Case Report
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Feb 21, 2009; 15(7): 885-887
Published online Feb 21, 2009. doi: 10.3748/wjg.15.885
Deep venous thrombosis after gastrectomy for gastric carcinoma: A case report
Jia-Sen Gao, Zhen-Jun Wang, Guang-Hui Wei, Wei-Liang Song, Bing-Qiang Yi, Zhi-Gang Gao, Bo Zhao, Zuo Liu, Ang Li
Jia-Sen Gao, Zhen-Jun Wang, Guang-Hui Wei, Wei-Liang Song, Bing-Qiang Yi, Zhi-Gang Gao, Bo Zhao, Zuo Liu, Ang Li, Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Author contributions: Wang ZJ, Wei GH, Song WL and Yi BQ performed the operation; Gao ZG, Zhao B, Liu Z and Li A assisted in the reference search; Gao JS wrote the paper.
Correspondence to: Zhen-Jun Wang, Professor, Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China. 08chaoyang@sina.com
Telephone: +86-10-85231604
Fax: +86-10-85231604
Received: November 29, 2008
Revised: December 24, 2008
Accepted: December 31, 2008
Published online: February 21, 2009
Abstract

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.

Keywords: Gastric carcinoma; Gastrectomy; Deep venous thrombosis; Postoperative complication; Anticoagulant; Thrombolytic therapy; Low molecular weight heparins; Streptokinase; Warfarin sodium