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Portomesenteric Vein Thrombosis after Bariatric Surgery: An Online Survey
Portomesenteric vein thrombosis (PMVT) is a rare post-operative complication of bariatric procedures, occurring in between 0.3% and 1% of cases. A structured questionnaire consisting of 27 items was available online to members of the International Federation for the Surgery of Obesity and Metabolic...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432580/ https://www.ncbi.nlm.nih.gov/pubmed/34501472 http://dx.doi.org/10.3390/jcm10174024 |
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author | Carrano, Francesco Maria Weiner, Sylvia Elshafei, Moustafa Ahmed, Saleem Talishinskiy, Toghrul Tognoni, Valeria Mahawar, Kamal Di Lorenzo, Nicola |
author_facet | Carrano, Francesco Maria Weiner, Sylvia Elshafei, Moustafa Ahmed, Saleem Talishinskiy, Toghrul Tognoni, Valeria Mahawar, Kamal Di Lorenzo, Nicola |
author_sort | Carrano, Francesco Maria |
collection | PubMed |
description | Portomesenteric vein thrombosis (PMVT) is a rare post-operative complication of bariatric procedures, occurring in between 0.3% and 1% of cases. A structured questionnaire consisting of 27 items was available online to members of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) to investigate the occurrence of PMVT. A total of 89 bariatric surgeons from 61 countries participated. Twenty-six (29.21%) reported at least one case of PMVT (46.15% males; 53.84% females). The surgery most associated with PMVT occurrence was sleeve gastrectomy (84.6%), followed by Roux-en-Y gastric bypass (RYGB) (7.69%), and laparoscopic adjustable gastric banding (LAGB) (7.69%). The time gap between surgery and PMVT was 19.28 ± 8.72 days. The predominant symptom was abdominal pain in 96.15% of patients, followed by fever in 26.9%. Complete occlusion of the portal vein was reported in 34.6% of cases, with involvement of the portal system in 69%, extension to the superior mesenteric district in 23%, and extension to the splenic vein in two patients (7.7%). Our survey, which is the largest regarding PMVT to date, revealed a diffuse lack of standardization in the choice, duration, and dosing of prophylaxis regimens as well as treatment modalities, reflecting the literature gap on the topic. |
format | Online Article Text |
id | pubmed-8432580 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-84325802021-09-11 Portomesenteric Vein Thrombosis after Bariatric Surgery: An Online Survey Carrano, Francesco Maria Weiner, Sylvia Elshafei, Moustafa Ahmed, Saleem Talishinskiy, Toghrul Tognoni, Valeria Mahawar, Kamal Di Lorenzo, Nicola J Clin Med Article Portomesenteric vein thrombosis (PMVT) is a rare post-operative complication of bariatric procedures, occurring in between 0.3% and 1% of cases. A structured questionnaire consisting of 27 items was available online to members of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) to investigate the occurrence of PMVT. A total of 89 bariatric surgeons from 61 countries participated. Twenty-six (29.21%) reported at least one case of PMVT (46.15% males; 53.84% females). The surgery most associated with PMVT occurrence was sleeve gastrectomy (84.6%), followed by Roux-en-Y gastric bypass (RYGB) (7.69%), and laparoscopic adjustable gastric banding (LAGB) (7.69%). The time gap between surgery and PMVT was 19.28 ± 8.72 days. The predominant symptom was abdominal pain in 96.15% of patients, followed by fever in 26.9%. Complete occlusion of the portal vein was reported in 34.6% of cases, with involvement of the portal system in 69%, extension to the superior mesenteric district in 23%, and extension to the splenic vein in two patients (7.7%). Our survey, which is the largest regarding PMVT to date, revealed a diffuse lack of standardization in the choice, duration, and dosing of prophylaxis regimens as well as treatment modalities, reflecting the literature gap on the topic. MDPI 2021-09-06 /pmc/articles/PMC8432580/ /pubmed/34501472 http://dx.doi.org/10.3390/jcm10174024 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Carrano, Francesco Maria Weiner, Sylvia Elshafei, Moustafa Ahmed, Saleem Talishinskiy, Toghrul Tognoni, Valeria Mahawar, Kamal Di Lorenzo, Nicola Portomesenteric Vein Thrombosis after Bariatric Surgery: An Online Survey |
title | Portomesenteric Vein Thrombosis after Bariatric Surgery: An Online Survey |
title_full | Portomesenteric Vein Thrombosis after Bariatric Surgery: An Online Survey |
title_fullStr | Portomesenteric Vein Thrombosis after Bariatric Surgery: An Online Survey |
title_full_unstemmed | Portomesenteric Vein Thrombosis after Bariatric Surgery: An Online Survey |
title_short | Portomesenteric Vein Thrombosis after Bariatric Surgery: An Online Survey |
title_sort | portomesenteric vein thrombosis after bariatric surgery: an online survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432580/ https://www.ncbi.nlm.nih.gov/pubmed/34501472 http://dx.doi.org/10.3390/jcm10174024 |
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