Prevention of venous thromboembolism in patients undergoing bariatric surgery

Vascular Health and Risk Management
Matthew A BartlettPaul R Daniels

Abstract

Bariatric surgical procedures are now a common method of obesity treatment with established effectiveness. Venous thromboembolism (VTE) events, which include deep vein thrombosis and pulmonary embolism, are an important source of postoperative morbidity and mortality among bariatric surgery patients. Due to an understanding of the frequency and seriousness of these complications, bariatric surgery patients typically receive some method of VTE prophylaxis with lower extremity compression, pharmacologic prophylaxis, or both. However, the optimal approach in these patients is unclear, with multiple open questions. In particular, strategies of adjusted-dose heparins, postdischarge anticoagulant prophylaxis, and the role of vena cava filters have been evaluated, but only to a limited extent. In contrast to other types of operations, the literature regarding VTE prophylaxis in bariatric surgery is notable for a dearth of prospective, randomized clinical trials, and current professional guidelines reflect the uncertainties in this literature. Herein, we summarize the available evidence after systematic review of the literature regarding approaches to VTE prevention in bariatric surgery. Identification of risk factors for VTE in the ba...Continue Reading

Citations

Aug 14, 2018·Journal of Thrombosis and Haemostasis : JTH·E K TsengD M Siegal
Apr 29, 2020·AORN Journal·Erin Kyle
Nov 8, 2017·European Journal of Anaesthesiology·Linas VenclauskasUNKNOWN ESA VTE Guidelines Task Force

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Methods Mentioned

BETA
gastric bypass
hormone replacement therapy

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