Mesenteric Venous Thrombosis Following Laparoscopic Antireflux Surgery

Noh, Kyung W.; Wolfsen, Herbert C.; Bridges, Mellena D.; Hinder, Ronald A.

doi:10.1007/s10620-006-9290-2

Cited by 8 publications

(4 citation statements)

References 17 publications

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“…Thrombosis of mesenteric and portal vein is a rare phenomenon. A few case reports in literature suggest their occurrence after various laparoscopic procedures [2][3][4][5]. Our institution is a leading center for obesity surgery and we do over 350 laparoscopic bariatric surgeries each year.…”

Section: Introductionmentioning

confidence: 99%

Mesenteric vein thrombosis after laproscopic gastric sleeve procedure

Gandhi

Singh

Sharma

et al. 2010

J Thromb Thrombolysis

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Section: Introductionmentioning

confidence: 99%

Mesenteric vein thrombosis after laproscopic gastric sleeve procedure

Gandhi

Singh

Sharma

et al. 2010

J Thromb Thrombolysis

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“…However, the main factor that is adversely affected during laparoscopy is venous stasis [ 18 ]. Insufflating the abdomen with pressures greater than 14 mm Hg have been reported to reduce the portal blood flow by up to 53% [ 19 , 20 ]. Insufflating with CO 2 may also contribute to reduced intraoperative splanchnic blood flow [ 21 ] by causing the release of vasopressin [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Splanchnic Vein Thrombosis - an Uncommon Complication after Laparoscopic Sleeve Gastrectomy

Carli

Pintar²

2016

Obes Facts

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Background: Laparoscopic sleeve gastrectomy (LSG) is an innovative and relatively safe surgical approach for weight reduction in morbidly obese people. Splanchnic vein thrombosis (SVT) is an extremely rare complication of LSG and, if not recognized, carries a high mortality rate. This paper highlights a potentially lethal condition of SVT after LSG. Case Report: A 37-year-old morbidly obese woman was referred to our institution for LSG. Three weeks after the intervention, she was readmitted with abdominal pain, vomiting, nausea, diarrhea, and fever with positive family anamnesis to viral disease. Abdominal X-ray as well as utrasonography were both normal, and no X-ray contrast medium leakage was observed. One week later, she was readmitted with septic condition. An abdominal computed tomography scan diagnosed lienal vein thrombosis along its whole length and partial thrombosis of the superior mesenteric vein. Conclusion: SVT presents very heterogeneously, which makes it extremely challenging to diagnose and to make an appropriate treatment decision. With regard to the high prevalence of obesity and the increasing frequency of LSG, prompt diagnosis and management are crucial.

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“…SBS has been reported after laparoscopic fundoplication, gastric bypass, cholecystectomy, appendectomy, and incisional hernia repair. [6][7][8][9][10][11] The incidence of laparoscopic procedures in patients evaluated for postoperative SBS at our institution has increased from 4 per cent before 2005 to 20 per cent since that time.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5] Intestinal ischemia secondary to pneumoperitoneum has been reported after a variety of laparoscopic procedures. [6][7][8][9][10] Our aim was to evaluate potential mechanisms of SBS after laparoscopic procedures.…”

mentioning

confidence: 99%

Short Bowel Syndrome after Laparoscopic Procedures

McBride

Oleynikov²,

Sudan

et al. 2014

The American Surgeon™

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Short bowel syndrome (SBS) is a potential postoperative complication after intra-abdominal procedures. Whether the laparoscopic approach is as likely to result in SBS or the causative mechanisms are similar to open procedures is unknown. Our aim was to evaluate potential mechanisms of SBS after laparoscopic procedures. The records of 175 adult patients developing SBS as a postoperative complication were reviewed. One hundred forty-seven patients had open procedures and 28 laparoscopic. Colectomy (39%), hysterectomy (11%), and appendectomy (11%) were the most common open procedures. SBS followed laparoscopic gastric bypass (46%) and cholecystectomy (32%) most frequently. The mechanisms of SBS were different: adhesive obstruction (57 vs 22%, P < 0.05) was more common in the open group, whereas volvulus (18 vs 46%, P < 0.05) was more common after laparoscopy. Overall, ischemia (25 vs 32%) was similar but significantly more laparoscopic patients had postoperative hypoperfusion (32 vs 67%, P < 0.05). Eleven of the 13 laparoscopic bariatric procedures had internal hernias and volvulus. Of the nine patients undergoing cholecystectomy, four developed ischemia early postoperatively presumably secondary to pneumoperitoneum. SBS is an increasingly recognized complication of laparoscopic procedures. The mechanisms of intestinal injury differ from open procedures with a higher incidence of volvulus and more frequent ischemia from hypoperfusion.

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Mesenteric Venous Thrombosis Following Laparoscopic Antireflux Surgery

Cited by 8 publications

References 17 publications

Mesenteric vein thrombosis after laproscopic gastric sleeve procedure

Mesenteric vein thrombosis after laproscopic gastric sleeve procedure

Splanchnic Vein Thrombosis - an Uncommon Complication after Laparoscopic Sleeve Gastrectomy

Short Bowel Syndrome after Laparoscopic Procedures

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