袖带胃切除术后肠系膜静脉血栓形成：病例报告和文献综述。

IF 3.9 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Obesity Facts Pub Date : 2024-01-01 Epub Date: 2024-01-19 DOI:10.1159/000536359

Tianyi Ma, Hongwei Zhao, Qian Zhang, Peng Zhang

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引用次数: 0

摘要

简介：急性肠系膜缺血（AMI）是一种罕见但致命的疾病：急性肠系膜缺血（AMI）是一种罕见但致命的疾病。肠系膜静脉血栓形成（VAMI）是急性肠系膜缺血的一种亚型。病态肥胖通常伴有高血压、高脂血症或糖尿病，这些都是与急性肠系膜缺血相关的危险因素：我们为您介绍一名腹腔镜袖带胃切除术（LSG）后肠系膜静脉血栓形成的 28 岁男性患者。他最初被误诊为肠梗阻。经计算机断层扫描血管造影术（CTA）确诊为肠系膜上静脉血栓。随即进行了开腹手术、坏死小肠切除术和造口术：结论：伴有高血压、高脂血症或糖尿病的病态肥胖患者发生急性心肌梗死的风险很高。突然发作的腹痛应被视为急性心肌梗死。袖带胃切除术后的抗凝治疗可能有助于降低急性心肌梗死的发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Mesenteric Vein Thrombosis following Sleeve Gastrectomy: A Case Report and Review of the Literature.

Introduction: Acute mesenteric ischemia (AMI) is a rare but lethal disease. Mesenteric vein thrombosis (VAMI) is a subtype of AMI. Morbid obesity is usually accompanied by hypertension, hyperlipidemia, or diabetes mellitus, which are risk factors associated with AMI.

Case presentation: We present a 28-year-old man with VAMI post-laparoscopic sleeve gastrectomy. He was first misdiagnosed with intestinal obstruction. Superior VAMI was confirmed after computed tomography angiography. Laparotomy, resection of the necrotic small bowel, and ostomy were performed immediately.

Conclusion: Patients with morbid obesity accompanied by hypertension, hyperlipidemia, or diabetes mellitus have a high risk of AMI. Abdominal pain with sudden onset should be considered AMI. Anticoagulation therapy post-sleeve gastrectomy might help reduce the incidence of AMI.

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来源期刊

Obesity Facts 医学-内分泌学与代谢

CiteScore

6.80

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Obesity Facts'' publishes articles covering all aspects of obesity, in particular epidemiology, etiology and pathogenesis, treatment, and the prevention of adiposity. As obesity is related to many disease processes, the journal is also dedicated to all topics pertaining to comorbidity and covers psychological and sociocultural aspects as well as influences of nutrition and exercise on body weight. The editors carefully select papers to present only the most recent findings in clinical practice and research. All professionals concerned with obesity issues will find this journal a most valuable update to keep them abreast of the latest scientific developments.