J Metab Bariatr Surg.  2018 Dec;7(2):64-67. 10.17476/jmbs.2018.7.2.64.

Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy

• Aktekin A
• Torun M

• KMID: 2435112
• DOI: http://doi.org/10.17476/jmbs.2018.7.2.64

Abstract

Laparoscopic sleeve gastrectomy is a surgical procedure for patients who want to lose weight. An acute porto-mesenteric vein thrombosis is an infrequent but not rare complication in patients who undergo laparoscopic sleeve gastrectomy. In this article, we present a 40-year-old male patient with body mass index of 47 kg/m² was admitted for laparoscopic sleeve gastrectomy. The surgery took about 130 minutes without any hemorrhage. Full enoxaparin prophylaxis, early and full mobilization, and intermittent pneumatic compression stockings were all applied to prevent venous thrombosis. Unfortunately, he applied to our emergency department and diagnosed to have porto-mesenteric vein thrombosis. There was an approximately 60 cm necrotic jejunal segment between 10th and 70th cm after Treitz ligament and was resected. He was discharged on sixth post operative day with prescription of oral warfarin.

Keyword

Obesity; Bariatric surgery; Sleeve gastrectomy; Venous thrombosis

MeSH Terms

Adult
Bariatric Surgery
Body Mass Index
Emergency Service, Hospital
Enoxaparin
Gastrectomy*
Hemorrhage
Humans
Intermittent Pneumatic Compression Devices
Ligaments
Male
Obesity
Prescriptions
Thrombosis*
Veins*
Venous Thrombosis
Warfarin
Enoxaparin
Warfarin