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Superior mesenteric vein thrombosis after laparoscopic sleeve gastrectomy
Lucas Pineda1, Mohammad Sarhan, Leaque Ahmed
1Harlem Hospital Center, Columbia University, New York, NY 10037, USA. lucaspinedabernal26@hotmail.com
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|August 7, 2013
Summary
Laparoscopic sleeve gastrectomy can lead to superior mesenteric vein thrombosis, a rare complication. This case study details a successful conservative management with anticoagulation, proposing a new hypothesis for its development.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Bariatric Surgery
Background:
- Laparoscopic procedures for morbid obesity are standard of care with low mortality.
- Superior mesenteric vein thrombosis (SMVT) is a known complication of various laparoscopic surgeries.
- Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure with established complications.
Observation:
- A case of superior mesenteric vein thrombosis (SMVT) occurred after laparoscopic sleeve gastrectomy (LSG).
- The patient presented with symptoms indicative of SMVT following the bariatric procedure.
- Standard LSG complications like staple line leak, bleeding, or stricture were not the primary issue.
Findings:
- The superior mesenteric vein thrombosis (SMVT) was successfully managed conservatively.
- Therapeutic anticoagulation was the primary treatment modality.
- A novel hypothesis for the etiology of SMVT post-LSG was proposed.
Implications:
- Conservative management with anticoagulation is a viable option for SMVT after LSG.
- Further research is needed to elucidate the specific mechanisms causing SMVT post-LSG.
- This case expands the understanding of rare complications associated with bariatric surgery.