Abstract
haim Mesenteric venous thrombosis (MVT) is a rare but potentially lethal pathology. Although first described by Balfour and Stewart in 1869 [1], it was first presented as a distinct cause of mesenteric ischemia by Warren and Eberhand only in 1935 [2]. MVT accounts for 5%–15% of all mesenteric ischemic events [2,3]. In the past, MVT has been described after procedures involving manipulation of the portal venous system, such as splenectomy or liver transplantation [4,5]. However, since the beginning of the minimal invasive era, MVT has occurred in several cases after various laparoscopic procedures [6]. During the last decade, a few cases of MVT have been published to occur after laparoscopic bariatric operations, including laparoscopic sleeve gastrectomy (LSG) [7]. Nevertheless, MVT has been shown to be a major morbidity during the perioperative period of LSG with an incidence of 1% [8]. The aim of this article is to present 3 cases of MVT that have occurred after 900 LSG procedures in our center, discuss the pathophysiology and management of this complication and suggest preventive strategy.
Published Version
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