{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:34Z","timestamp":1753877074224,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:00:00Z","timestamp":1714003200000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Portal vein thrombosis is a rare complication after laparoscopic sleeve gastrectomy, a widely performed bariatric surgery procedure. Occasionally, the development of portal vein thrombosis can progress to more severe conditions, including portal hypertension and cavernomatosis, thereby presenting a complex and challenging clinical scenario. The management of such complications often requires careful consideration; however, surgical intervention in the form of a splenorenal shunt is an exceptional indication. We present the case of a 33-year-old female patient who had previously undergone laparoscopic sleeve gastrectomy in 2014 and subsequently developed portal thrombosis, followed by cavernomatosis and associated complications of portal hypertension. A proximal splenorenal shunt procedure and splenectomy were successfully performed to manage portal hypertension. The presentation of this clinical case aims to contribute to the available evidence and knowledge surrounding this rare and challenging pathology.<\/jats:p>","DOI":"10.1093\/jscr\/rjae254","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T21:57:31Z","timestamp":1714082251000},"source":"Crossref","is-referenced-by-count":0,"title":["Portosystemic shunt surgery for severe portal hypertension due to portal thrombosis after bariatric surgery"],"prefix":"10.1093","volume":"2024","author":[{"given":"Natalia","family":"Reyes","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary Surgery , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"},{"name":"Hospital Cl\u00ednico UC CHRISTUS , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Jarufe","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"},{"name":"Hospital Cl\u00ednico UC CHRISTUS , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Brice\u00f1o","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"},{"name":"Hospital Cl\u00ednico UC CHRISTUS , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Vi\u00f1uela","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"},{"name":"Hospital Cl\u00ednico UC CHRISTUS , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"},{"name":"Hospital Cl\u00ednico UC CHRISTUS , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Dib","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"},{"name":"Hospital Cl\u00ednico UC CHRISTUS , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicol\u00e1s","family":"Jarufe","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"},{"name":"Hospital Cl\u00ednico UC CHRISTUS , P. Universidad Cat\u00f3lica de Chile, , Santiago 8330024 , Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,4,24]]},"reference":[{"key":"2024042521572557500_ref1","doi-asserted-by":"crossref","first-page":"2360","DOI":"10.1007\/s11695-017-2637-2","article-title":"Portomesenteric vein thrombosis post-laparoscopic sleeve gastrectomy: case series and literature review","volume":"27","author":"AlSabah","year":"2017","journal-title":"Obes Surg"},{"key":"2024042521572557500_ref2","doi-asserted-by":"crossref","first-page":"2991","DOI":"10.1007\/s11695-023-06714-z","article-title":"Portomesenteric vein thrombosis in patients undergoing sleeve gastrectomy: an updated systematic review and meta-analysis of 101,914 patients","volume":"33","author":"Giannis","year":"2023","journal-title":"Obes Surg"},{"key":"2024042521572557500_ref3","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.jhep.2013.08.013","article-title":"Non-cirrhotic portal hypertension - diagnosis and management","volume":"60","author":"Khanna","year":"2014","journal-title":"J Hepatol"},{"key":"2024042521572557500_ref4","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.soard.2017.09.512","article-title":"Portomesentric and splenic vein thrombosis (PMSVT) after bariatric surgery: a systematic review of 110 patients","volume":"14","author":"Shoar","year":"2018","journal-title":"Surg Obes Relat Dis"},{"key":"2024042521572557500_ref5","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1016\/j.soard.2017.03.015","article-title":"A systematic review of portomesenteric vein thrombosis after sleeve gastrectomy","volume":"13","author":"Shaheen","year":"2017","journal-title":"Surg Obes Relat Dis"},{"key":"2024042521572557500_ref6","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1007\/s00464-013-3055-8","article-title":"Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy","volume":"28","author":"Salinas","year":"2014","journal-title":"Surg Endosc"},{"key":"2024042521572557500_ref7","doi-asserted-by":"crossref","first-page":"107602962211047","DOI":"10.1177\/10760296221104797","article-title":"The efficacy and safety of anticoagulants in the treatment of cirrhotic portal vein thrombosis: a systematic review and meta-analysis","volume":"28","author":"Zhang","year":"2022","journal-title":"Clin Appl Thromb Hemost"},{"key":"2024042521572557500_ref8","doi-asserted-by":"crossref","first-page":"1787","DOI":"10.1016\/j.soard.2016.03.005","article-title":"Portal vein thrombosis after laparoscopic sleeve gastrectomy: presentation and management","volume":"12","author":"Belnap","year":"2016","journal-title":"Surg Obes Relat Dis"},{"key":"2024042521572557500_ref9","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.soard.2017.12.010","article-title":"Portomesenteric vein thrombosis in sleeve gastrectomy: a 10-year review","volume":"14","author":"Tan","year":"2018","journal-title":"Surg Obes Relat Dis"},{"key":"2024042521572557500_ref10","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1016\/j.soard.2017.10.013","article-title":"Assessing risk factors, presentation, and management of portomesenteric vein thrombosis after sleeve gastrectomy: a multicenter case-control study","volume":"14","author":"Moon","year":"2018","journal-title":"Surg Obes Relat Dis"},{"key":"2024042521572557500_ref11","doi-asserted-by":"crossref","first-page":"264","DOI":"10.14701\/ahbps.23-002","article-title":"Unconventional shunt surgery for non-cirrhotic portal hypertension in patients not suitable for proximal splenorenal shunt","volume":"27","author":"Harilal","year":"2023","journal-title":"Ann Hepatobiliary Pancreat Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/4\/rjae254\/57317501\/rjae254.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/4\/rjae254\/57317501\/rjae254.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T21:57:35Z","timestamp":1714082255000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae254\/7657371"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,1]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae254","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,4]]},"published":{"date-parts":[[2024,4,1]]},"article-number":"rjae254"}}