World Journal of Laparoscopic Surgery

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VOLUME 15 , ISSUE 1 ( January-April, 2022 ) > List of Articles

Original Article

Efficacy of Prophylaxis Protocol in Prevention of Venous Thromboembolism in Bariatric Surgery Patients

Ahmed Hassan, Mohamed Adel, Islam Khaled, Haitham Gbr, Mohamed Elkerkary

Keywords : Bariatric surgery, Obesity, Prophylaxis, Venous thromboembolism

Citation Information : Hassan A, Adel M, Khaled I, Gbr H, Elkerkary M. Efficacy of Prophylaxis Protocol in Prevention of Venous Thromboembolism in Bariatric Surgery Patients. World J Lap Surg 2022; 15 (1):21-25.

DOI: 10.5005/jp-journals-10033-1486

License: CC BY-NC 4.0

Published Online: 09-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Background: In patients undergoing bariatric surgery, different techniques have been used to avoid venous thromboembolism (VTE), including pharmacological prophylaxis and mechanical prophylaxis. Our aim was to determine the effectiveness of the prophylaxis procedure (pharmacological and mechanical prophylaxis) to prevent VTE following bariatric surgery. Patients and methods: We performed the present cross-sectional study on patients with morbid obesity who were scheduled to undergo bariatric surgery. The primary outcome of the present stud was the incidence of VTE. The diagnosis of VTE was based on a duplex ultrasound. Patients were followed up for 1 month after the procedure. Results: Two patients develop pulmonary embolism (6.1%). The first patient was female aged 40-years-old who underwent a sleeve gastrectomy (SG). Her body mass index (BMI) was 43 kg/m2 and she had a history of diabetes, hypertension (HTN), and VTE 5 years ago. On the 5th postoperative day, she complained of shortness of breath and chest pain, which was followed by the diagnosis of pulmonary embolism and ICU admission. The second patient was a female aged 49-years-old who underwent one anastomosis gastric bypass (OAGB) operation. Her BMI was 55 kg/m2 and she had a history of diabetes, HTN, and chronic obstructive pulmonary disease (COPD). Twelve days after operation, she complained of chest pain, palpitations, and shortness of breath, which was followed by the diagnosis of pulmonary embolism and ICU admission. Conclusion: In conclusion, VTE is associated with an increased risk of morbidity and mortality after bariatric surgery; however, it can be prevented using an extensive course of thromboprophylaxis. For the best regime in VTE prevention after the bariatric operation, more prospective experiments are needed.


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