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- Title
Portomesenteric venous thrombosis post gastric sleeve.
- Authors
Palomares, Jaime Ponce-de-León; Barajas, Iván González; León, Valeria Jaime; Estrada, Isaac Esparza; Barba, José A Guzmán; Álvarez-Malo, José O Orozco
- Abstract
The gastric sleeve is the most performed bariatric surgery, and several studies have shown a good safety profile. Among its main postoperative complications are bleeding, leak, stenosis, reflux and to a lesser extent, portomesenteric venous thrombosis (1%). More than 80% of this entity occur after discharge. Diagnosis is difficult because it does not have characteristic symptoms or laboratory abnormalities. A 30-year-old male with a body mass index of 40.2 kg/m2, submitted to gastric sleeve, developing tachycardia, abdominal pain and oral intolerance on the eighth postoperative day. Contrast-enhanced abdominopelvic tomography revealed thrombosis of the portal, mesenteric and splenic veins. Portomesenteric venous thrombosis managed with resection, laparoscopic entero–entero anastomosis and anticoagulation. Although the risk of presenting portomesenteric venous thrombosis is relatively low, its complications are serious and life-threatening, in addition to an increased prevalence in bariatric surgeries.
- Subjects
SLEEVE gastrectomy; VENOUS thrombosis; GASTRIC bypass; MORBID obesity; PORTAL vein diseases; BARIATRIC surgery; MESENTERIC veins; ABDOMINAL pain
- Publication
Journal of Surgical Case Reports, 2022, Vol 2022, Issue 9, p1
- ISSN
2042-8812
- Publication type
Article
- DOI
10.1093/jscr/rjac435