Thrombophilia prevalence in patients seeking laparoscopic sleeve gastrectomy: extended chemoprophylaxis may decrease portal vein thrombosis rate

2020 ◽  
Vol 16 (7) ◽  
pp. 839-843 ◽  
Author(s):  
Manish Parikh ◽  
Eduardo Somoza ◽  
Ajay Chopra ◽  
Danielle Friedman ◽  
Patricia Chui ◽  
...  
2009 ◽  
Vol 19 (10) ◽  
pp. 1464-1467 ◽  
Author(s):  
Bruno Berthet ◽  
Emilie Bollon ◽  
René Valero ◽  
Mehdi Ouaissi ◽  
Igor Sielezneff ◽  
...  

2015 ◽  
Vol 6 (9) ◽  
pp. 556 ◽  
Author(s):  
Nidal Abu jkeim ◽  
Ahmad Al Hazmi ◽  
Awad Alawad ◽  
Rashid Ibrahim ◽  
Ahmad Abudamis ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Murad Baba ◽  
Jordan Fakhoury ◽  
Amer Syed

Introduction. Portomesenteric thrombosis is increasingly recognized as a complication of laparoscopic sleeve gastrectomy (LSG). It often presents with abdominal pain. We present a mother and her son who both developed portal vein thrombosis (PVT) after LSG.Case Description. A 43-year-old woman presented complaining of sudden severe abdominal pain, two weeks after she had uncomplicated laparoscopic sleeve gastrectomy. CT scan of the abdomen and pelvis with IV contrast showed portal vein thrombosis and SMV thrombosis. Two weeks later her son had the same LSG for morbid obesity and presented with the same clinical picture. Thrombophilia workup showed heterozygous prothrombin gene mutation.Conclusions. A high index of suspicion is necessary to diagnose PVT; although rare, it can be potentially lethal. Anticoagulation therapy should be initiated immediately to limit the morbidities and improve the outcome. Patients with family history of thrombophilia should be investigated prior to any bariatric surgery and nonsurgical alternative treatments for morbid obesity should be strongly encouraged.


2016 ◽  
Vol 12 (10) ◽  
pp. 1787-1794 ◽  
Author(s):  
LeGrand Belnap ◽  
George M. Rodgers ◽  
Daniel Cottam ◽  
Hinali Zaveri ◽  
Cara Drury ◽  
...  

2020 ◽  
pp. 1-3
Author(s):  
Ramiz Iqbal ◽  
Ramiz Iqbal ◽  
Elvina Wiadji

Portal vein thrombosis (PVT) is an uncommon and potentially life-threatening complication of bariatric surgery. Three cases of PVT were diagnosed at our regional center. All cases were post-laparoscopic sleeve gastrectomy without any intraoperative complications. All patients presented with vomiting and CT scans confirming PVT. No patients required operative management of venous mesenteric ischaemia and all were managed with anticoagulation. Two out of the three cases were found to have risk factors for venous thromboembolism. Surgeons should be aware of the vague symptomology of this rare entity and have a higher degree of suspicion in patients with risk factors of venous thrombosis.


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