2015
DOI: 10.1007/s10120-015-0562-4
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Portomesenteric vein thrombosis after gastric surgery

Abstract: Background Postoperative portomesenteric venous thrombosis (PMVT) is a rare but potentially serious complication of gastric surgery. This study analyzed the incidence, characteristics, risk factors, and outcomes of PMVT following gastric surgery. Methods Medical records of patients who underwent gastric surgery between January 2007 and December 2012 were reviewed retrospectively. The risk factors of PMVT were analyzed by a logistic regression analysis with control group matched 1:4 by age, sex, and cancer stag… Show more

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Cited by 9 publications
(2 citation statements)
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“…Symptoms, when present, include abdominal pain, fever, and nausea/vomiting [24]. Our data found no correlation between PMVT and laparoscopic technique, which is similar to other findings in the literature [25,26]. There is conflicting data as to the morbidity associated with PMVT following colorectal surgery, though some small series have identified associated hepatic abscesses or at the extreme end of the spectrum septic thrombophlebitis of the portal vein [24,27].…”
Section: Discussionsupporting
confidence: 84%
“…Symptoms, when present, include abdominal pain, fever, and nausea/vomiting [24]. Our data found no correlation between PMVT and laparoscopic technique, which is similar to other findings in the literature [25,26]. There is conflicting data as to the morbidity associated with PMVT following colorectal surgery, though some small series have identified associated hepatic abscesses or at the extreme end of the spectrum septic thrombophlebitis of the portal vein [24,27].…”
Section: Discussionsupporting
confidence: 84%
“…These findings suggest that we should prevent both PMVT and DVT/PE in the early phase after splenectomy and DVT/PE even in the late phase. In a study by Han et al [52], 31 of 4611 patients (0.67%) who underwent gastric surgery developed PMVT. In the multivariate analysis, advanced gastric cancer stage (RR, 2.236; 95% CI, 1.017-4.919), synchronous malignancies (RR, 29.236; 95% CI, 10.451-81.785), and splenectomy (RR, 8.563; 95% CI, 3.233-22.648) were independent risk factors for PMVT.…”
Section: Post-splenectomy Thrombosismentioning
confidence: 99%