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Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy
J Metab Bariatr Surg 2018;7(2):64-67
Published online December 30, 2018
© 2018 The Korean Society for Metabolic and Bariatric Surgery.

Ali Aktekin, Mehmet Torun

Department of General Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
Correspondence to: Ali Aktekin, Selimiye Mahallesi, Tıbbiye Cad No: 23, 34668 Üsküdar/İstanbul, TurkeyDepartment of General Surgery, Haydarpasa Numune Education and Research Hospital Tel: +90-5325987207, Fax: +90-2165423232, E-mail: draliaktekin@yahoo.com
Received July 31, 2018; Revised October 1, 2018; Accepted October 7, 2018.
This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords : Obesity, Bariatric surgery, Sleeve gastrectomy, Venous thrombosis


December 2018, 7 (2)
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