Endoscopic gastric conduit plication: a novel endoscopic technique for delayed gastric conduit emptying following oesophagectomy.

Ann R Coll Surg EnglFeb 2, 2026 (epub)
Case ReportGastroenterologyCardiothoracic SurgeryOpen access

H Room, T Bhuvanakrishna, D Peristeri et al.

✦ AI-curated · Sources linked

Case in brief

An 81-year-old man developed nutritional failure, recurrent aspiration pneumonia and a BMI of 17.5 six years after oesophagectomy for oesophageal adenocarcinoma. Imaging and endoscopic assessment showed a dilated, redundant gastric conduit with sumping. To avoid the risks of surgical revision, endoscopic suturing was used to plicate the intrathoracic conduit. Contrast swallow showed improved conduit shape and drainage. At 6- and 12-month follow-up, he reported better diet tolerance; BMI had increased to 24.7, there had been no aspiration-related hospitalisations, and EORTC QLQ OG25 scores improved from 60 to 32.

What made this case unusual

Endoscopic suturing expertise developed for endoscopic sleeve gastroplasty was adapted to plicate an intrathoracic gastric conduit, addressing redundancy and sumping without surgical revision.

Diagnostic / clinical pearl

In a patient with delayed gastric conduit emptying after oesophagectomy, conduit dilatation, redundancy and sumping may underlie poor drainage and aspiration; defining this anatomy can inform consideration of endoscopic plication.

Source

PubMed · PMID 41622907Free full text on PubMed Central

Published in Ann R Coll Surg Engl. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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