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Abdominal surgery in patients with essential thrombocythemia: A case report and systematic review of literature.

Abstract Essential thrombocythemia/thrombocytosis (ET) is characterized by increased bleeding and thrombosis risk during the perioperative period. We report the case of a woman with ET and sigmoid colon cancer, in whom the postoperative course was complicated by anastomotic bleeding. A systematic review was conducted to seek guidance for the management of such patient in the perioperative period.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29381999
OWN - NLM
STAT- MEDLINE
DCOM- 20180209
LR  - 20180209
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 47
DP  - 2017 Nov
TI  - Abdominal surgery in patients with essential thrombocythemia: A case report and
      systematic review of literature.
PG  - e8856
LID - 10.1097/MD.0000000000008856 [doi]
AB  - INTRODUCTION: Essential thrombocythemia/thrombocytosis (ET) is characterized by
      increased bleeding and thrombosis risk during the perioperative period. We report
      the case of a woman with ET and sigmoid colon cancer, in whom the postoperative
      course was complicated by anastomotic bleeding. A systematic review was conducted
      to seek guidance for the management of such patient in the perioperative period. 
      METHODS: A systematic literature review was conducted using EMBASE, Medline, and 
      PubMed databases to detect relevant English language articles. Published studies 
      with full-text articles were included. Two authors independently searched and
      extracted the data. Any differences were resolved by consensus. Studies on
      abdominal surgery were manually retrieved. RESULTS: Four case reports (including 
      our case report) that described abdominal surgery in patients with ET were
      included. All patients were females, with a mean age of 47 years. Laparoscopic
      surgery was performed in 2 patients, and open surgery was performed in the other 
      2 patients. Two patients had postoperative bleeding that occurred on the first
      postoperative day. There was one case of pseudohyperkalemia after surgery and one
      case of Budd-Chiari syndrome caused by hepatic vein thrombosis. No guidelines for
      patients with ET undergoing abdominal surgery were found. CONCLUSION: In
      conclusion, there are currently no definitive guidelines for the perioperative
      management of patients with ET. Furthermore, there are few reports of ET in
      patients with malignancy undergoing surgery. Further studies in this unique group
      of patients are required.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Zhu, Yi
AU  - Zhu Y
FAU - Jiang, HongGang
AU  - Jiang H
FAU - Chen, ZhiHeng
AU  - Chen Z
FAU - Lu, BoHao
AU  - Lu B
FAU - Wu, JiaMing
AU  - Wu J
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Abdomen/surgery
MH  - Anastomosis, Surgical/*adverse effects
MH  - Digestive System Surgical Procedures/*adverse effects/methods
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Postoperative Hemorrhage/*etiology
MH  - Sigmoid Neoplasms/*surgery
MH  - Thrombocythemia, Essential/complications/*surgery
PMC - PMC5708998
EDAT- 2018/02/01 06:00
MHDA- 2018/02/10 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/10 06:00 [medline]
AID - 10.1097/MD.0000000000008856 [doi]
AID - 00005792-201711270-00090 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Nov;96(47):e8856. doi: 10.1097/MD.0000000000008856.