Ineffectiveness of Transfixing Sutures in Enhancing Weight Loss Following Gastric Plication: A Case Report.

Endoscopic gastric plication is an emerging procedure for obesity management, facilitated by advances in intraluminal suturing technology. However, concerns persist regarding the complete transfixion of sutures and their long-term durability. We present the case of a 28-year-old patient with a BMI of 31 kg/m² who underwent laparoscopic gastric plication using nonabsorbable sutures to ensure complete transfixion under direct visualization. The procedure's effectiveness and durability were evaluated through clinical and endoscopic follow-up.