Role of routine pre-operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgery
Background/Aims: It is well established that obesity is a strongly associated risk factor for post-operative deep vein thrombosis (DVT). Physical effects and pro-thrombotic, pro-inflammatory and hypofibrinolytic effects of severe obesity may predispose to idiopathic DVT (pre-operatively) because of...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2017;volume=13;issue=3;spage=205;epage=207;aulast=Raj |
| _version_ | 1811208473943212032 |
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| author | P Praveen Raj Rachel M Gomes Saravana Kumar Palanisamy Senthilnathan Ramakrishnan Parathasarathi Subbiah Rajapandian Chinnusamy Palanivelu |
| author_facet | P Praveen Raj Rachel M Gomes Saravana Kumar Palanisamy Senthilnathan Ramakrishnan Parathasarathi Subbiah Rajapandian Chinnusamy Palanivelu |
| author_sort | P Praveen Raj |
| collection | DOAJ |
| description | Background/Aims: It is well established that obesity is a strongly associated risk factor for post-operative deep vein thrombosis (DVT). Physical effects and pro-thrombotic, pro-inflammatory and hypofibrinolytic effects of severe obesity may predispose to idiopathic DVT (pre-operatively) because of which bariatric patients are routinely screened before surgery. The aim of this study was to audit the use of routine screening venous duplex ultrasound in morbidly obese patients before undergoing bariatric surgery. Methods: We retrospectively reviewed 180 patients who underwent bariatric surgery from August 2013 to August 2014 who had undergone pre-operative screening bilateral lower-extremity venous duplex ultrasound for DVT. Data were collected on patient's demographics, history of venous thromboembolism, prior surgeries and duplex ultrasound details of the status of the deep veins and superficial veins of the lower limbs. Results: No patients had symptoms or signs of DVT pre-operatively. No patient gave history of DVT. No patient was found to have iliac, femoral or popliteal vein thrombosis. Superficial venous disease was found in 17 (8%). One patient had a right lower limb venous ulcer. Conclusion: Thromboembolic problems in the morbidly obese before bariatric surgery are infrequent, and screening venous duplex ultrasound can be done in high-risk patients only. |
| first_indexed | 2024-04-12T04:21:59Z |
| format | Article |
| id | doaj.art-18a144f24d93470e90bf8e8ccbe2c9d5 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-04-12T04:21:59Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-18a144f24d93470e90bf8e8ccbe2c9d52022-12-22T03:48:11ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212017-01-0113320520710.4103/jmas.JMAS_199_15Role of routine pre-operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgeryP Praveen RajRachel M GomesSaravana KumarPalanisamy SenthilnathanRamakrishnan ParathasarathiSubbiah RajapandianChinnusamy PalaniveluBackground/Aims: It is well established that obesity is a strongly associated risk factor for post-operative deep vein thrombosis (DVT). Physical effects and pro-thrombotic, pro-inflammatory and hypofibrinolytic effects of severe obesity may predispose to idiopathic DVT (pre-operatively) because of which bariatric patients are routinely screened before surgery. The aim of this study was to audit the use of routine screening venous duplex ultrasound in morbidly obese patients before undergoing bariatric surgery. Methods: We retrospectively reviewed 180 patients who underwent bariatric surgery from August 2013 to August 2014 who had undergone pre-operative screening bilateral lower-extremity venous duplex ultrasound for DVT. Data were collected on patient's demographics, history of venous thromboembolism, prior surgeries and duplex ultrasound details of the status of the deep veins and superficial veins of the lower limbs. Results: No patients had symptoms or signs of DVT pre-operatively. No patient gave history of DVT. No patient was found to have iliac, femoral or popliteal vein thrombosis. Superficial venous disease was found in 17 (8%). One patient had a right lower limb venous ulcer. Conclusion: Thromboembolic problems in the morbidly obese before bariatric surgery are infrequent, and screening venous duplex ultrasound can be done in high-risk patients only.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2017;volume=13;issue=3;spage=205;epage=207;aulast=RajDeep venous thrombosismorbid obesityvenous duplex ultrasoundvenous thromboprophylaxis |
| spellingShingle | P Praveen Raj Rachel M Gomes Saravana Kumar Palanisamy Senthilnathan Ramakrishnan Parathasarathi Subbiah Rajapandian Chinnusamy Palanivelu Role of routine pre-operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgery Journal of Minimal Access Surgery Deep venous thrombosis morbid obesity venous duplex ultrasound venous thromboprophylaxis |
| title | Role of routine pre-operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgery |
| title_full | Role of routine pre-operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgery |
| title_fullStr | Role of routine pre-operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgery |
| title_full_unstemmed | Role of routine pre-operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgery |
| title_short | Role of routine pre-operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgery |
| title_sort | role of routine pre operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgery |
| topic | Deep venous thrombosis morbid obesity venous duplex ultrasound venous thromboprophylaxis |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2017;volume=13;issue=3;spage=205;epage=207;aulast=Raj |
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