Comment on: Pouch Volume and Pouch Migration after Roux-en-Y Gastric Bypass: A Comparison of Gastroscopy and 3D-CT Volumetry – Is there a “Migration Crisis”?

Intra-thoracic migration (ITM) is a term most commonly associated with intra-mediastinal gastric herniation following laparoscopic sleeve gastrectomy, a feared entity that is presumed to accentuate the effects of GERD. In the recent literature, ITM post roux-en-y gastric bypass (RYGB) has also been studied [1,2], although possibly due to the pre-conceived anti-reflux, low-pressure nature of the procedure, its presence was considered to be somewhat less problematic. The paper titled “Pouch Volume and Pouch Migration after Roux-en-Y Gastric Bypass: A Comparison of Gastroscopy and 3D-CT Volumetry – Is there a Migration Crisis?’’ [3] alarmingly details the high incidence of this entity post revisional RYGB and, more concerning, the complexity of diagnosing such an entity.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research