Does Spine Surgery in Patients with a History of Bariatric Gastrectomy Increase the Risk of Delayed Pulmonary Embolism?
Background: This is a novel observation report on patients undergoing spine surgery with a history of bariatric procedures. Acknowledgment of aggregated complications in such patients can prevent catastrophic outcomes. Case Report: We report three patients with spinal disorders and...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2022-04-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/286 |
| Summary: | Background: This is a novel observation report on patients undergoing spine surgery with a history of bariatric procedures.
Acknowledgment of aggregated complications in such patients can prevent catastrophic outcomes.
Case Report: We report three patients with spinal disorders and a history of bariatric surgery who developed pulmonary embolism following spine surgery. None of the patients had a history of venous thromboembolism or deep vein thrombosis (DVT) before this event. All patients were given thromboprophylaxis after both bariatric and spine surgery, including intra- and post-operative mechanical and pharmacological thromboprophylaxis upon discharge.
Conclusion: Patients undergoing spine surgery with a history of bariatric procedures are at increased risk of developing venous thromboembolic complications, including pulmonary embolism. We recommend extensive venous thromboembolic evaluation and treating these patients as high-risk individuals even in the absence of active thromboembolic disease.
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| ISSN: | 2538-2330 2538-4600 |