Portomesenteric Venous Thrombosis as a Complication of Laparoscopic Sleeve Gastrectomy: a Case Report and Review of the Literature

2019 ◽  
Vol 81 (6) ◽  
pp. 582-586
Author(s):  
Fedele Salvatore ◽  
Delvecchio Antonella ◽  
Carlino Chiara ◽  
Panzera Piercarmine ◽  
Martines Gennaro
Keyword(s):  
Sleeve Gastrectomy ◽  
Case Report ◽  
Venous Thrombosis ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Review Of The Literature ◽  
Portomesenteric Venous Thrombosis

scholarly journals Portomesenteric Venous Thrombosis with Bowel Ischemia after Laparoscopic Sleeve Gastrectomy

2019 ◽  
Vol 12 (3) ◽  
pp. 135-137
Author(s):  
Mohamed Abdelmohsen ◽  
Mubarak Alkandari ◽  
Samir Abdulaziz ◽  
Mohamed Alsulimy ◽  
Nagy Ismaeil
Keyword(s):  
Sleeve Gastrectomy ◽  
Venous Thrombosis ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Bowel Ischemia ◽  
Portomesenteric Venous Thrombosis

scholarly journals Portomesenteric Venous Thrombosis Post-Laparoscopic Sleeve Gastrectomy: Do Energy Systems Pose as Instigating Factor to This Infrequent Complication?

2019 ◽  
Vol 12 ◽  
pp. 117954761984350 ◽  
Author(s):  
Mohammed N Bani Hani ◽  
Abdel Rahman A Al manasra ◽  
Firas Obeidat ◽  
Mamoon H Al-Omari ◽  
Farah Bani Hani
Keyword(s):  
Sleeve Gastrectomy ◽  
Venous Thrombosis ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Splenic Vein ◽  
Energy Systems ◽  
University Hospital ◽  
Published Data ◽  
Vein Thrombosis ◽  
Portomesenteric Venous Thrombosis

Background: Portomesenteric venous thrombosis (PMVT), a rare complication after laparoscopic sleeve gastrectomy (LSG). Severe consequences are owed to a high risk of bowel ischemia. Our aim is to present a series of patients who developed PMVT after LSG, highlighting the potential role of the vessel sealer and divider as a risk factor. Methods: Medical records of seven patients who underwent LSG and developed PMVT from April 2010 to January 2019, at King Abdullah University Hospital and Jordan University Hospital, Jordan were reviewed. Our findings were studied, audited, and compared with published data. Results: A sum of 4900 patients underwent LSG, 7 (0.14%) developed PMVT. The mean age and body mass index (BMI) were 36.8 years and 45 kg/m2, respectively. Four were women. Epigastric pain radiating to the back was the presenting symptom at a median time of 9 days after surgery. Computed tomography (CT) of the abdomen confirmed the diagnosis. Five patients presented with a total portal vein thrombosis (PVT), one with splenic vein thrombosis and one with dual portal and mesenteric vein thrombosis. Conclusion: Portomesenteric venous thrombosis is a relatively uncommon complication following LSG. Early recognition is required to avoid catastrophic outcomes. The role of energy systems in the development of PMVT remains unknown and requires further elaboration.

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