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

作　　者：Jia-Sen Gao Zhen-Jun Wang Guang-Hui Wei Wei-Liang Song Bing-Qiang Yi Zhi-Gang Gao Bo Zhao Zuo Liu Ang Li 

机构地区：[1]Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China

出　　处：《World Journal of Gastroenterology》2009年第7期885-887,共3页世界胃肠病学杂志（英文版）

摘　　要：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,f istula,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.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.

关 键 词：Gastric carcinoma Gastrectomy  Deepvenous thrombosis Postoperative complication Anticoagulant Thrombolytic therapy Low molecularweight heparins STREPTOKINASE Warfarin sodium 

分 类 号：R683.42[医药卫生—骨科学] R656.61[医药卫生—外科学]