Integrating anti-migratory strategies with hiatal repair in sleeve gastrectomy

We read with great interest the recently published articles by Abdallah and Alawadi, titled “Fixation of the Esophagus to Diaphragmatic Hiatus as a Routine Step in Hiatal Her nia Repair During Bariatric Surgery” [1], and by Nguyen et al. on Flap Valve-Preserving Vertical Sleeve Gastrectomy (fvpVSG) [2]. We commend both groups for presenting innovative approaches to mitigate two of the most chal lenging sequelae of sleeve gastrectomy (SG): postoperative gastroesophageal reflux disease (GERD) and intrathoracic sleeve migration (SM).