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ResumenUna de las complicaciones más frecuentes de los procedimientos bariátricos es la fuga gástrica, ya sea debido a dehiscencia de línea de grapado o por perforación gástrica. Estas varían dependiendo del tipo de cirugía, reportándose del 2.05-5.2% en bypass gástrico en Y de Roux, el 5.1% en manga gástrica y el 1.4% en plicatura gástrica. Actualmente, se recomienda manejo de mínima invasión con lo cual se disminuye morbilidad. Presentamos un caso clínico de perforación secundario a plicatura gástrica con exitoso manejo endoscópico.AbstractGastric leak, caused by staple line disruption or gastric perforation, is one of the most dreaded complications following bariatric surgery. The reported incidence of leakage varies depending on type of surgery, from 2.05% to 5.20% for Roux-en-Y gastric bypass, 5.1% in sleeve gastrectomy, and 1.4% in gastric plication. Minimally invasive management is currently recommended to minimise morbidity. The case is presented of a patient who suffered a gastric perforation following a laparoscopic greater curvature plication, with successful endoscopic management

endoscopia

Manejo exitoso de perforación gástrica secundaria a plicatura de curvatura mayor laparoscópica con gastrostomía endoscópica percutánea con avance yeyunal y sellador de fibrina