Key result
Treatment with anticoagulants and thrombolytics resulted in good recovery and symptom-free status at 3 months in a patient with DVT after gastrectomy for gastric carcinoma.
Why the study?
Deep venous thrombosis is an uncommon complication after gastrectomy for gastric carcinoma and requires awareness for diagnosis and treatment.
Case Report (n=1)
Deep venous thrombosis is an uncommon but important complication after gastrectomy for gastric carcinoma that can be successfully managed with anticoagulants and thrombolytics.
May guide rare post-gastrectomy DVT management; single-case data leaves open prospective validation.
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.
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Gao et al. (2009) conducted a case report in Deep venous thrombosis after gastrectomy for gastric carcinoma (n=1). Anticoagulants and thrombolytics was evaluated on Recovery and symptom-free status. Treatment with anticoagulants and thrombolytics resulted in good recovery and symptom-free status at 3 months in a patient with DVT after gastrectomy for gastric carcinoma.
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