ArticleObesity surgery2017
Intra-thoracic Sleeve Migration (ITSM): an Underreported Phenomenon After Laparoscopic Sleeve Gastrectomy.
Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- How is 3D modeling in metabolic surgery utilized and what is its clinical benefit: a systematic review and meta-analysis.International journal of surgery (London, England) · 2025Pooled it
- Magnetic Sphincter Augmentation for Gastroesophageal Reflux After Sleeve Gastrectomy: A Systematic Review.Obesity surgery · 2024Pooled it
- Sleeve Migration Following Sleeve Gastrectomy: A Systematic Review of Current Literature.Obesity surgery · 2024Pooled it
- Crural Repair with or without Fundoplication During Sleeve Gastrectomy for Hiatal Hernia: Reflux Recurrence and Intrathoracic Migration at 18 Months.Obesity surgery · 2026Article
- A Brief Guide for Endoscopists: Key Points for Upper Gastrointestinal Endoscopy in Patients Undergoing Sleeve Gastrectomy.Obesity surgery · 2025Article
- Sliding hiatus hernia (intrathoracic sleeve migration) post-laparoscopic sleeve gastrectomy: A case series and review of literature.Journal of minimal access surgery · 2025Article
- Intrathoracic Sleeve Migration Following Sleeve Gastrectomy: Incidence and Outcomes.Obesity surgery · 2024Article
- A Study of Omentum Reduction on the Improvement of Nausea and vomiting and Gastroesophageal Reflux Symptoms After Laparoscopic Gastric Sleeve Resection.Obesity surgery · 2024Article
- Article
- Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass: Is Intrathoracic Migration of the Sleeve of High Incidence?Obesity surgery · 2024Article
- Article
- Oversewing and Gastropexy in Laparoscopic Sleeve Gastrectomy - Two Futile Steps of the Procedure? An Observational Case-Control Study.Obesity surgery · 2023Observational
- Reconstruction of the phreno-esophageal ligament (R-PEL) prevents the intrathoracic migration (ITM) after concomitant sleeve gastrectomy and hiatal hernia repair.Surgical endoscopy · 2023Article
- Article
- Acute Parahiatal Hernia After Sleeve Gastrectomy: a Case Report.Obesity surgery · 2022Article
- Ten-year outcomes after primary vertical sleeve gastrectomy for morbid obesity: a monocentric cohort study.Surgical endoscopy · 2021Article
- Preoperative measurement of the hiatal surface with MDCT: impact on surgical planning.La Radiologia medica · 2021Article
- Slipped LINX® Caused by a Short Esophagus or an Intra-Thoracic Sleeve Migration (ITSM) or the Combination of Both?Obesity surgery · 2021Article
- Transhiatal Migration After Laparoscopic Sleeve Gastrectomy: Myth or Reality? A Multicenter, Retrospective Study on the Incidence and Clinical Impact.Obesity surgery · 2021Article
- Intrathoracic Migration of Gastric Sleeve Affects Weight Loss as well as GERD-an Analysis of Remnant Gastric Morphology for 100 Patients at One Year After Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2021Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite its technical simplicity, laparoscopic sleeve gastrectomy (LSG) complications are increasingly reported. Intra-thoracic sleeve migration (ITSM ) is a rare complication after LSG which has been inconsistently addressed in the literature.
aimsThe purpose of this study was to emphasize ITSM occurrence after LSG and evaluate the perioperative factors associated with its development.
methodsBetween January and July 2016, LSG patients diagnosed with ITSM at two bariatric surgery departments were identified. Perioperative factors were assessed for all the patients and compared between two groups, LSG alone and LSG with concomitant hiatal hernia (HH) repair (HHR).
resultsA total of 19 patients (6 males and 13 females) were included. Central obesity was present in 18 patients (94.7%). Nine patients (47.4%) had concomitant hiatal hernia repair during their original LSG. Post-LSG GERD (94.7%) (38.9% de novo and 61.1% recurrent) and post-LSG constipation (57.9%) were commonly associated with ITSM. Severe refractory GERD was the most common presentation for ITSM (94.7%), followed by epigastric pain (47.4%), persistent nausea/vomiting (36.8%), and dysphagia (21.1%). Time interval between primary LSG and ITSM diagnosis ranged from 1 day to 3 years. Patients with LSG and concomitant HHR presented with higher post-LSG BMI compared to the LSG patients (37 ± 6.4 kg/m
conclusionCentral obesity, chronic constipation, post-LSG GERD, and concomitant HHR are commonly seen in post-laparoscopic sleeve gastrectomy intra-thoracic sleeve migration.
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