{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:54:06Z","timestamp":1740174846821,"version":"3.37.3"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T00:00:00Z","timestamp":1631750400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T00:00:00Z","timestamp":1631750400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Gomez gastroplasty, which was developed in the 1970s as one of the gastric restrictive surgeries for severe obesity, partitions the stomach using a stapler from the lesser towards the greater curvature at the upper gastric body, leaving a small channel. This procedure is no longer performed due to poor outcomes, but surgeons can encounter late-onset complications even decades after the surgery. Here, we report a case of very late-onset stomal obstruction following Gomez gastroplasty which was successfully treated by revision surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 58-year-old man was referred to our institution with sudden-onset nausea and vomiting. He underwent weight loss surgery in the USA in 1979, but the details of the surgery were unclear. Esophagogastroduodenoscopy demonstrated a stoma at the greater curvature of the upper gastric body, and fluoroscopy showed retention of contrast medium in the fundus and poor outflow through the stoma. Abdominal computed tomography revealed a staple line partitioning the stomach. Considering these preoperative investigation findings and the period during which the surgery was performed, the patient was diagnosed with very late-onset stomal obstruction following Gomez gastroplasty. Supporting the preoperative diagnosis, the surgical findings revealed a staple line extending from the lesser towards the greater curvature of the upper gastric body and a channel reinforced by a running seromuscular suture on the greater curvature. Moreover, gastric torsion caused by the enlarged proximal gastric pouch was found. Re-gastroplasty involving wedge resection of the original channel was performed followed by construction of a new channel. Postoperative course was uneventful, and the patient no longer had symptoms of stomal obstruction after revision surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Re-gastroplasty was safe and feasible for very late-onset stomal obstruction following Gomez gastroplasty. Accurate preoperative diagnosis based on the patient\u2019s interview and the investigation findings was important for surgical planning. A careful follow-up is required to prevent excessive weight regain after revision surgery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01293-6","type":"journal-article","created":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T09:02:48Z","timestamp":1631782968000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful revision surgery for very late-onset stomal obstruction following Gomez gastroplasty: a case report"],"prefix":"10.1186","volume":"7","author":[{"given":"Yudai","family":"Hojo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasunori","family":"Kurahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiko","family":"Tomita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsutomu","family":"Kumamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuro","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinori","family":"Ishida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8931-1902","authenticated-orcid":false,"given":"Hisashi","family":"Shinohara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,9,16]]},"reference":[{"key":"1293_CR1","doi-asserted-by":"publisher","first-page":"1937","DOI":"10.1007\/s11695-020-05207-7","volume":"31","author":"L Angrisani","year":"2021","unstructured":"Angrisani L, Santonicola A, Iovino P, Ramos A, Shikora S, Kow L. Bariatric Surgery Survey 2018: similarities and disparities among the 5 IFSO chapters. Obes Surg. 2021;31:1937\u201348.","journal-title":"Obes Surg"},{"key":"1293_CR2","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1007\/s11695-007-9308-7","volume":"18","author":"AA Saber","year":"2008","unstructured":"Saber AA, Elgamal MH, McLeod MK. Bariatric surgery: the past, present, and future. Obes Surg. 2008;18:121\u20138.","journal-title":"Obes Surg"},{"key":"1293_CR3","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1093\/ajcn\/33.2.406","volume":"33","author":"CA Gomez","year":"1980","unstructured":"Gomez CA. Gastroplasty in the surgical treatment of morbid obesity. Am J Clin Nutr. 1980;33:406\u201315.","journal-title":"Am J Clin Nutr"},{"key":"1293_CR4","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1016\/S0039-6109(16)41989-4","volume":"59","author":"CA Gomez","year":"1979","unstructured":"Gomez CA. Gastroplasty in morbid obesity. Surg Clin North Am. 1979;59:1113\u201320.","journal-title":"Surg Clin North Am"},{"key":"1293_CR5","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1007\/BF01657969","volume":"5","author":"CA Gomez","year":"1981","unstructured":"Gomez CA. Gastroplasty in morbid obesity: a progress report. World J Surg. 1981;5:823\u20138.","journal-title":"World J Surg"},{"key":"1293_CR6","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1007\/BF01657667","volume":"6","author":"JA Buckwalter","year":"1982","unstructured":"Buckwalter JA, Herbst CA Jr. Gastric partition for morbid obesity: greater curvature gastroplasty or gastrogastrostomy. World J Surg. 1982;6:403\u201311.","journal-title":"World J Surg"},{"key":"1293_CR7","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/0002-9610(84)90465-3","volume":"148","author":"HJ Sugarman","year":"1984","unstructured":"Sugarman HJ, Wolper JL. Failed gastroplasty for morbid obesity. Revised gastroplasty versus Roux-Y gastric bypass. Am J Surg. 1984;148:331\u20136.","journal-title":"Am J Surg"},{"key":"1293_CR8","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1381\/096089292765560123","volume":"2","author":"R Hunter","year":"1992","unstructured":"Hunter R, Watts JM, Dunstan R, Elmslie R, O\u2019Brien P, Slavotinek A, et al. Revisional surgery for failed gastric restrictive procedures for morbid obesity. Obes Surg. 1992;2:245\u201352.","journal-title":"Obes Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01293-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-021-01293-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01293-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T09:20:46Z","timestamp":1631784046000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-021-01293-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,16]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1293"],"URL":"https:\/\/doi.org\/10.1186\/s40792-021-01293-6","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2021,9,16]]},"assertion":[{"value":"27 July 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 September 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 September 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patient for the publication of this report and the use of accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"207"}}