Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery

04-05-2024 | Sleeve Gastrectomy | Review

Sleeve Migration Following Sleeve Gastrectomy: A Systematic Review of Current Literature

Authors: Mohammad Aloulou, Alessandro Martinino, Tala Jouma Alhejazi, Sjaak Pouwels, Ahmed Ahmed, James Byrne, Chetan Parmar

Published in: Obesity Surgery

Login to get access

Abstract

Sleeve gastrectomy (SG) is the most frequently performed bariatric procedure worldwide. The incidence and consequences of sleeve migration (SM) are not clearly understood. There is no clear consensus on appropriate measures to reduce the risk of SM. This study systematically reviewed the literature and identified 405 cases of SM from 21 studies. Age ranged from 18 to 68 years. Thirty-two percent and 11% of patients were females and males respectively, while sex was not reported in 57%. Time to diagnosis ranged from 1 day to 5 years postoperatively. A total of 9.6% and 58.8% of patients had or had no previous hiatal hernia respectively. SM incidence, risk factors, proposed mechanisms, clinical presentation, diagnosis, management, and potential preventive strategies are described in this review.

Graphical Abstract

Literature
1.
2.
Baumann T, Grueneberger J, Pache G, Kuesters S, Marjanovic G, Kulemann B, et al. Three-dimensional stomach analysis with computed tomography after laparoscopic sleeve gastrectomy: sleeve dilation and thoracic migration. Surg Endosc. 2011;25(7):2323–9.CrossRefPubMed
3.
Karila-Cohen P, Pelletier AL, Saker L, Laouénan C, Bachelet D, Khalil A, et al. Staple line intrathoracic migration after sleeve gastrectomy: correlation between symptoms, CT three-dimensional stomach analysis, and 24-h pH monitoring. Obes Surg. 2022;32(7):1–9.CrossRefPubMed
4.
Sabry K, Elmaleh HM, El-Swaify ST, Refaat MA, Atiya MAN, Alazab E, et al. Surgical management algorithm for intrathoracic sleeve migration: a retrospective series and literature review. J Laparoendosc Adv Surg Tech. 2022;32(10):1078–91.CrossRef
5.
Saber AA, Shoar S, Khoursheed M. Intra-thoracic sleeve migration (ITSM): an underreported phenomenon after laparoscopic sleeve gastrectomy. Obes Surg. 2017;27(8):1917–23.CrossRefPubMed
6.
Oshiro T, Wakamatsu K, Nabekura T, Moriyama Y, Kitahara N. The potential of a polyglycolic acid sheet for preventing intrathoracic sleeve migration. Minim Invasive Ther Allied Technol. 2023;32(4):199–206.CrossRefPubMed
7.
Fouad MMB, Ibraheim SMN, Ibraheim P, Maurice KK, Saber AT. Assessment of the role of omentopexy in laparoscopic sleeve gastrectomy: a tertiary center experience. J Laparoendosc Adv Surg Tech. 2022;32(9):962–8.CrossRef
8.
Castagneto-Gissey L, Genco A, Del Corpo G, Badiali D, Pronio AM, Casella G. Sleeve gastrectomy and gastroesophageal reflux: a comprehensive endoscopic and pH-manometric prospective study. Surg Obes Relat Dis. 2020;16(11):1629–37.CrossRefPubMed
9.
Arnoldner MA, Felsenreich DM, Langer FB, Weber M, Mang T, Kulinna-Cosentini C, et al. Pouch volume and pouch migration after Roux-en-Y gastric bypass: a comparison of gastroscopy and 3 D-CT volumetry: is there a “migration crisis”? Surg Obes Relat Dis. 2020;16(12):1902–8.CrossRefPubMed
10.
Meknat A, Fernandez-Ranvier G, Hariri K, Guevara DE, Beitner M, Herron DM. Intrathoracic sleeve migrations after sleeve gastrectomy: a compilation of case reports. J Laparoendosc Adv Surg Tech. 2020;30(9):1013–7.CrossRef
11.
Amor Ben I, Debs T, Kassir R, Anty R, Amor Ben V, Gugenheim J. De novo hiatal hernia of the gastric tube after sleeve gastrectomy. Int J Surg Case Rep. 2015;15:78–80.CrossRef
12.
Bhandarkar S, Kalikar V, Nasta A, Goel R, Patankar R. Post-laparoscopic sleeve gastrectomy, intrathoracic sleeve migration and its management: a case series and review of literature. J Minim Access Surg. 2023;19(4):544–7.CrossRefPubMedPubMedCentral
13.
Boru CE, Termine P, Antypas P, Iossa A, Ciccioriccio CM, de Angelis F, et al. Concomitant hiatal hernia repair during bariatric surgery: does the reinforcement make the difference? Minerva Chir. 2021;76(1):33–42.
14.
Choi SJ, Kim SM. Intrathoracic migration of gastric sleeve affects weight loss as well as GERD–an analysis of remnant gastric morphology for 100 patients at one year after laparoscopic sleeve gastrectomy. Obes Surg. 2021;31(7):2878–86.CrossRefPubMed
