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

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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.

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Author information

Authors and Affiliations

  1. Department of Surgery, Faculty of Medicine, University of Aleppo, Aleppo, Syria

    Mohammad Aloulou

  2. Nabd Alhayat Medical Center, Aleppo, Syria

    Mohammad Aloulou

  3. Department of Surgery, Duke University, Durham, NC, USA

    Alessandro Martinino

  4. Faculty of Medicine, University of Aleppo, Aleppo, Syria

    Tala Jouma Alhejazi

  5. Departments of Surgery, Marien Hospital Herne, University Hospital of the Ruhr University Bochum, Herne, Germany

    Sjaak Pouwels

  6. Department of Surgery, Imperial College London, London, UK

    Ahmed Ahmed

  7. Department of Surgery, University Hospital Southampton, Southampton, UK

    James Byrne

  8. Department of Surgery, Whittington Hospital, London, UK

    Chetan Parmar

  9. Apollo Hospitals Education and Research Foundation, Apollo Hospitals, Chennai, India

    Chetan Parmar

  10. University College London, London, UK

    Chetan Parmar

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  1. Mohammad Aloulou
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  2. Alessandro Martinino
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  3. Tala Jouma Alhejazi
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  5. Ahmed Ahmed
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  7. Chetan Parmar
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Correspondence to Mohammad Aloulou.

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Key Points

• SM should be a DDx after SG, especially in those with worsened GERD symptoms.

• Long-term follow-up after MBS is crucial to deliver the best possible patient care.

• Further studies are needed to validate the current treatment options for SM.

• Bariatric societies should work on a unified diagnostics criteria for SM.

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Aloulou, M., Martinino, A., Alhejazi, T.J. et al. Sleeve Migration Following Sleeve Gastrectomy: A Systematic Review of Current Literature. OBES SURG 34, 2237–2247 (2024). https://doi.org/10.1007/s11695-024-07259-5

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  • DOI: https://doi.org/10.1007/s11695-024-07259-5

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