Laparoscopic sleeve gastrectomy (LSG) has become the dominant bariatric procedure because of its reliable weight loss and low complication rate. Portomesenteric vein thrombosis (PMVT) after LSG is an infrequent complication that can lead to serious consequences. Here, we report a patient who presented with abdominal pain 11 days after LSG for the treatment of morbid obesity. Contrast CT of the abdomen revealed PMVT. The patient had liver cirrhosis, which is a major risk factor for PMVT. When LSG is performed on an obese patient with liver cirrhosis, careful attention must be paid to the onset of PMVT.

References

1Angrisani L, Santonicola A, Iovino P et al. Bariatric surgery and endoluminal procedures: IFSO Worldwide Survey 2014. Obes Surg 2017; 27: 2279–2289.
10.1007/s11695-017-2666-x
CAS PubMed Web of Science® Google Scholar
2Chawla Y, Duseja A, Dhiman RK. Review article: The modern management of portal vein thrombosis. Aliment Pharmacol Ther 2009; 30: 881–894.
10.1111/j.1365-2036.2009.04116.x
CAS PubMed Web of Science® Google Scholar
3James AW, Rabl C, Westphalen AC et al. Portomesenteric venous thrombosis after laparoscopic surgery: A systematic literature review. Arch Surg 2009; 144: 520–526.
10.1001/archsurg.2009.81
PubMed Web of Science® Google Scholar
4AlSabah S, AlRuwaished M, Almazeedi S et al. Portomesenteric vein thrombosis post-laparoscopic sleeve gastrectomy: Case series and literature review. Obes Surg 2017; 27: 2360–2369.
10.1007/s11695-017-2637-2
PubMed Web of Science® Google Scholar
5Bureau C, Laurent J, Robic MA et al. Central obesity is associated with non-cirrhotic portal vein thrombosis. J Hepatol 2016; 64: 427–432.
10.1016/j.jhep.2015.08.024
PubMed Web of Science® Google Scholar
6Villagrán R, Smith G, Rodriguez W et al. Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy: Incidence, analysis and follow-up in 1236 consecutive cases. Obes Surg 2016; 26: 2555–2561.
10.1007/s11695-016-2183-3
PubMed Web of Science® Google Scholar
7Hughes DL, Worrall SJ, Khan H et al. Mesenteric ischaemia secondary to portomesenteric venous thrombosis, 2 weeks post laparoscopic sleeve gastrectomy in a cirrhotic patient. BMJ Case Rep 2014; 2014: bcr2013202246.
10.1136/bcr-2013-202246
PubMed Google Scholar
8Zocco MA, Di Stasio E, De Cristofaro R et al. Thrombotic risk factors in patients with liver cirrhosis: Correlation with MELD scoring system and portal vein thrombosis development. J Hepatol 2009; 51: 682–689.
10.1016/j.jhep.2009.03.013
PubMed Web of Science® Google Scholar
9Kawanaka H, Akahoshi T, Kinjo N et al. Impact of antithrombin III concentrates on portal vein thrombosis after splenectomy in patients with liver cirrhosis and hypersplenism. Ann Surg 2010; 251: 76–83.
10.1097/SLA.0b013e3181bdf8ad
PubMed Web of Science® Google Scholar
10Kojima S, Watanabe N, Koizumi J et al. Current status of portal vein thrombosis in Japan: Results of a questionnaire survey by the Japan Society for Portal Hypertension. Hepatol Res 2017; 48: 244–254. https://doi.org/10.1111/hepr.12983.
10.1111/hepr.12983
PubMed Web of Science® Google Scholar

Citing Literature

Volume12, Issue2

April 2019

Pages 214-217

Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy in patient with liver cirrhosis

Abstract

References

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy in patient with liver cirrhosis

Abstract

References

Citing Literature

References

Related

Information