Skip to main content
Top
Published in: Obesity Surgery 5/2024

26-03-2024 | Phlebothrombosis | Letter to the Editor

Guidelines for Management of Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) Occurring After Metabolic Bariatric Surgery (MBS)

Authors: Chetan D. Parmar, Daniel Moritz Felsenreich, Paulina Salminen, Nicola Di Lorenzo, Gerhard Prager

Published in: Obesity Surgery | Issue 5/2024

Login to get access

Excerpt

The reported incidence of deep vein thrombosis (DVT) is 1–3% and pulmonary embolism (PE) is 0.3–2% after metabolic and bariatric surgery (MBS) [1]. A recent systematic review reported the incidence of venous thromboembolism (VTE) to be 0.5% [2]. Regardless of the fact that MBS is very safe, VTE remains an important cause of morbidity and mortality after MBS [2, 3]. PE account for nearly 30% of mortality after MBS [2, 3]. There are no separate guidelines or management pathways for treatment of DVT and PE occurring after MBS. The aim of this letter is to provide the clinicians easy access to these in one place, when needed during emergency. …
Literature
1.
go back to reference Aminian A, Andalib A, Khorgami Z, et al. Who should get extended thromboprophylaxis after bariatric surgery? A risk assessment tool to guide indications for post-discharge pharmacoprophylaxis. Ann Surg. 2017;265(1):143–50.CrossRefPubMed Aminian A, Andalib A, Khorgami Z, et al. Who should get extended thromboprophylaxis after bariatric surgery? A risk assessment tool to guide indications for post-discharge pharmacoprophylaxis. Ann Surg. 2017;265(1):143–50.CrossRefPubMed
2.
go back to reference Mazzolai L, Aboyans V, Ageno W. Diagnosis and management of acute deep vein thrombosis: a joint consensus document from the European Society of Cardiology working groups of aorta and peripheral vascular diseases and pulmonary circulation and right ventricular function. Eur Heart J. 2018;39(47):4208–18.CrossRefPubMed Mazzolai L, Aboyans V, Ageno W. Diagnosis and management of acute deep vein thrombosis: a joint consensus document from the European Society of Cardiology working groups of aorta and peripheral vascular diseases and pulmonary circulation and right ventricular function. Eur Heart J. 2018;39(47):4208–18.CrossRefPubMed
3.
go back to reference Morino M, Toppino M, Forestieri P, et al. Mortality after bariatric surgery: analysis of 13,871 morbidly obese patients from a national registry. Ann Surg. 2007;246:1002–7.CrossRefPubMed Morino M, Toppino M, Forestieri P, et al. Mortality after bariatric surgery: analysis of 13,871 morbidly obese patients from a national registry. Ann Surg. 2007;246:1002–7.CrossRefPubMed
4.
go back to reference Giannis D, Geropoulos G, Kakos CD, et al. Portomesenteric vein thrombosis in patients undergoing sleeve gastrectomy: an updated systematic review and meta-analysis of 101,914 patients. Obes Surg. 2023;33(10):2991–3007.CrossRefPubMed Giannis D, Geropoulos G, Kakos CD, et al. Portomesenteric vein thrombosis in patients undergoing sleeve gastrectomy: an updated systematic review and meta-analysis of 101,914 patients. Obes Surg. 2023;33(10):2991–3007.CrossRefPubMed
6.
go back to reference Wells PS, Anderson DR, Rodger M, et al. Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med. 2003;349(13):1227–35.CrossRefPubMed Wells PS, Anderson DR, Rodger M, et al. Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med. 2003;349(13):1227–35.CrossRefPubMed
7.
go back to reference Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): the Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). Eur Heart J. 2020;41(4):543–603.CrossRefPubMed Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): the Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). Eur Heart J. 2020;41(4):543–603.CrossRefPubMed
8.
go back to reference Howard LSGE, Barden S, Condliffe R, et al. British Thoracic Society Guideline for the initial outpatient management of pulmonary embolism (PE). Thorax. 2018;73:ii1–29.CrossRefPubMed Howard LSGE, Barden S, Condliffe R, et al. British Thoracic Society Guideline for the initial outpatient management of pulmonary embolism (PE). Thorax. 2018;73:ii1–29.CrossRefPubMed
