Portal Blood Flow Following Sleeve Gastrectomy; A Before-After Study
نویسندگان
1 Department of General Surgery, School of Medicine, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of General Surgery, School of Medicine, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Radiology, Shahid Labbafi Nejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 Department of General Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
6 Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
7 Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
8 Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
9 Department of General Surgery, School of Medicine, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
10 Department of General Surgery, School of Medicine, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
11 Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
doi
10.22034/ircmj.2024.202452چکیده
Background and Objectives: Portal Venous Thrombosis after sleeve gastrectomy can be due to changes in portal vein flow. The present study was designed to compare the portal vein flow before and after sleeve surgery using Doppler ultrasonography to investigate any changes in the type of portal vein flow after the sleeve surgery. Methods: This study is prospective in which all people (n=60) referred to our hospital in Tehran from June to August 2020 for Sleeve gastrectomy surgery were evaluated. Participants’ information was collected from patient's medical records through a researcher-made checklist. Using proper statistical tests, all statistical analyses significant at less than 0.05 were analyzed. Results: Among 60 patients under sleeve gastrectomy, 51 (85%) were females. The mean age was 35.63 ± 9.004. Based on postoperative follow-up (3 days after sleeve gastrectomy), portal vein flow has decreased (proportion: 0.3667, 95% CI: 0.25 – 0.49 cc/min) in 22 patients (36.67%). In these patients, both the mean of portal vein flow (955.90 ± 177.88 cc/min) and the mean of portal vein diameter (10.43 ± 0.80 mm) was significantly decreased (P < 0.001). Conclusion: The complications following sleeve surgery are rare, but considering the various reports of thrombosis after sleeve surgery, it is necessary to pursue high-risk people and keep them under consideration to prevent any complications after surgery.
