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Mesenteric venous thrombosis after gastric bypass
Indu M Sonpal1, Linda Patterson, Helmut Schreiber
1Cleveland Center for Bariatric Surgery, St. Vincent Hospital, 112012 Shaker Boulevard, Suite 112, Cleveland, OH 44104, USA.
Obesity Surgery
|April 10, 2004
Summary
A gastric bypass patient developed a superior mesenteric vein thrombosis, a serious blood clot. Prompt anticoagulant therapy led to a successful recovery, highlighting the importance of vigilance for this complication.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Hematology
Background:
- Roux-en-Y gastric bypass is a common bariatric procedure.
- Postoperative complications can include thromboembolic events.
- Superior mesenteric vein thrombosis (SMVT) is a rare but severe complication.
Observation:
- A 43-year-old male presented with abdominal pain radiating to the back 10 days post-gastric bypass.
- Imaging confirmed a thrombus in the superior mesenteric vein.
- The patient exhibited a hypercoagulable state.
Findings:
- The patient was diagnosed with superior mesenteric vein thrombosis.
- A hypercoagulable state was identified as a contributing factor.
- Anticoagulant therapy was initiated.
Implications:
- Early diagnosis and treatment of SMVT are crucial for patient outcomes.
- Hypercoagulable states should be investigated in patients with unexplained thrombosis after gastric bypass.
- This case underscores the need for awareness of vascular complications following bariatric surgery.