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Obesity Surgery

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01-05-2013 | Original Contributions

Pulmonary Embolism and Deep Venous Thrombosis Following Bariatric Surgery

Authors: Paul D. Stein, Fadi Matta

Published in: Obesity Surgery | Issue 5/2013

Abstract

Background

The contribution of obesity to the thromboembolic risks of surgery suggests that patients undergoing bariatric surgery would have a particularly high risk of postoperative pulmonary embolism (PE) and/or deep venous thrombosis (DVT). This study aimed to assess the prevalence of in-hospital PE, DVT, and venous thromboembolism (VTE) following bariatric surgery in the USA from 2007 to 2009.

Methods

We used the database of the Nationwide Inpatient Sample.

Results

The prevalence of PE was 4,500 of 508,230 (0.9 %). The prevalence of DVT not accompanied by PE was 6,480 of 508,230 (1.3 %) and VTE (either PE or DVT) occurred in 10,980 of 508,230 (2.2 %). In-hospital death among patients with PE was 130 of 508,231 (0.03 %). Vena cava filters were inserted in 1,515 of 508,230 (0.3 %) patients who underwent bariatric surgery. Among patients who had VTE, filters were inserted in 1,150 of 10,980 (10.5 %). Among patients who had neither PE nor DVT, prophylactic vena cava filters were inserted in 365 of 497,250 (0.07 %). Among patients with PE, in-hospital mortality was 25 of 635 (3.9 %) with a filter compared with 105 of 3,865 (2.7 %) (NS) without a filter. However, among patients with DVT alone, in-hospital mortality was 0 of 510 (0 %) with a filter compared with 80 of 5,970 (1.3 %) (P = 0.009) without a filter.

Conclusions

This investigation establishes a baseline for the incidence of venous thromboembolic complications following bariatric surgery in recent years. Determination of the present in-hospital rate of PE and DVT may contribute to antithrombotic prophylactic considerations.

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Title: Pulmonary Embolism and Deep Venous Thrombosis Following Bariatric Surgery
Authors: Paul D. Stein
Fadi Matta
Publication date: 01-05-2013
Publisher: Springer-Verlag
Published in: Obesity Surgery / Issue 5/2013
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-012-0854-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pulmonary Embolism and Deep Venous Thrombosis Following Bariatric Surgery

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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Correspondence to the Editor: Staplers Dedicated for Sleeve Gastrectomies