Evidence map›Paper›PMID 39964666›Full record

ArticleObesity surgery2025

Indications and Outcomes of Endoscopic Gastric Pouch Plications After Bariatric Surgery: An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Database.

Mélissa V Wills, Juan S Barajas-Gamboa, Gustavo Romero-Velez, Andrew Strong, Salvador Navarrete, Ricard Corcelles, Carlos Abril, Juan Pablo Pantoja, Alfredo D Guerron, John Rodriguez and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. One-anastomosis gastric bypassWorld journal of gastrointestinal surgery · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Mélissa V WillsCleveland Clinic Lerner College of Medicine, Cleveland Clinic Foundation, Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. willsm@ccf.org.
Juan S Barajas-GamboaCleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Gustavo Romero-VelezCleveland Clinic Lerner College of Medicine, Cleveland Clinic Foundation, Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Andrew StrongCleveland Clinic Lerner College of Medicine, Cleveland Clinic Foundation, Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Salvador NavarreteCleveland Clinic Lerner College of Medicine, Cleveland Clinic Foundation, Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Ricard CorcellesCleveland Clinic Lerner College of Medicine, Cleveland Clinic Foundation, Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Carlos AbrilCleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Juan Pablo PantojaCleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Alfredo D GuerronCleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
John RodriguezCleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Matthew KrohCleveland Clinic Lerner College of Medicine, Cleveland Clinic Foundation, Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Jerry DangCleveland Clinic Lerner College of Medicine, Cleveland Clinic Foundation, Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic gastric pouch plications (EGPP) have emerged as a novel approach for managing weight-related issues and postoperative complications following bariatric surgery. However, safety for these revisions remains limited. This study aims to evaluate the 30-day rate of serious complications and mortality associated with EGPP using the MBSAQIP database. 

methodsA retrospective analysis of the MBSAQIP database from 2020 to 2022 was conducted, focusing on patients undergoing EGPP. The primary outcomes were 30-day serious complications and mortality.

resultsThe study included 1474 patients. Recurrent weight gain was the most common indication for EGPP (71.9%), followed by suboptimal initial weight loss (15.1%), dumping syndrome (5.5%), reflux (4.1%), gastrointestinal tract fistula (1.0%), and others (0.9%). The mean operative time was 41.2 ± 35.2 min, with a mean hospital stay of 0.4 ± 0.7 days. Postoperative complications included 30-day readmissions (3.1%), serious complications (3.3%), 30-day interventions (2.5%), bleeding (0.8%), and reoperations (0.4%). The mortality rate was 0%. Multivariable analysis identified GERD as an independent predictor of serious complications (OR 1.79, 95% CI 0.98 to 3.2, p = 0.05) when adjusting for various factors.

conclusionsEGPP is an uncommon procedure with only 1474 cases reported, primarily indicated for weight recurrence. It appears to be a relatively safe alternative to surgical revision. However, further research is needed to assess its efficacy and compare it to corresponding surgical revisions.

Indexed as

Bariatric SurgeryGastroplastyObesity, MorbidPostoperative ComplicationsAdultDatabases, FactualFemaleHumansMaleMiddle AgedPatient ReadmissionQuality ImprovementReoperationRetrospective StudiesTreatment OutcomeWeight LossAdvanced endoscopyBariatric surgeryEndoscopic gastric pouch plicationMetabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP)Revisional bariatric surgery

Identifiers

PMID39964666
PMCPMC11906566

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.