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Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention
Postoperative portomesenteric venous thrombosis (PMVT) is being increasingly reported after bariatric surgery. It is variable and often a nonspecific presentation along with its potential for life-threatening and life-altering outcomes makes it imperative that it is prevented, detected early and tre...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640030/ https://www.ncbi.nlm.nih.gov/pubmed/26622121 http://dx.doi.org/10.4103/0972-9941.152101 |
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author | Bhatia, Parveen John, Suviraj J Kalhan, Sudhir Bindal, Vivek |
author_facet | Bhatia, Parveen John, Suviraj J Kalhan, Sudhir Bindal, Vivek |
author_sort | Bhatia, Parveen |
collection | PubMed |
description | Postoperative portomesenteric venous thrombosis (PMVT) is being increasingly reported after bariatric surgery. It is variable and often a nonspecific presentation along with its potential for life-threatening and life-altering outcomes makes it imperative that it is prevented, detected early and treated optimally. We report the case of a 50-year-old morbidly obese man undergoing a laparoscopic sleeve gastrectomy who developed symptomatic PMVT two weeks postsurgery, which was successfully treated by anticoagulant therapy. We provide postulates to the etiopathological mechanism for this thrombotic entity. The growing recognition that obesity and bariatric surgery create a procoagulant state regionally and systemically provides impetus for designing the ideal protocol for PMVT prophylaxis, which could be more common than currently believed. We support the early screening for PMVT in the postbariatric surgical patient with unexplainable or intractable abdominal symptoms. The role of routine surveillance and the ideal duration of post-PMVT anticoagulation is yet to be elucidated. |
format | Online Article Text |
id | pubmed-4640030 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-46400302015-11-30 Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention Bhatia, Parveen John, Suviraj J Kalhan, Sudhir Bindal, Vivek J Minim Access Surg Unusual Case Postoperative portomesenteric venous thrombosis (PMVT) is being increasingly reported after bariatric surgery. It is variable and often a nonspecific presentation along with its potential for life-threatening and life-altering outcomes makes it imperative that it is prevented, detected early and treated optimally. We report the case of a 50-year-old morbidly obese man undergoing a laparoscopic sleeve gastrectomy who developed symptomatic PMVT two weeks postsurgery, which was successfully treated by anticoagulant therapy. We provide postulates to the etiopathological mechanism for this thrombotic entity. The growing recognition that obesity and bariatric surgery create a procoagulant state regionally and systemically provides impetus for designing the ideal protocol for PMVT prophylaxis, which could be more common than currently believed. We support the early screening for PMVT in the postbariatric surgical patient with unexplainable or intractable abdominal symptoms. The role of routine surveillance and the ideal duration of post-PMVT anticoagulation is yet to be elucidated. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4640030/ /pubmed/26622121 http://dx.doi.org/10.4103/0972-9941.152101 Text en Copyright: © 2015 Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Unusual Case Bhatia, Parveen John, Suviraj J Kalhan, Sudhir Bindal, Vivek Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention |
title | Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention |
title_full | Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention |
title_fullStr | Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention |
title_full_unstemmed | Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention |
title_short | Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention |
title_sort | portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: a case report and a call for prevention |
topic | Unusual Case |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640030/ https://www.ncbi.nlm.nih.gov/pubmed/26622121 http://dx.doi.org/10.4103/0972-9941.152101 |
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