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Perforation of stomach lining 1 year after POSE procedure
  1. Tymen Hodde,
  2. Marijn Jense,
  3. Bob Schaafsma and
  4. Jan-Willem Greve
  1. Department of Surgery, Zuyderland Medical Centre, Sittard-Geleen, Netherlands
  1. Correspondence to Tymen Hodde; t.hodde{at}


The primary obesity surgery endoscopic, or POSE, is an endoscopic procedure where sutures are placed in the stomach to reduce its size and achieve weight loss. This procedure is regarded as a safe procedure with little minor or major adverse events. We describe the case of a woman who presented with a perforation of the stomach lining 1 year after a POSE procedure at the site of a snowshoe anchor. This has not been described previously as a late complication. The perforation was treated surgically by removing the anchor and closing the defect. Later analysis revealed an active Helicobacter pylori infection.

  • Endoscopy
  • Helicobacter pylori
  • Gastrointestinal surgery

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: TH, MJ, BS and JWG. The following authors gave final approval of the manuscript: TH, MJ, BS and JWG.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.