TY - JOUR
T1 - Trombosis portoesplenomesentérica posterior a manga gástrica por laparoscopia
AU - Jaspe-Caina, Carlos L.
AU - Luna-Álvarez, Rubén
AU - Sánchez-Hernández, Álvaro
AU - Aparicio, Brandon S.
AU - Pedraza, Mauricio
AU - Cabrera, Luis F.
N1 - Publisher Copyright:
© 2021 Academia Mexicana de Cirugía. Publicado por Permanyer. Este es un artículo open access bajo la licencia CC BY-NC-ND (http://creativecommons.org/licenses/by-nc-nd/4.0/).
PY - 2021/12
Y1 - 2021/12
N2 - Background: Bariatric surgery is an effective way to lose weight and the laparoscopic gastric sleeve is one of the techniques currently used. Portosplenomesenteric venous thrombosis is a complication that occurs in patients undergoing this surgical technique. At the moment there are no protocols to reduce the risk of this thrombotic event, so we show our experience and propose an algorithm. Case report: A total of 620 patients were evaluated, six of whom presented between postoperative days 10 to 20 abdominal pain, nausea and dehydration. Therefore, a double contrast abdominal computed tomography scan was carried out, which demonstrated portomesenteric and portoesplenomesenteric thrombosis, in addition to two patients with signs of intestinal ischemia, which required reoperation. One of the patients died of pulmonary thromboembolism.
AB - Background: Bariatric surgery is an effective way to lose weight and the laparoscopic gastric sleeve is one of the techniques currently used. Portosplenomesenteric venous thrombosis is a complication that occurs in patients undergoing this surgical technique. At the moment there are no protocols to reduce the risk of this thrombotic event, so we show our experience and propose an algorithm. Case report: A total of 620 patients were evaluated, six of whom presented between postoperative days 10 to 20 abdominal pain, nausea and dehydration. Therefore, a double contrast abdominal computed tomography scan was carried out, which demonstrated portomesenteric and portoesplenomesenteric thrombosis, in addition to two patients with signs of intestinal ischemia, which required reoperation. One of the patients died of pulmonary thromboembolism.
KW - Bariatric surgery
KW - Complications
KW - Laparoscopic gastric sleeve
KW - Laparoscopic Roux-en-Y
KW - Venous thrombosis
UR - http://www.scopus.com/inward/record.url?scp=85122571181&partnerID=8YFLogxK
U2 - 10.24875/CIRU.20001404
DO - 10.24875/CIRU.20001404
M3 - Artículo
C2 - 34932543
AN - SCOPUS:85122571181
SN - 0009-7411
VL - 89
SP - 84
EP - 89
JO - Cirugia y Cirujanos (English Edition)
JF - Cirugia y Cirujanos (English Edition)
ER -