Deep venous thrombosis after gastrectomy for gastric carcinoma: A case report

Abstract

The treatment of gastric carcinoma consists of neoadjuvant chemoradiation, partial gastrectomy, subtotal gastrectomy, total gastrectomy, extended resection, and postoperative chemotherapy. Currently, gastrectomy and extended lymphadenectomy is the optimal choice for late gastric carcinoma. Postoperative complications are common after total gastrectomy including hemorrhage, anastomotic leakage, fistula, and obstruction. However, deep venous thrombosis (DVT) is an uncommon complication after gastrectomy for gastric carcinoma. We describe a case of a 68-year-old female patient with DVT after gastrectomy for gastric carcinoma. The patient was treated with anticoagulants and thrombolytics and subjected to necessary laboratory monitoring. The patient recovered well after treatment and was symptom-free during a 3-mo follow-up. We conclude that correct diagnosis and treatment of DVT are crucial.

Portomesenteric vein thrombosis after gastric surgery

“…Perigastric vessel wall injury may be caused by a more aggressive dissection of lymph nodes during cancer surgery [2]. Advancedstage cancer, a history of deep vein thrombosis (DVT) [5], and a combination of hereditary defects of anticoagulation factors may all be associated with a hypercoagulable state [6]. These factors suggest that gastric cancer surgery is more closely related to PMVT than bariatric surgery.…”