9.
go back to reference Wells PS, Anderson DR, Rodger M, et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost. 2000;83(3):416–20.CrossRefPubMed Wells PS, Anderson DR, Rodger M, et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost. 2000;83(3):416–20.CrossRefPubMed
10.
go back to reference Rottenstreich A, Barkai A, Arad A, et al. The effect of bariatric surgery on direct-acting oral anticoagulant drug levels. Thromb Res. 2018;163:190–5.CrossRefPubMed Rottenstreich A, Barkai A, Arad A, et al. The effect of bariatric surgery on direct-acting oral anticoagulant drug levels. Thromb Res. 2018;163:190–5.CrossRefPubMed
11.
go back to reference Quezada CA, Bikdeli B, Barrios D, et al. Meta-analysis of prevalence and short-term prognosis of hemodynamically unstable patients with symptomatic acute pulmonary embolism. Am J Cardiol. 2019;123(4):684–9.CrossRefPubMed Quezada CA, Bikdeli B, Barrios D, et al. Meta-analysis of prevalence and short-term prognosis of hemodynamically unstable patients with symptomatic acute pulmonary embolism. Am J Cardiol. 2019;123(4):684–9.CrossRefPubMed
12.
go back to reference Aminian A, Vosburg RW, Altieri MS, et al. American society for metabolic and bariatric surgery clinical issues committee. The American Society for Metabolic and Bariatric Surgery (ASMBS) updated position statement on perioperative venous thromboembolism prophylaxis in bariatric surgery. Surg Obes Relat Dis. 2022;18(2):165–74.CrossRefPubMed Aminian A, Vosburg RW, Altieri MS, et al. American society for metabolic and bariatric surgery clinical issues committee. The American Society for Metabolic and Bariatric Surgery (ASMBS) updated position statement on perioperative venous thromboembolism prophylaxis in bariatric surgery. Surg Obes Relat Dis. 2022;18(2):165–74.CrossRefPubMed
13.
go back to reference Tran HA, Gibbs H, Merriman E, et al. New guidelines from the Thrombosis and Haemostasis Society of Australia and New Zealand for the diagnosis and management of venous thromboembolism. Med J Aust. 2019 Mar;210(5):227–235. Erratum in: Med J Aust. 2019 Jul;211(2):94. Erratum in: Med J Aust. 2020 Feb;212(3):108. Tran HA, Gibbs H, Merriman E, et al. New guidelines from the Thrombosis and Haemostasis Society of Australia and New Zealand for the diagnosis and management of venous thromboembolism. Med J Aust. 2019 Mar;210(5):227–235. Erratum in: Med J Aust. 2019 Jul;211(2):94. Erratum in: Med J Aust. 2020 Feb;212(3):108.
14.
go back to reference Caprini JA. Thrombosis risk assessment as a guide to quality patient care. Dis Mon. 2005;51(2–3):70–8.CrossRefPubMed Caprini JA. Thrombosis risk assessment as a guide to quality patient care. Dis Mon. 2005;51(2–3):70–8.CrossRefPubMed
15.
go back to reference Parmar CD, McCluney SJ, Rodriguez N, et al. A global survey by the international federation for the surgery of obesity and metabolic disorders (IFSO) on perceptions of bariatric medical tourism (BMT) by health professionals: guidelines from IFSO for BMT. Obes Surg. 2021;31(4):1401–10.CrossRefPubMed Parmar CD, McCluney SJ, Rodriguez N, et al. A global survey by the international federation for the surgery of obesity and metabolic disorders (IFSO) on perceptions of bariatric medical tourism (BMT) by health professionals: guidelines from IFSO for BMT. Obes Surg. 2021;31(4):1401–10.CrossRefPubMed
Metadata
Title
Guidelines for Management of Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) Occurring After Metabolic Bariatric Surgery (MBS)
Authors
Chetan D. Parmar
Daniel Moritz Felsenreich
Paulina Salminen
Nicola Di Lorenzo
Gerhard Prager
Publication date
26-03-2024
Publisher
Springer US
Published in
Obesity Surgery / Issue 5/2024
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-024-07187-4

Other articles of this Issue 5/2024

Obesity Surgery 5/2024 Go to the issue