title: Gastrogastric herniation: an unusual complication following greater curve plication for the treatment of morbid obesity.
abstract: Greater curve plication is an emerging procedure for the treatment of morbid obesity. A median weight loss of up to 61% at one year has been reported in initial reports. Thus far, operative morbidity is low and there is no reported mortality. We present a case of gastric herniation  after greater curve plication. Severe nausea and vomiting occurred in our patient with an excessively tight greater curve plication. Two gastric hernias developed through the plication suture. Surgical reduction of these hernias and revision of the original procedure was required. We recommend  that greater curve plication is performed over a bougie and that two rows of closely spaced interrupted sutures are used to secure the plication.
authors.affiliation: Royal Brisbane and Women's Hospital, Herston, Queensland, Australia. mickhii@gmail.com
authors.forename: M W
authors.initials: MW
authors.lastname: Hii
authors.forename: N E
authors.initials: NE
authors.lastname: Clarke
authors.forename: G H
authors.initials: GH
authors.lastname: Hopkins
mesh_terms: D005260:Female; D015391:Gastroplasty / Q000009:adverse effects*; D006547:Hernia / Q000209:etiology*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D020250:Postoperative Nausea and Vomiting / Q000209:etiology; D012086:Reoperation; D013272:Stomach Diseases / Q000209:etiology*