Gastric Sleeve Migration resulting in Laparoscopic Conversion to Roux-en-Y- Gastric Bypass in Combination with Collis Gastroplasty and Paraesophageal Hernia Repair

Laparoscopic Sleeve Gastrectomy (LSG) is now the most commonly performed procedure in the US according to the most recent ASMBS estimates with excellent short and long term outcomes.  However, long term complications following LSG, including refractory GERD, weight gain and intrathoracic sleeve migration are commonly encountered in high volume bariatric centers. Intra-thoracic sleeve migration can result in gastric strangulation and should be repaired immediately. In our center we have developed an aggressive approach in identifying and repairing hiatal ernias intraoperatively  in combination with sleeve gastrectomy to avoid that complication.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research