15.
Dalkılıç MS, Erdem H, Gençtürk M, Yılmaz M, Sisik A. Acute intrathoracic migration with incarceration of laparoscopic sleeve gastrectomy due to incomplete hiatal hernia repair. Cureus. 2022;14(11):11–4.
16.
Genco A, Soricelli E, Casella G, Maselli R, Castagneto-Gissey L, Di Lorenzo N, et al. Gastroesophageal reflux disease and Barrett’s esophagus after laparoscopic sleeve gastrectomy: a possible, underestimated long-term complication. Surg Obes Relat Dis. 2017;13(4):568–74.CrossRefPubMed
17.
Hon HH, Birriel TJ, El CM. Gastric sleeve migration conversion to a Roux-en-Y gastric bypass in combination with wedge fundectomy and paraesophageal hernia repair. Surg Obes Relat Dis. 2018;14(3):426–7.CrossRefPubMed
18.
Mizrahi I, Tabak A, Grinbaum R, Beglaibter N, Eid A, Simanovsky N, et al. The utility of routine postoperative upper gastrointestinal swallow studies following laparoscopic sleeve gastrectomy. Obes Surg. 2014;24(9):1415–9.CrossRefPubMed
19.
Pavelko Y, Bustos R, Gruessner S, Hassan C. Acute hiatal hernia with incarcerated proximal half of recent sleeve gastrectomy: super rare complication. Obes Surg. 2021;31(1):469–71.CrossRefPubMed
20.
Sebastiani S, Nagliati C, Barreca M. Gastric herniation following laparoscopic sleeve gastrectomy: a rare acute complication. Austin J Surg. 2014;1(9):1044.
21.
Termine P, Boru CE, Iossa A, Ciccioriccio MC, Campanelli M, Bianciardi E, et al. Transhiatal migration after laparoscopic sleeve gastrectomy: myth or reality? A multicenter, retrospective study on the incidence and clinical impact. Obes Surg. 2021;31(8):3419–26.CrossRefPubMed
22.
Al-Sanea O, Al-Garzaie A, Dernaika M, Haddad J. Rare complication post sleeve gastrectomy: acute irreducible paraesophageal hernia. Int J Surg Case Rep. 2015;8:88–91.CrossRefPubMedCentral
23.
Alwatari Y, Roriz-Silva R, Bolckmans R, Campos GM. Intrathoracic sleeve gastrectomy migration with gastric volvulus treated with laparoscopic repair and conversion to gastric bypass. J Surg Case Reports. 2020;2020(8):1–4.
24.
Parmar CD, Khalil H, Lakdawala M, Bhan C, Sufi P. Gastro-colic fistula after sleeve gastrectomy leak: our experience with this rare complication. Obes Surg. 2019;29(11):3771–2.CrossRefPubMed
25.
26.
Parmar CD, Gan J, Stier C, Dong Z, Chiappetta S, El-Kadre L, et al. One Anastomosis/Mini Gastric Bypass (OAGB-MGB) as revisional bariatric surgery after failed primary adjustable gastric band (LAGB) and sleeve gastrectomy (SG): a systematic review of 1075 patients. Int J Surg. 2020;81(July):32–8.CrossRefPubMed
27.
Rheinwalt KP, Schipper S, Plamper A, Alizai PH, Trebicka J, Brol MJ, et al. Roux-en-Y versus one anastomosis gastric bypass as redo-operations following sleeve gastrectomy: a retrospective study. World J Surg. 2022;46(4):855–64.CrossRefPubMed
28.
Nakanishi H, Mosleh KA, Al-Kordi M, Farsi S, Chaudhry S, Marrero K, et al. One anastomosis gastric bypass as revisional surgery following sleeve gastrectomy: a systematic review and meta-analysis. Obes Surg. 2024;34(2):429–41.CrossRefPubMed
29.
Biter LU, ‘tHart JW, Noordman BJ, Smulders JF, Nienhuijs S, Dunkelgrün M, et al. Long-term effect of sleeve gastrectomy vs Roux-en-Y gastric bypass in people living with severe obesity: a phase III multicentre randomised controlled trial (SleeveBypass). Lancet Reg Heal Eur. 2024;38:100836.
30.
Elmaleh HM, Elnabeel Mortada A, Khaled RA. Evaluation of anterior phrenoesophageal ligament preservation during hiatus hernia repair in laparoscopic sleeve gastrectomy as an anti-reflux measure. J Laparoendosc Adv Surg Tech. 2021;31(5):507–14.CrossRef
31.
32.
Skalli EM, Parmar CD. Necrosis of the Nissen-sleeve gastrectomy (N-SG) wrap. Obes Surg. 2020;30(10):4174–5.CrossRefPubMed
33.
Kermansaravi M, Parmar C, Chiappetta S, Shikora S, Aminian A, Abbas SI, et al. Best practice approach for redo-surgeries after sleeve gastrectomy, an expert’s modified Delphi consensus. Surg Endosc. 2023;37(3):1617–28.CrossRefPubMed
Metadata
Title
Sleeve Migration Following Sleeve Gastrectomy: A Systematic Review of Current Literature
Authors
Mohammad Aloulou
Alessandro Martinino
Tala Jouma Alhejazi
Sjaak Pouwels
Ahmed Ahmed
James Byrne
Chetan Parmar
Publication date
04-05-2024
Publisher
Springer US
Published in
Obesity Surgery
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-024-07259-5