Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Bell D, Shah V, Intrathoracic sleeve migration. Reference article, Radiopaedia.org (Accessed on 26 Apr 2024) https://doi.org/10.53347/rID-85045
Intrathoracic sleeve migration is a rare complication following a sleeve gastrectomy.
Pathology
Several factors have been postulated, including 3
- gastric narrowing
- progressive enlargement of the esophageal hiatal orifice
- division of natural attachments such as the phreno-esophageal membrane
- removal of gastric fundus in close proximity to the angle of His
- postoperative weight loss
- decrease in the visceral fat
See also
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1. Saber A et.al. Intra-thoracic Sleeve Migration (ITSM): an Underreported Phenomenon After Laparoscopic Sleeve Gastrectomy. (2017) Obesity surgery. doi:10.1007/s11695-017-2589-6 - Pubmed
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2. Baumann T et.al Three-dimensional stomach analysis with computed tomography after laparoscopic sleeve gastrectomy: sleeve dilation and thoracic migration. (2011) Surgical endoscopy. doi:10.1007/s00464-010-1558-0 - Pubmed
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3. 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. (2020) Journal of surgical case reports. 2020 (8): rjaa234. doi:10.1093/jscr/rjaa234 - Pubmed
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