{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:19:57Z","timestamp":1787505597597,"version":"build-2736575974"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Laparoscopic sleeve gastrectomy (LSG) is widely performed, but postoperative strictures, most commonly at the incisura angularis, remain a challenging complication. These are often functional, resulting from angulation of the gastric tube. While endoscopic balloon dilation is the first-line therapy, some patients require surgical intervention. Conversion to Roux-en-Y gastric bypass (RYGB) is traditionally the default treatment. Laparoscopic seromyotomy offers an anatomy-preserving alternative in select cases. We report a 35-year-old female with prior LSG and paraesophageal hernia repair who developed progressive food intolerance due to a functional incisura stricture. Endoscopy demonstrated sharp luminal angulation without fixed narrowing. Given the patient\u2019s preference to avoid RYGB, a diagnostic laparoscopy with seromyotomy was performed. Postoperative imaging confirmed resolution of the stricture without leak. The patient tolerated a solid diet and remained asymptomatic without reflux at 2-year follow-up. Laparoscopic seromyotomy is a viable option for carefully selected patients with refractory functional strictures following LSG.<\/jats:p>","DOI":"10.1093\/jscr\/rjag296","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T11:38:41Z","timestamp":1775907521000},"source":"Crossref","is-referenced-by-count":1,"title":["Seromyotomy as an alternative to gastric bypass for post-sleeve gastrectomy stricture: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2546-9115","authenticated-orcid":false,"given":"Kevin","family":"Connors","sequence":"first","affiliation":[{"name":"Department of Surgery, Luminis Health Anne Arundel Medical Center , 2001 Medical Parkway, Annapolis, MD 21401 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3624-6005","authenticated-orcid":false,"given":"Carolina","family":"Baz","sequence":"additional","affiliation":[{"name":"Department of Surgery, Luminis Health Anne Arundel Medical Center , 2001 Medical Parkway, Annapolis, MD 21401 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Gandsas","sequence":"additional","affiliation":[{"name":"Department of Surgery, Luminis Health Anne Arundel Medical Center , 2001 Medical Parkway, Annapolis, MD 21401 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"2026042311540697600_ref1","doi-asserted-by":"publisher","first-page":"1110","DOI":"10.1016\/j.soard.2017.03.007","article-title":"What are the long-term results 8 years after sleeve gastrectomy?","volume":"13","author":"Noel","year":"2017","journal-title":"Surg Obes Relat Dis"},{"key":"2026042311540697600_ref2","first-page":"1642","article-title":"Is laparoscopic sleeve gastrectomy an acceptable primary bariatric procedure in obese patients? Early and 5-year post-operative results","volume":"22","author":"Braghetto","year":"2012","journal-title":"Obes Surg"},{"key":"2026042311540697600_ref3","doi-asserted-by":"publisher","first-page":"1481","DOI":"10.1007\/s11695-013-0963-6","article-title":"Gastric stenosis after laparoscopic sleeve gastrectomy in morbidly obese patients","volume":"23","author":"Burgos","year":"2013","journal-title":"Obes Surg"},{"key":"2026042311540697600_ref4","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1016\/j.soard.2016.09.014","article-title":"Surgical standardization to prevent gastric stenosis after laparoscopic sleeve gastrectomy: a case series","volume":"13","author":"Chang","year":"2017","journal-title":"Surg Obes Relat Dis"},{"key":"2026042311540697600_ref5","first-page":"1553","article-title":"Strictures after sleeve gastrectomy: diagnosis, management and prevention","volume":"30","author":"Vilallonga","year":"2020","journal-title":"Obes Surg"},{"key":"2026042311540697600_ref6","first-page":"1938","article-title":"Gastric outlet obstruction after laparoscopic sleeve gastrectomy: a single-institution experience","volume":"28","author":"Sillen","year":"2018","journal-title":"Obes Surg"},{"key":"2026042311540697600_ref7","first-page":"372","article-title":"Revisional surgeries after sleeve gastrectomy: a systematic review","volume":"13","author":"Li","year":"2017","journal-title":"Surg Obes Relat Dis"},{"key":"2026042311540697600_ref8","first-page":"1121","article-title":"Laparoscopic seromyotomy for stricture after laparoscopic sleeve gastrectomy","volume":"13","author":"Dapri","year":"2017","journal-title":"Surg Obes Relat Dis"},{"key":"2026042311540697600_ref9","first-page":"1790","article-title":"Endoscopic dilation for sleeve gastrectomy strictures: outcomes and long-term follow-up","volume":"30","author":"Lorenzo","year":"2020","journal-title":"Obes Surg"},{"key":"2026042311540697600_ref10","doi-asserted-by":"publisher","first-page":"995","DOI":"10.1007\/s11695-015-1883-4","article-title":"Gastric stenosis after laparoscopic sleeve gastrectomy: diagnosis and management","volume":"26","author":"Rebibo","year":"2016","journal-title":"Surg Endosc"},{"key":"2026042311540697600_ref11","first-page":"456","article-title":"Endoscopic management of leakage and stenosis after sleeve gastrectomy: a retrospective study","volume":"31","author":"Aljahdli","year":"2021","journal-title":"Obes Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag296\/68143380\/rjag296.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag296\/68143380\/rjag296.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T15:54:14Z","timestamp":1776959654000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag296\/8661416"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag296","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4,1]]},"article-number":"rjag296"}}