Portomesenteric venous thrombosis: an early postoperative complication after laparoscopic biliopancreatic diversion

World Journal of Gastroenterology : WJG
Manuela CesarettiFrancesco S Papadia

Abstract

The number of bariatric operations, as well as the incidence of perioperative complications, has risen sharply in the past ten years. Perioperative acute portal vein thrombosis is an infrequent and potentially severe postoperative complication that has not yet been reported after biliopancreatic diversion (BPD). Three cases are presented of portal vein thrombosis that occurred following BPD treatment for morbid obesity and type 2 diabetes. The thromboses were detected by abdominal ultrasound and computed tomography with intravenous contrast. The portomesenteric venous thromboses in all three cases presented as unexpected abdominal pain several days after discharge from the hospital. The complications occurred despite adequate perioperative prophylaxis and progressed to bowel gangrene in the diabetic patients only. These cases demonstrate the occurrence of this rare type of complication, which may be observed by physicians that do not routinely treat bariatric patients. Awareness of this surgical complication will allow for early diagnosis and prompt initiation of adequate therapy.

References

Apr 1, 1997·The Surgical Clinics of North America·R Y Rhee, P Gloviczki
Apr 2, 2002·The American Journal of Gastroenterology·Abhasnee Sobhonslidsuk, K Rajender Reddy
Jan 13, 2005·Alimentary Pharmacology & Therapeutics·G J M WebsterS M Riordan
Apr 21, 2005·JAMA : the Journal of the American Medical Association·Katherine M FlegalMitchell H Gail
Jan 25, 2006·Annals of Emergency Medicine·Eric D EdwardsAlfons Pomp
Apr 6, 2006·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal
Jun 17, 2009·Archives of Surgery·Aaron W JamesGuilherme M Campos
Jul 29, 2010·JAMA : the Journal of the American Medical Association·Nancy J O BirkmeyerUNKNOWN Michigan Bariatric Surgery Collaborative

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Citations

Apr 7, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Bachir EliasRadwan Kassir

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