Neto M, et al. Suture pattern does not influence outcomes of endoscopic sleeve gastroplasty in obese patients. Endosc Int Open. 2020;8(10):E1349\u201358. https:\/\/doi.org\/10.1055\/a-1221-9835 . Epub 2020 Sep 22. PMID: 33015337; PMCID: PMC7508658.","journal-title":"Endosc Int Open"},{"key":"8972_CR30","doi-asserted-by":"publisher","unstructured":"Mechanick JI, Apovian C, Brethauer S, American Society of Anesthesiologists. Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures\u2009\u2013\u20092019 Update: Cosponsored by American Association of Clinical Endocrinologists\/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and. Obesity (Silver Spring). 2020;28(4):O1-O58. https:\/\/doi.org\/10.1002\/oby.22719","DOI":"10.1002\/oby.22719"},{"key":"8972_CR31","first-page":"201","volume":"33","author":"P Jirapinyo","year":"2023","unstructured":"Jirapinyo P, Abu Dayyeh BK, Thompson CC. Weight recurrence and revisional strategies after endoscopic bariatric therapies. Gastrointest Endosc Clin N Am. 2023;33:201\u201314.","journal-title":"Gastrointest Endosc Clin N Am"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-026-08972-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-026-08972-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-026-08972-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T13:35:53Z","timestamp":1793108153000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-026-08972-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":31,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["8972"],"URL":"https:\/\/doi.org\/10.1007\/s11695-026-08972-z","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]},"assertion":[{"value":"5 July 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 September 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 October 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 October 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The study was conducted in accordance with the Declaration of Helsinki and local institutional ethical regulations. Data were anonymized before analysis. All procedures were performed after informed consent.","order":1,"name":"Ethics","label":"Ethics Approval and Consent to Participate","group":{"name":"EthicsHeading","label":"<b>Declarations<\/b>"}},{"value":"Written informed consent was obtained from all patients before the ESG procedure. The study was conducted in accordance with local institutional requirements; for the retrospective use of anonymized case series clinical data, Informed Consent was not applicable.","order":2,"name":"Ethics","label":"Informed Consent","group":{"name":"EthicsHeading","label":"<b>Declarations<\/b>"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing Interests","group":{"name":"EthicsHeading","label":"<b>Declarations<\/b>"}}]}}