Prevention of venous thromboembolism in patients undergoing bariatric surgery
Matthew A Bartlett, Karen F Mauck, Paul R Daniels Division of General Internal Medicine, Mayo Clinic Thrombophilia Center, Department of Medicine, Mayo Clinic, Rochester, MN, USA Abstract: Bariatric surgical procedures are now a common method of obesity treatment with established effectiveness. Ven...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2015-08-01
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| Series: | Vascular Health and Risk Management |
| Online Access: | http://www.dovepress.com/prevention-of-venous-thromboembolism-in-patients-undergoing-bariatric--peer-reviewed-article-VHRM |
| _version_ | 1811337236246953984 |
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| author | Bartlett MA Mauck KF Daniels PR |
| author_facet | Bartlett MA Mauck KF Daniels PR |
| author_sort | Bartlett MA |
| collection | DOAJ |
| description | Matthew A Bartlett, Karen F Mauck, Paul R Daniels Division of General Internal Medicine, Mayo Clinic Thrombophilia Center, Department of Medicine, Mayo Clinic, Rochester, MN, USA Abstract: Bariatric surgical procedures are now a common method of obesity treatment with established effectiveness. Venous thromboembolism (VTE) events, which include deep vein thrombosis and pulmonary embolism, are an important source of postoperative morbidity and mortality among bariatric surgery patients. Due to an understanding of the frequency and seriousness of these complications, bariatric surgery patients typically receive some method of VTE prophylaxis with lower extremity compression, pharmacologic prophylaxis, or both. However, the optimal approach in these patients is unclear, with multiple open questions. In particular, strategies of adjusted-dose heparins, postdischarge anticoagulant prophylaxis, and the role of vena cava filters have been evaluated, but only to a limited extent. In contrast to other types of operations, the literature regarding VTE prophylaxis in bariatric surgery is notable for a dearth of prospective, randomized clinical trials, and current professional guidelines reflect the uncertainties in this literature. Herein, we summarize the available evidence after systematic review of the literature regarding approaches to VTE prevention in bariatric surgery. Identification of risk factors for VTE in the bariatric surgery population, analysis of the effectiveness of methods used for prophylaxis, and an overview of published guidelines are presented. Keywords: bariatric surgery, venous thromboembolism, prophylaxis, vena cava filter, heparin |
| first_indexed | 2024-04-13T17:51:58Z |
| format | Article |
| id | doaj.art-eb324964fa734e12a1d1c95c2e00fed4 |
| institution | Directory Open Access Journal |
| issn | 1178-2048 |
| language | English |
| last_indexed | 2024-04-13T17:51:58Z |
| publishDate | 2015-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Vascular Health and Risk Management |
| spelling | doaj.art-eb324964fa734e12a1d1c95c2e00fed42022-12-22T02:36:40ZengDove Medical PressVascular Health and Risk Management1178-20482015-08-012015default46147723172Prevention of venous thromboembolism in patients undergoing bariatric surgeryBartlett MAMauck KFDaniels PRMatthew A Bartlett, Karen F Mauck, Paul R Daniels Division of General Internal Medicine, Mayo Clinic Thrombophilia Center, Department of Medicine, Mayo Clinic, Rochester, MN, USA Abstract: Bariatric surgical procedures are now a common method of obesity treatment with established effectiveness. Venous thromboembolism (VTE) events, which include deep vein thrombosis and pulmonary embolism, are an important source of postoperative morbidity and mortality among bariatric surgery patients. Due to an understanding of the frequency and seriousness of these complications, bariatric surgery patients typically receive some method of VTE prophylaxis with lower extremity compression, pharmacologic prophylaxis, or both. However, the optimal approach in these patients is unclear, with multiple open questions. In particular, strategies of adjusted-dose heparins, postdischarge anticoagulant prophylaxis, and the role of vena cava filters have been evaluated, but only to a limited extent. In contrast to other types of operations, the literature regarding VTE prophylaxis in bariatric surgery is notable for a dearth of prospective, randomized clinical trials, and current professional guidelines reflect the uncertainties in this literature. Herein, we summarize the available evidence after systematic review of the literature regarding approaches to VTE prevention in bariatric surgery. Identification of risk factors for VTE in the bariatric surgery population, analysis of the effectiveness of methods used for prophylaxis, and an overview of published guidelines are presented. Keywords: bariatric surgery, venous thromboembolism, prophylaxis, vena cava filter, heparinhttp://www.dovepress.com/prevention-of-venous-thromboembolism-in-patients-undergoing-bariatric--peer-reviewed-article-VHRM |
| spellingShingle | Bartlett MA Mauck KF Daniels PR Prevention of venous thromboembolism in patients undergoing bariatric surgery Vascular Health and Risk Management |
| title | Prevention of venous thromboembolism in patients undergoing bariatric surgery |
| title_full | Prevention of venous thromboembolism in patients undergoing bariatric surgery |
| title_fullStr | Prevention of venous thromboembolism in patients undergoing bariatric surgery |
| title_full_unstemmed | Prevention of venous thromboembolism in patients undergoing bariatric surgery |
| title_short | Prevention of venous thromboembolism in patients undergoing bariatric surgery |
| title_sort | prevention of venous thromboembolism in patients undergoing bariatric surgery |
| url | http://www.dovepress.com/prevention-of-venous-thromboembolism-in-patients-undergoing-bariatric--peer-reviewed-article-VHRM |
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