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Gastrointestinal Surgery pp 261–269Cite as

Postoperative Portal, Mesenteric, and Splenic Vein Thrombosis

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Abstract

Portal, mesenteric, and splenic vein thrombosis (PMS-VT) is a major postoperative complication following HPB procedures, caused by a combination of systemic and loco-regional prothombogenic factors. The clinical symptoms are mostly unspecific and variable, which makes an accurate diagnosis difficult. Patients with documented PMS-VT need to be initially treated with anticoagulation to prevent propagation of the thrombus. Other treatment modalities have been investigated, including percutaneous thrombolysis, balloon angioplasty and/or stent placement, and surgical thrombectomy. Treatment of PMS-VT should be determined by the individual clinical situation of the patient, the pathophysiology involved, and the available expertise.

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Author information

Authors and Affiliations

  1. Unit of Surgery B, The Pancreas Institute, University of Verona Hospital Trust, G.B. Rossi Hospital, P.Le L.A. Scuro 10, 37134, Verona, Italy

    Giuseppe Malleo MD

  2. GB Rossi Hospital, Department of Surgery, The Pancreas Institute, University of Verona Hospital Trust, Verona, Italy

    Davide Cosola MD & Prof. Claudio Bassi MD

Authors
  1. Giuseppe Malleo MD
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  2. Davide Cosola MD
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  3. Prof. Claudio Bassi MD
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Corresponding author

Correspondence to Giuseppe Malleo MD .

Editor information

Editors and Affiliations

  1. Division of Surgical Oncology, Johns Hopkins Hospital, Baltimore, Maryland, USA

    Timothy M. Pawlik

  2. Division of Surgical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia, USA

    Shishir K. Maithel

  3. Professor of Surgery, Division of Surgical Oncology, University of Miami, Miller School of Medicine, Sylvester Comprehensive Cancer Center, Miami, Florida, USA

    Nipun B. Merchant

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Malleo, G., Cosola, D., Bassi, C. (2015). Postoperative Portal, Mesenteric, and Splenic Vein Thrombosis. In: Pawlik, T., Maithel, S., Merchant, N. (eds) Gastrointestinal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2223-9_25

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  • DOI: https://doi.org/10.1007/978-1-4939-2223-9_25

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  • Online ISBN: 978-1-4939-2223-9

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