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...
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Wolters Kluwer Medknow Publications
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doaj-011ac0ba1ca14c6fb0272ac347f386ab2020-11-24T23:26:35ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212015-01-0111427627810.4103/0972-9941.152101Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for preventionParveen BhatiaSuviraj J JohnSudhir KalhanVivek BindalPostoperative 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.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=4;spage=276;epage=278;aulast=BhatiaBariatric surgerylaparoscopylaparoscopic surgerymorbid obesityportomesenteric venous thrombosisPMVTsleeve gastrectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Parveen Bhatia Suviraj J John Sudhir Kalhan Vivek Bindal |
spellingShingle |
Parveen Bhatia Suviraj J John Sudhir Kalhan Vivek Bindal Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention Journal of Minimal Access Surgery Bariatric surgery laparoscopy laparoscopic surgery morbid obesity portomesenteric venous thrombosis PMVT sleeve gastrectomy |
author_facet |
Parveen Bhatia Suviraj J John Sudhir Kalhan Vivek Bindal |
author_sort |
Parveen Bhatia |
title |
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_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_sort |
portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: a case report and a call for prevention |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Minimal Access Surgery |
issn |
0972-9941 1998-3921 |
publishDate |
2015-01-01 |
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. |
topic |
Bariatric surgery laparoscopy laparoscopic surgery morbid obesity portomesenteric venous thrombosis PMVT sleeve gastrectomy |
url |
http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=4;spage=276;epage=278;aulast=Bhatia |
work_keys_str_mv |
AT parveenbhatia portomesentericvenousthrombosisafterlaparoscopicsleevegastrectomyacasereportandacallforprevention AT suvirajjjohn portomesentericvenousthrombosisafterlaparoscopicsleevegastrectomyacasereportandacallforprevention AT sudhirkalhan portomesentericvenousthrombosisafterlaparoscopicsleevegastrectomyacasereportandacallforprevention AT vivekbindal portomesentericvenousthrombosisafterlaparoscopicsleevegastrectomyacasereportandacallforprevention |
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