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Laparoscopic Sleeve Gastrectomy Complicated by Portomesenteric Vein Thrombosis: a Case Series

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Abstract

Background

Portomesenteric vein thrombosis (PMVT) is a rare, but potentially life-threatening, complication following laparoscopic sleeve gastrectomy (LSG).

Cases

Here, we discuss three cases of LSG complicated by the development of PMVT post-operatively. All patients presented within the first 20 days post-operatively with complaint of non-specific abdominal pain. All patients were successfully treated with therapeutic anticoagulation during hospitalization and discharged home with long-term anticoagulation.

Discussion

As the number of LSG performed annually continues to increase, a high index of suspicion should remain for PMVT in patients presenting with abdominal pain post-operatively. We suspect that the development of PMVT in patients undergoing LSG is secondary to manipulation of short gastric vessels, tributaries of the portal venous system, in combination with local inflammation and dehydration.

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Authors and Affiliations

  1. Department of General and Bariatric Surgery, Good Samaritan Hospital Medical Center, West Islip, NY, USA

    Firas Bridges

  2. Department of Obstetrics and Gynecology, Good Samaritan Hospital Medical Center, West Islip, NY, USA

    Jennifer Gibbs

  3. Department of Medical Education, 1000 Montauk Highway, West Islip, NY, 11795, USA

    Jennifer Gibbs

  4. NYIT College of Osteopathic Medicine, Old Westbury, NY, USA

    Christopher Hoehmann

Authors
  1. Firas Bridges
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  2. Jennifer Gibbs
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  3. Christopher Hoehmann
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Corresponding author

Correspondence to Jennifer Gibbs.

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Conflict of interest

The authors declare that they have no conflict of interest.

Statement of Human and Animal Rights

This article does not contain any studies with human participants of animals performed by any of the authors.

Informed Consent

Informed consent was obtained from the individuals whose cases were presented here. No identifiable, personal data was disclosed in this report.

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Bridges, F., Gibbs, J. & Hoehmann, C. Laparoscopic Sleeve Gastrectomy Complicated by Portomesenteric Vein Thrombosis: a Case Series. OBES SURG 27, 1112–1114 (2017). https://doi.org/10.1007/s11695-017-2561-5

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  • DOI: https://doi.org/10.1007/s11695-017-2561-5

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