Peer-reviewed veterinary case report
Endoscopic and laparoscopic removal of mesh eroding into stomach
By Li JJ et al.·2026·Department of General Surgery·View original on Europe PMC →
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Original publication title: Combined endoscopic and laparoscopic management of mesh erosion following vertical banded gastroplasty: a case report and literature review.
Plain-English summary
This case involves a 46-year-old woman who had weight loss surgery called vertical banded gastroplasty (VBG) about 20 years ago. Over time, she started experiencing worsening stomach pain, vomiting, and regained some weight. Doctors found that a mesh used in her surgery had eroded into her stomach, which they were able to remove using an endoscopic procedure without any problems. However, she continued to have symptoms and struggled with weight control, leading to further surgery where they performed a laparoscopic sleeve gastrectomy and a type of bypass. After these procedures, she experienced lasting relief from her symptoms and improved weight management over the next 18 months.
Abstract
Vertical banded gastroplasty (VBG) has largely been abandoned due to late complications, including the rare but serious erosion of prosthetic mesh into the gastric lumen. We report the case of a 46-year-old woman who developed progressive epigastric pain, vomiting, and weight regain two decades after VBG. Endoscopic and radiologic evaluations revealed intragastric erosion of a polypropylene mesh, which was successfully removed endoscopically without complication. Persistent symptoms and inadequate weight control, attributed to altered gastric anatomy, necessitated staged revisional surgery. The patient subsequently underwent laparoscopic sleeve gastrectomy followed by single-anastomosis sleeve-ileal bypass, achieving sustained symptom resolution and satisfactory weight control over an 18-month follow-up period. This case supports a combined endoscopic and surgical approach for managing complex sequelae of VBG.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41728607