Portal Vein Thrombosis Following Laparoscopic Sleeve Gastrectomy for Morbid Obesity

被引：35
作者：
Rosenberg, Jacob M. [1 ]
Tedesco, Maureen [1 ,2 ]
Yao, Dorcas C. [3 ,4 ]
Eisenberg, Dan [1 ,2 ,4 ]
机构：
[1] Stanford Sch Med, Dept Surg, Stanford, CA USA
[2] VA Palo Alto Hlth Care Syst, Dept Surg, Palo Alto, CA USA
[3] Stanford Sch Med, Dept Radiol, Palo Alto, CA USA
[4] VA Palo Alto HCS, Palo Alto, CA 94304 USA
来源：
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS | 2012年 / 16卷 / 04期
关键词：
Bariatric surgery; Portal Vein thrombosis; Sleeve gastrectomy; Complications; VENOUS THROMBOSIS; MESENTERIC VEIN; GASTRIC BYPASS; RISK; PNEUMOPERITONEUM; THROMBOEMBOLISM; THROMBOLYSIS; THERAPY; SURGERY; FLOW;
D O I：
10.4293/108680812X13517013316636
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Introduction: Portal vein thrombosis has been documented after laparoscopic general surgery and has been uncommonly observed after laparoscopic bariatric surgery. Among bariatric operations, the sleeve gastrectomy is being performed with ever-increasing frequency. Here we report the case of a man who presented with portal vein thrombosis after laparoscopic sleeve gastrectomy. Case Description: A 41-y-old man underwent an uneventful laparoscopic sleeve gastrectomy for the treatment of morbid obesity, and presented on postoperative day 10 with nonfocal abdominal pain, nausea, vomiting, and leukocytosis. Computed tomography revealed portal vein thrombosis, which was found in the setting of Clostridium difficile colitis. Discussion: Portal vein thrombosis may be identified with increasing frequency as the number of laparoscopic bariatric operations continues to increase. A high index of suspicion is necessary to diagnose this rare, but potentially lethal, complication.
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收藏
页码：639 / 643
页数：5
相关论文
共 35 条
[1]   Portal vein thrombosis after laparoscopic sigmoid colectomy for diverticulitis - Report of a case [J].
Baixauli, J ;
Delaney, CP ;
Senagore, AJ ;
Remzi, FH ;
Fazio, VW .
DISEASES OF THE COLON & RECTUM, 2003, 46 (04) :550-553
[2]   Portal Vein Thrombosis Due to Factor 2 Leiden in the Post-operative Course of a Laparoscopic Sleeve Gastrectomy for Morbid Obesity [J].
Berthet, Bruno ;
Bollon, Emilie ;
Valero, Rene ;
Ouaissi, Mehdi ;
Sielezneff, Igor ;
Sastre, Bernard .
OBESITY SURGERY, 2009, 19 (10) :1464-1467
[3]   Sleeve Gastrectomy as Sole and Definitive Bariatric Procedure: 5-Year Results for Weight Loss and Ghrelin [J].
Bohdjalian, Arthur ;
Langer, Felix B. ;
Shakeri-Leidenmuehler, Soheila ;
Gfrerer, Lisa ;
Ludvik, Bernhard ;
Zacherl, Johannes ;
Prager, Gerhard .
OBESITY SURGERY, 2010, 20 (05) :535-540
[4]   Mesenteric venous thrombosis: Diagnosis and noninvasive imaging [J].
Bradbury, MS ;
Kavanagh, PV ;
Bechtold, RE ;
Chen, MY ;
Ott, DJ ;
Regan, JD ;
Weber, TM .
RADIOGRAPHICS, 2002, 22 (03) :527-541
[5]   PORTAL-VEIN THROMBOSIS IN CROHNS-DISEASE [J].
BRINBERG, DE ;
STEFANSSON, TB ;
GREICIUS, FA ;
KAHLAM, SS ;
MOLIN, C .
GASTROINTESTINAL RADIOLOGY, 1991, 16 (03) :245-247
[6]   Band infection with splenoportal venous thrombosis: An unusual but severe complication of gastric banding [J].
Calmes, JM ;
Bettschart, V ;
Raffoul, W ;
Suter, M .
OBESITY SURGERY, 2002, 12 (05) :699-702
[7]   Current outcome of portal vein thrombosis in adults: Risk and benefit of anticoagulant therapy [J].
Condat, B ;
Pessione, F ;
Hillaire, S ;
Denninger, MH ;
Guillin, MC ;
Poliquin, M ;
Hadengue, A ;
Erlinger, S ;
Valla, D .
GASTROENTEROLOGY, 2001, 120 (02) :490-497
[8]   Pylephlebitis of the portal vein complicating intragastric migration of an adjustable gastric band [J].
De Roover, A ;
Detry, O ;
Coimbra, C ;
Hamoir, E ;
Honoré, P ;
Meurisse, M .
OBESITY SURGERY, 2006, 16 (03) :369-371
[9]   Portal vein thrombosis after laparoscopic gastric bypass [J].
Denne, JL ;
Kowalski, C .
OBESITY SURGERY, 2005, 15 (06) :886-889
[10]   Overweight, obesity, and the risk of recurrent venous thromboembolism [J].
Eichinger, Sabine ;
Hron, Gregor ;
Bialonczyk, Christine ;
Hirschl, Mirko ;
Minar, Erich ;
Wagner, Oswald ;
Heinze, Georg ;
Kyrle, Paul A. .
ARCHIVES OF INTERNAL MEDICINE, 2008, 168 (15) :1678-1683
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