{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T05:12:34Z","timestamp":1778649154788,"version":"3.51.4"},"reference-count":11,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:p>\n                    We report a 51-month follow-up of transcatheter left gastric artery embolization (LGAE) in a 54-year-old male with central obesity (BMI 29.1\u202fkg\/m\n                    <jats:sup>2<\/jats:sup>\n                    , waist circumference 107\u202fcm), post-stroke disability, osteoarthritis-induced immobility, compulsive binge eating, alcohol dependence, and clopidogrel-treated antiplatelet therapy\u2014rendering conventional weight-loss interventions ineffective or contraindicated. Despite developing an 8-cm iatrogenic gastric ulcer at 30\u202fdays post-procedure, complete endoscopic healing was achieved with proton pump inhibitors and mucosal protectants. Sustained weight loss of 15.2% (from 84\u202fkg to 71.2\u202fkg) with 14.6\u202fcm waist reduction correlated with resolution of knee pain (WOMAC score 68\u202f\u2192\u202f12), sleep apnea, fatty liver (ALT 119\u202f\u2192\u202f28\u202fU\/L), and dyslipidemia. This case demonstrates LGAE\u2019s long-term efficacy in high-risk, surgery-ineligible obesity while highlighting the necessity of rigorous management for significant embolization-related complications, suggesting vascular remodeling capacity in gastric mucosa.\n                  <\/jats:p>","DOI":"10.3389\/fnut.2026.1762014","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T04:42:07Z","timestamp":1778647327000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Beyond the ulcer: 51-month durability of left gastric artery embolization for obesity management in an antiplatelet-dependent, surgery-ineligible patient"],"prefix":"10.3389","volume":"13","author":[{"given":"Min","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Dermatology, Zigong Third People's Hospital","place":["Zigong, Sichuan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiangrui","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Oncology, Zigong Third People's Hospital","place":["Zigong, Sichuan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Limei","family":"Zhou","sequence":"additional","affiliation":[{"name":"Interventional Radiology, Zigong Third People's Hospital","place":["Zigong, Sichuan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maolin","family":"Sun","sequence":"additional","affiliation":[{"name":"Publicity Department, Zigong Third People's Hospital","place":["Zigong, Sichuan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunwei","family":"Han","sequence":"additional","affiliation":[{"name":"The Department of Oncology, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University","place":["Luzhou, Sichuan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingting","family":"Zhao","sequence":"additional","affiliation":[{"name":"Quality Management Office, Zigong Third People's Hospital","place":["Zigong, Sichuan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"S4","DOI":"10.1093\/advances\/nmy055","article-title":"Humans against obesity: who will win?","volume":"10","author":"Caballero","year":"2019","journal-title":"Adv Nutr"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1016\/s2213-8587(22)00033-x","article-title":"Body-mass index and risk of obesity-related complex multimorbidity: an observational multicohort study","volume":"10","author":"Kivim\u00e4ki","year":"2022","journal-title":"Lancet Diabetes Endocrinol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e004928","DOI":"10.1136\/bmjdrc-2025-004928","article-title":"Introduction and methodology: standards of care in overweight and obesity-2025","volume":"13","author":"Bannuru","year":"2025","journal-title":"BMJ Open Diabetes Res Care"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"76","DOI":"10.5334\/jbsr.3170","article-title":"Bariatric artery embolization for obese patients. An up-to-date review","volume":"107","author":"Ravetta","year":"2023","journal-title":"J Belg Soc Radiol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"945","DOI":"10.1007\/s00270-024-03702-3","article-title":"Adding short to left gastric artery embolization for the treatment of obesity: safety and effectiveness","volume":"47","author":"di Giuseppe","year":"2024","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e072327","DOI":"10.1136\/bmjopen-2023-072327","article-title":"EMBIO trial study protocol: left gastric artery embolisation for weight loss in patients living with obesity with a BMI 35-50 kg\/m(2)","volume":"13","author":"Patel","year":"2023","journal-title":"BMJ Open"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1007\/s00270-021-02776-7","article-title":"Bariatric embolization in the treatment of patients with a body mass index between 30 and 39.9 kg\/m(2) (obesity class I and II) and metabolic syndrome, a pilot study","volume":"44","author":"Levigard","year":"2021","journal-title":"Cardiovasc Intervent Radiol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"2305","DOI":"10.1016\/j.jacc.2020.09.550","article-title":"Transcatheter bariatric embolotherapy for weight reduction in obesity","volume":"76","author":"Reddy","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1593","DOI":"10.1016\/j.jvir.2019.06.020","article-title":"Weight loss after left gastric artery embolization: a systematic review and Meta-analysis","volume":"30","author":"Hafezi-Nejad","year":"2019","journal-title":"J Vascular Intervent Radiol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"310","DOI":"10.25270\/jic\/20.00047","article-title":"Long-term outcomes and weight loss after bariatric embolization of the left gastric artery","volume":"32","author":"Pirlet","year":"2020","journal-title":"J Invasive Cardiol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"3058","DOI":"10.1007\/s11695-016-2389-4","article-title":"A novel endoscopic bariatric procedure: results of an experimental study","volume":"26","author":"Kipshidze","year":"2016","journal-title":"Obes Surg"}],"container-title":["Frontiers in Nutrition"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2026.1762014\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T04:42:35Z","timestamp":1778647355000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2026.1762014\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,13]]},"references-count":11,"alternative-id":["10.3389\/fnut.2026.1762014"],"URL":"https:\/\/doi.org\/10.3389\/fnut.2026.1762014","relation":{},"ISSN":["2296-861X"],"issn-type":[{"value":"2296-861X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,13]]},"article-number":"1762014"}}