Ulcer of the Mucosal Fold: An Unusual Complication of Laparoscopic Greater Curvature Plication

A 42-year-old female with a history of Laparoscopic greater curvature plication (LGCP) performed 1 year ago who was referred to the Gastroenterology clinic for epigastric pain that had occurred 4 weeks before. An esophagogastroduodenoscopy was performed and revealed a large ulcer in the mucosal fold formed by the LGCP. Proton-pump inhibitor 40mg/day was initiated, and the patient experienced improvement in clinical symptoms. LGCP is a new restrictive bariatric procedure subsequently developed and introduced by Talebpour [1]. In LGCP, the gastric wall is infolded to reduce the gastric capacity. It is performed without banding, partitioning, or transection of the gastrointestinal tract ; instead, the reconfi gured stomach is stabilized with sutures applied in multiple longitudinal rows. LGCP has resulted in minimal anatomic disruption and few complications [2].