ISQUEMIA MESENTÉRICA POR TROMBOSE PORTO-MESENTÉRICA APÓS MANGA GÁSTRICA: RELATO DE CASO E REVISÃO DA LITERATURA
DOI:
https://doi.org/10.56238/arev7n10-087Palavras-chave:
Obesidade, Isquemia Mesentérica, Evento Tromboembólico, Manga GastricaResumo
A obesidade constitui um importante problema de saúde pública no Brasil, com prevalência crescente e projeção de atingir um terço da população adulta até 2030. A gastrectomia vertical (sleeve gástrico) destaca-se como técnica bariátrica eficaz para redução ponderal e controle de comorbidades, apresentando menor taxa de complicações em comparação a outros procedimentos. Entretanto, eventos adversos graves, como trombose portomesentérica (PMVT) e isquemia mesentérica aguda (IAM), embora raros, podem ocorrer e cursar com alta mortalidade.Relata-se o caso de uma paciente de 43 anos, com obesidade grau III, submetida à gastrectomia vertical eletiva, que evoluiu no 21º dia pós-operatório com trombose de veia porta e mesentérica superior, seguida de isquemia intestinal extensa e óbito. O caso evidencia a necessidade de vigilância clínica intensiva e diagnóstico precoce de complicações tromboembólicas no pós-operatório bariátrico, considerando seus desfechos potencialmente fatais.
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Diretrizes da American Society of Hematology (ASH) 2019.
