{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:56Z","timestamp":1782384656283,"version":"3.54.5"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>BariClip gastroplasty is an emerging bariatric technique designed to preserve gastric anatomy while providing restrictive weight loss. While preliminary reports have shown promising outcomes, the variety of complications remains incompletely defined. We report the case of a woman in her late 40s with BMI\u2009&amp;gt;\u200935 and a medical history of hypothyroidism, who underwent elective BariClip placement as a primary bariatric intervention. On the second postoperative day, she presented with abdominal discomfort, nausea, and distention. A computed tomography scan revealed inferior slippage of the BariClip and esophageal hematoma. Diagnostic laparoscopy confirmed migration of the device with associated multiple perforations along the gastric wall. The clip was removed, and the perforations were repaired by primary suturing. On the first postoperative day of the secondary operation, the patient developed acute dyspnea and was diagnosed with pulmonary embolism, treated with therapeutic anticoagulation, and discharged home in good condition on postoperative Day 10.<\/jats:p>","DOI":"10.1093\/jscr\/rjag422","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T11:40:21Z","timestamp":1778672421000},"source":"Crossref","is-referenced-by-count":0,"title":["Clip slippage and gastric perforation following BariClip vertical gastroplasty: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3243-9007","authenticated-orcid":false,"given":"Saleh","family":"Abualhaj","sequence":"first","affiliation":[{"name":"General Surgery Department, Faculty of Medicine, Al-Balqa Applied University , Al-Balqaa road, 19117, Al-Salt ,","place":["Jordan"]},{"name":"General Surgery Department, King Hussein Cancer Center (KHCC) , Queen Rania Al Abdullah Street, 11941, Amman ,","place":["Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6727-6249","authenticated-orcid":false,"given":"Ayyub","family":"Masoud","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Balqa Applied University , Al-Balqaa road, 19117, Al-Salt ,","place":["Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Kreisat","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Balqa Applied University , Al-Balqaa road, 19117, Al-Salt ,","place":["Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Alshadfan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Al Balqa Applied University , Al-Balqaa road, 19117, Al-Salt ,","place":["Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5936-9895","authenticated-orcid":false,"given":"Mu\u2019taz","family":"Massad","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Faculty of Medicine, The Hashemite University , PO Box 330127, Zarqa 13133 ,","place":["Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3109-2600","authenticated-orcid":false,"given":"Husam","family":"Abu Dawood","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Palestine Polytechnic University , Wadi Al-Hariyyah, PO P720, Hebron ,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2953-2188","authenticated-orcid":false,"given":"Hashem","family":"Abu Serhan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hamad Medical Corporation , Al-Rayyan street, PO 3050, Doha ,","place":["Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"2026062506253498900_ref1","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1016\/j.rgmx.2020.05.007","article-title":"New technologies and advances in weight loss therapy","volume":"85","author":"Zerrweck","year":"2020","journal-title":"Rev Gastroenterol Mex (Eng Ed)"},{"key":"2026062506253498900_ref2","doi-asserted-by":"publisher","first-page":"e71194","DOI":"10.7759\/cureus.71194","article-title":"Bariclip removal and conversion to gastric sleeve: a case report","volume":"16","author":"Cuellar-Tamez","year":"2024","journal-title":"Cureus"},{"key":"2026062506253498900_ref3","doi-asserted-by":"publisher","first-page":"4220","DOI":"10.1007\/s11695-024-07522-9","article-title":"BariClip: outcomes and complications from a single-center experience","volume":"34","author":"Bonaldi","year":"2024","journal-title":"Obes Surg"},{"key":"2026062506253498900_ref4","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1007\/s11695-024-07603-9","article-title":"Laparoscopic vertical clip gastroplasty with BariClip experience, complications, literature review, and proposal of modification of the original technique","volume":"35","author":"Navarrete","year":"2025","journal-title":"Obes Surg"},{"key":"2026062506253498900_ref5","doi-asserted-by":"publisher","first-page":"100836","DOI":"10.1016\/j.lanepe.2024.100836","article-title":"Long-term effect of sleeve gastrectomy vs Roux-en-Y gastric bypass in people living with severe obesity: a phase III multicentre randomised controlled trial (SleeveBypass)","volume":"38","author":"Biter","year":"2024","journal-title":"Lancet Reg Heal Eur"},{"key":"2026062506253498900_ref6","doi-asserted-by":"publisher","first-page":"3317","DOI":"10.1007\/s11695-023-06780-3","article-title":"Classification of slippage following laparoscopic BariClip gastroplasty","volume":"33","author":"Noel","year":"2023","journal-title":"Obes Surg"},{"key":"2026062506253498900_ref7","doi-asserted-by":"publisher","first-page":"2381","DOI":"10.1007\/s11695-025-07867-9","article-title":"BariClip: laparoscopic treatment of postoperative perforation","volume":"35","author":"Galleano","year":"2025","journal-title":"Obes Surg"},{"key":"2026062506253498900_ref8","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1007\/s11695-022-06364-7","article-title":"Safety and efficacy of laparoscopic vertical clip gastroplasty: early results of an Italian multicenter study","volume":"33","author":"Gentileschi","year":"2023","journal-title":"Obes Surg"},{"key":"2026062506253498900_ref9","doi-asserted-by":"publisher","first-page":"6698","DOI":"10.3390\/jcm11226698","article-title":"The reflux and BariClip: initial results and mechanism of action","volume":"11","author":"Noel","year":"2022","journal-title":"J Clin Med"},{"key":"2026062506253498900_ref10","doi-asserted-by":"publisher","first-page":"2815","DOI":"10.1016\/j.numecd.2021.06.018","article-title":"Efficacy and effects of bariatric surgery in the treatment of obesity: network meta-analysis of randomized controlled trials","volume":"31","author":"Cosentino","year":"2021","journal-title":"Nutr Metab Cardiovasc Dis"}],"container-title":["Journal of Surgical Case 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