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Gastric Migration After Bariatric Surgery

  • Alan A. SaberEmail author
Letter to Editor/LED Reply
  • 27 Downloads

Intrathoracic migration of the gastric component of bariatric surgery is an interesting phenomenon. It is underrecognized and underreported. Although migration can occur after any bariatric procedure with hiatal dissection, it is more prominent after the most common bariatric procedure, i.e., sleeve gastrectomy. Thus, more attention needs to be paid to this growing phenomenon.

Although the title of “gastric migration crisis in bariatric surgery” is an attractive and descriptive title [1], several points need to be clarified.

A hiatal hernia found in the postoperative period could be a hiatal hernia that was missed during or developed after the original bariatric procedure. However, when we described the ITSM [2], we were particularly describing the gastric sleeve that was intraabdominal during the sleeve gastrectomy procedure then migrated up some time after the surgery. The documentation of the staple line of the gastric sleeve above the diaphragm explains this upward migration of...

Notes

Compliance with Ethical Standards

Conflict of Interest

The author declares that he has no conflict of interest.

References

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    Runkel N. The Gastric Migration Crisis in Obesity Surgery. Letter to editor. Obes Surg. 2019Google Scholar
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    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.CrossRefGoogle Scholar
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    Kunio NR, Dolan JP, Hunter JG. Short esophagus. Surg Clin North Am. 2015 Jun;95(3):641–52.CrossRefGoogle Scholar
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    Boules M, Corcelles R, Guerron AD, et al. The incidence of hiatal hernia and technical feasibility of repair during bariatric surgery. Surgery. 2015;158(4):911–6. discussion 916-8CrossRefGoogle Scholar
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    Doulami G, Triantafyllou S, Albanopoulos K, et al. Acid and nonacid gastroesophageal reflux after single anastomosis gastric bypass. An objective assessment using 24-hour multichannel intraluminal impedance-pH metry. Surg Obes Relat Dis. 2018;14(4):484–8.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.RWJ Barnabas HealthNewark Beth Israel Medical CenterNewarkUSA

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