腹腔镜袖状胃切除术并发门静脉肠系膜静脉血栓形成：病例系列
Laparoscopic Sleeve Gastrectomy Complicated by Portomesenteric Vein Thrombosis: a Case Series.
作者信息
Bridges Firas, Gibbs Jennifer, Hoehmann Christopher
机构信息
Department of General and Bariatric Surgery, Good Samaritan Hospital Medical Center, West Islip, NY, USA.
Department of Obstetrics and Gynecology, Good Samaritan Hospital Medical Center, West Islip, NY, USA.
出版信息
Obes Surg. 2017 Apr;27(4):1112-1114. doi: 10.1007/s11695-017-2561-5.
BACKGROUND
Portomesenteric vein thrombosis (PMVT) is a rare, but potentially life-threatening, complication following laparoscopic sleeve gastrectomy (LSG).
CASES
Here, we discuss three cases of LSG complicated by the development of PMVT post-operatively. All patients presented within the first 20 days post-operatively with complaint of non-specific abdominal pain. All patients were successfully treated with therapeutic anticoagulation during hospitalization and discharged home with long-term anticoagulation.
DISCUSSION
As the number of LSG performed annually continues to increase, a high index of suspicion should remain for PMVT in patients presenting with abdominal pain post-operatively. We suspect that the development of PMVT in patients undergoing LSG is secondary to manipulation of short gastric vessels, tributaries of the portal venous system, in combination with local inflammation and dehydration.
背景
门静脉肠系膜静脉血栓形成（PMVT）是腹腔镜袖状胃切除术（LSG）后一种罕见但可能危及生命的并发症。
病例
在此，我们讨论3例LSG术后并发PMVT的病例。所有患者均在术后20天内出现，主诉为非特异性腹痛。所有患者在住院期间接受抗凝治疗均获成功，并在长期抗凝治疗后出院回家。
讨论
随着每年实施LSG的数量持续增加，对于术后出现腹痛的患者，应高度怀疑PMVT。我们怀疑接受LSG的患者发生PMVT是由于胃短血管（门静脉系统的属支）的操作，再加上局部炎症和脱水所致。
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