Department of Gastrointestinal Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China,
Department of Gastrointestinal Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
Obes Facts. 2024;17(2):211-216. doi: 10.1159/000536359. Epub 2024 Jan 19.
Acute mesenteric ischemia (AMI) is a rare but lethal disease. Mesenteric vein thrombosis (VAMI) is a subtype of AMI. Morbid obesity is usually accompanied by hypertension, hyperlipidemia, or diabetes mellitus, which are risk factors associated with AMI.
We present a 28-year-old man with VAMI post-laparoscopic sleeve gastrectomy. He was first misdiagnosed with intestinal obstruction. Superior VAMI was confirmed after computed tomography angiography. Laparotomy, resection of the necrotic small bowel, and ostomy were performed immediately.
Patients with morbid obesity accompanied by hypertension, hyperlipidemia, or diabetes mellitus have a high risk of AMI. Abdominal pain with sudden onset should be considered AMI. Anticoagulation therapy post-sleeve gastrectomy might help reduce the incidence of AMI.
急性肠系膜缺血（AMI）是一种罕见但致命的疾病。肠系膜静脉血栓形成（VAMI）是 AMI 的一个亚型。病态肥胖通常伴有高血压、高血脂或糖尿病，这些都是与 AMI 相关的危险因素。
我们报告了一例腹腔镜袖状胃切除术后发生 VAMI 的 28 岁男性患者。他最初被误诊为肠梗阻。腹部 CT 血管造影后证实为 Superior VAMI。立即进行了剖腹手术、坏死小肠切除和造口术。
伴有高血压、高血脂或糖尿病的病态肥胖患者 AMI 风险较高。伴有突发性腹痛应考虑 AMI。袖状胃切除术后抗凝治疗可能有助于降低 AMI 的发生率。
