As I posted in sage-dev the problem actually is with the coefficients and I 
found a somewhat heavy handed solution:

sage: R.<u,v>=LaurentPolynomialRing(ZZ,2)
sage: p=2*u**-1*v**-1+u*v
sage: sum( R(c)*u**-exp[0]*v**-exp[1] for (exp,c) in p.dict().iteritems() )
2*u*v + u^-1*v^-1

Andrew

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