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Volume 8 Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X Bariatric Surgery 2018 & Gastro 2018
March 15-16, 2018
JOINT EVENT
12th Global Gastroenterologists Meeting
3rd International Conference on Metabolic and Bariatric Surgery
&
March 15-16, 2018 Barcelona, Spain
Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy: Case presentation and literature
review
Yasser H Tohme, Ahmad M Jan and Tahir E Yunus
International Medical Center, KSA
Introduction: Portomesenteric venous thrombosis (PMVT) is relatively rare surgical complication after laparoscopic and bariatric
surgery, with difficult diagnosis and potentially severe consequences due to higher risk of bowel infarction. The purpose of this article
is to present our case of PMVT after laparoscopic sleeve gastrectomy (LSG) and relative discussion of etiology, risk factors and further
management.
Presentation & Discussion: We present the case of a 42-year-old man who underwent an uncomplicated LSG for the treatment
of morbid obesity and presented on postoperative day 15 with vague diffuse abdominal pain, diagnosed with extensive PMVT
involving as well the splenic vein. The patient received therapeutic anticoagulation had full hematological workup and investigations.
Upon clinical and paraclinical improvement, he was discharged on day 6 of admission on proper anticoagulation. A high index of
suspicion for PMVT should be considered in patients reporting diffuse vague abdominal pain after LSG owing to its lethality. Upon
confirmation of PMVT, therapy should begin immediately along with extended anticoagulation therapy on discharge.
Conclusions: PMVT is relatively uncommon complication in patients undergoing bariatric surgery, but a high index of suspicion for
definitive management should be present.
Recent Publication
1. Shoar et al. (2018) Portomesentric and splenicvein thrombosis (PMSVT) after bariatric surgery: a systematic review of 110
patients. Surgery for Obesity and Related Diseases 14(1)47–59.
2. Goitein D, Matter I, Raziel A, Keidar A, Hazzan D, Rimon U, et al. (2013) Portomesenteric thrombosis following laparoscopic
bariatric surgery: Incidence, patterns of clinical presentation, and etiology in a bariatric patient population. JAMA Surg.
148:340–6.
3. Harnik I G and Brandt L J (2010) Mesenteric venous thrombosis. Vasc Med. 15(5):407–18.
4. Salinas J, Barros D, Salgado N, Viscido G, Funke R, Pérez G, et al. (2014) Portomesenteric vein thrombosis after laparoscopic
sleeve gastrectomy. Surg Endosc. 28:1083-9.
5. Speranskaya A, Nicolau J, Olivares J, Pascual S, Gonzalez DeCabo M and Masmiquel L (2013) Mesenteric vein thrombosis
after laparoscopic sleeve gastrectomy. Clin Obes. 3:56–8.
Biography
Yasser H Tohme is specialized in general, laparoscopic and bariatric surgery. He is a Fellow of the European Board of Surgery (FEBS) and a Member of IFSO,
SFCE, EAES, LSGS. He has sub-specialty training in MIS and Bariatric Surgery in Paris, and was granted the Minimally Invasive Digestive Surgery Diploma from
University of Paris XI. He is currently a Senior Specialist in Bariatric Surgery, member of the research team and Deputy Chair of M&M Surgical Committee at
International Medical Center (IMC), Jeddah, KSA. He has a Post Graduate Diploma in Health Care Management and International Hospital Accreditation.
Yasser H Tohme et al., J Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C1-064