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.

scholarly journals Superior mesenteric venous thrombosis as a first manifestation of Antithrombin III deficiency in the postoperative course of laparoscopic sleeve gastrectomy: a case study of 2 patients from 1211 bariatric patients

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Vassilis G Giannakoulis ◽  
Vasiliki Ntella ◽  
Andreas Kiriakopoulos ◽  
Maria Kostrova ◽  
Evangelos Menenakos
Keyword(s):  
Sleeve Gastrectomy ◽  
Venous Thrombosis ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Antithrombin Iii ◽  
Splenic Vein ◽  
Mesenteric Venous Thrombosis ◽  
Vein Thrombosis ◽  
Life Threatening ◽  
Bariatric Patients ◽  
Time Of Presentation

Abstract Superior mesenteric venous thrombosis (SMVT) following laparoscopic sleeve gastrectomy (LSG) is a rare, potentially life-threatening complication, which presents either isolated, or as a part of portal/mesenteric/splenic vein thrombosis. Distinction between them possibly confers an important clinical and prognostic value. Antithrombin III (ATIII) deficiency causes an hypercoagulable state which predisposes to SMVT. We report the clinical presentation and treatment of two patients among 1211 LSGs (incidence = 0.165%) that presented with isolated SMVT and ATIII deficiency in an Academic Bariatric Center. Both patients had an unremarkable past medical history; none was smoker or had a previously known thrombophillic condition/thrombotic episode. Mean time of presentation was 15.5 days after LSG. Despite aggressive resuscitative and anticoagulation measures, surgical intervention was deemed necessary. No mortalities were encountered. Coagulation tests revealed ATIII deficiency in both patients.

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 Acute mesenteric venous thrombosis after laparoscopic sleeve gastrectomy: a case report and a literature review

2019 ◽  
Vol 6 (11) ◽  
pp. 4124
Author(s):  
Alaa Sedik ◽  
Fawaz Aleashed ◽  
Ahmed Fathi
Keyword(s):  
Sleeve Gastrectomy ◽  
Venous Thrombosis ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Superior Mesenteric Vein ◽  
Proximal Jejunum ◽  
Mesenteric Venous Thrombosis ◽  
Mesenteric Vein ◽  
Vein Thrombosis ◽  
Abdominal Symptoms ◽  
High Index Of Suspicion

Over the last decade, laparoscopic sleeve gastrectomy has become an increasingly popular surgical procedure for morbid obesity. Moreover, post-laparoscopic sleeve gastrectomy mesenteric venous thrombosis is very rarely reported. The presentation varies from mild non-specific abdominal symptoms to life threatening surgical emergency. Superior mesenteric vein thrombosis after bariatric surgery is a difficult diagnosis that needs a high index of suspicion. We report a case of thrombosis of the superior mesenteric vein, who presented as acute emergency to emergency room, shortly after sleeve gastrectomy. Patient underwent laparotomy and offered a resection of 60 cm of infarcted proximal jejunum with restoration of bowel continuity later. Patient subsequently recovered and followed several times in our outpatient and was free of symptoms. 

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