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...

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Main Authors: Mohammad Zarei, Mohsen Rostami, Furqan Mohammed Yaseen Khan
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2022-04-01
Series:Journal of Orthopedic and Spine Trauma
Subjects:
Online Access:https://jost.tums.ac.ir/index.php/jost/article/view/286
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author Mohammad Zarei
Mohsen Rostami
Furqan Mohammed Yaseen Khan
author_facet Mohammad Zarei
Mohsen Rostami
Furqan Mohammed Yaseen Khan
author_sort Mohammad Zarei
collection DOAJ
description 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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spelling doaj.art-65f9b7ca8d044be3854d3be50a8516272022-12-21T21:59:20ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002022-04-017410.18502/jost.v7i4.8864Does Spine Surgery in Patients with a History of Bariatric Gastrectomy Increase the Risk of Delayed Pulmonary Embolism?Mohammad Zarei0Mohsen Rostami1Furqan Mohammed Yaseen Khan2Department of Orthopedic Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Neurosurgery, Neuroscience and Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Orthopedic Surgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran 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.     https://jost.tums.ac.ir/index.php/jost/article/view/286Bariatric Surgery; Gastrectomy; Pulmonary Embolism; Spine; Venous Thromboembolism
spellingShingle Mohammad Zarei
Mohsen Rostami
Furqan Mohammed Yaseen Khan
Does Spine Surgery in Patients with a History of Bariatric Gastrectomy Increase the Risk of Delayed Pulmonary Embolism?
Journal of Orthopedic and Spine Trauma
Bariatric Surgery; Gastrectomy; Pulmonary Embolism; Spine; Venous Thromboembolism
title Does Spine Surgery in Patients with a History of Bariatric Gastrectomy Increase the Risk of Delayed Pulmonary Embolism?
title_full Does Spine Surgery in Patients with a History of Bariatric Gastrectomy Increase the Risk of Delayed Pulmonary Embolism?
title_fullStr Does Spine Surgery in Patients with a History of Bariatric Gastrectomy Increase the Risk of Delayed Pulmonary Embolism?
title_full_unstemmed Does Spine Surgery in Patients with a History of Bariatric Gastrectomy Increase the Risk of Delayed Pulmonary Embolism?
title_short Does Spine Surgery in Patients with a History of Bariatric Gastrectomy Increase the Risk of Delayed Pulmonary Embolism?
title_sort does spine surgery in patients with a history of bariatric gastrectomy increase the risk of delayed pulmonary embolism
topic Bariatric Surgery; Gastrectomy; Pulmonary Embolism; Spine; Venous Thromboembolism
url https://jost.tums.ac.ir/index.php/jost/article/view/286
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AT mohsenrostami doesspinesurgeryinpatientswithahistoryofbariatricgastrectomyincreasetheriskofdelayedpulmonaryembolism
AT furqanmohammedyaseenkhan doesspinesurgeryinpatientswithahistoryofbariatricgastrectomyincreasetheriskofdelayedpulmonaryembolism