title: Rare complication post sleeve gastrectomy: Acute irreducible paraesophageal hernia.
abstract: BACKGROUND
  Laparoscopic sleeve gastrectomy has been accepted as a standalone effective bariatric procedure. With the increase in the number of cases done worldwide, we are witnessing the emergence of new unexpected complications.
  
  
  METHODS
  A seemingly straight forward sleeve gastrectomy was complicated by acute post-operative vomiting which was diagnosed as an acute intra thoracic migration of part of the new sleeve. Surgical repair was done, with reduction and fixation of the stomach. Patient was subsequently relieved of his symptoms and discharged.
  
  
  CONCLUSIONS
  This is a rare complication of a relatively well studied operation. Faced with severe post operative repeated vomiting, clinical suspicion and correct use of all para-clinical tools should help delineate the cause.
  
  
  CONCLUSIONS
  We report this case hoping to expand the existing literature on the topic and to highlight the potential role of gastrophrenic membrane dissection in the occurrence of such complication.
authors: Bariatric and Metabolic Surgery Department, Somna Care, Procare Riaya Hospital, Al Khobar, Saudi Arabia.
authors: Osamah
authors: O
authors: Al-Sanea
authors: Bariatric and Metabolic Surgery Department, Somna Care, Procare Riaya Hospital, Al Khobar, Saudi Arabia.
authors: Ahmed
authors: A
authors: Al-Garzaie
authors: Gastroenterology Department, Somna Care, Procare Riaya Hospital, Al Khobar, Saudi Arabia.
authors: Mohamad
authors: M
authors: Dernaika
authors: Bariatric and Metabolic Surgery Department, Somna Care, Procare Riaya Hospital, Al Khobar, Saudi Arabia. Electronic address: Johnny.haddad@gmail.com.
authors: Johnny
authors: J
authors: Haddad
keywords: Fixation of the sleeve; Gastrophrenic membrane; Intrathoracic migration; Sleeve gastrectomy
references: Obes Surg. 2010 Mar;20(3):357-62
references: 20013071
references: Arch Gynecol Obstet. 2011 Mar;283(3):409-14
references: 21042802
references: Obes Surg. 2007 Jul;17(7):962-9
references: 17894158
references: Int J Surg. 2014 Dec;12(12):1450-1
references: 25448670
references: Dig Dis Sci. 2009 Jun;54(6):1243-6
references: 18975090
references: Obes Surg. 2010 Aug;20(8):1171-7
references: 20379795
references: JAMA. 2014 Sep 3;312(9):959-61
references: 25182106
references: Obes Surg. 2014 Sep;24(9):1494-6
references: 25008470
references: Obes Surg. 2014 Sep;24(9):1415-9
references: 24737310
references: Obes Surg. 2008 Aug;18(8):1039-42
references: 18386106
references: Obes Surg. 2010 Sep;20(9):1306-11
references: 20574787
references: Surg Endosc. 2011 Jul;25(7):2323-9
references: 21298527
references: Int J Surg. 2014 Dec;12(12):1462-4
references: 25463767