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Incidence of deep vein thrombosis in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass.
Surg Obes Relat Dis. 2008 Mar-Apr; 4(2):126-30.SO

Abstract

BACKGROUND

To define the incidence of deep vein thrombosis in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass.

METHODS

A retrospective study was conducted for all patients undergoing laparoscopic Roux-en-Y gastric bypass from 2004 to 2006. The data collected included patient demographics, body mass index, operative time, conversion rate, thromboprophylaxis measures, hospital stay, and complications.

RESULTS

Of the 618 patients included in the study, 451 (73%) were women and 167 (27%) were men, with a mean age of 44 years (range 18-78). The preoperative body mass index was 49 kg/m(2) (range 35-90). All patients received the same thromboprophylaxis regimen. All surgical procedures were performed and completed laparoscopically, with a mean operative time of 93 minutes (range 50-196). All patients underwent lower extremity color Doppler ultrasonography within the first 24 hours after the surgical procedure. The mean hospital stay was 4 days (range 2-21). The most common in-hospital complication was basal atelectasis in 52 patients (8.4%), followed by gastrointestinal bleeding in 10 (1.6%), and anastomotic leak in 6 (1%). The postoperative follow-up visits were done at 2, 8, 12, 24, and 52 weeks after surgery; no mortality occurred. The overall rate of deep vein thrombosis in the group of 500 consecutive patients was .2%, with no clinically significant pulmonary embolism; 9 patients presented with postoperative bleeding.

CONCLUSION

The overall rate of deep vein thrombosis in this group of patients was low, most probably because of the use of thromboprophylaxis.

Authors+Show Affiliations

Bariatric Institute, Cleveland Clinic Florida, Weston, Florida, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18359453

Citation

Escalante-Tattersfield, Tomas, et al. "Incidence of Deep Vein Thrombosis in Morbidly Obese Patients Undergoing Laparoscopic Roux-en-Y Gastric Bypass." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 4, no. 2, 2008, pp. 126-30.
Escalante-Tattersfield T, Tucker O, Fajnwaks P, et al. Incidence of deep vein thrombosis in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4(2):126-30.
Escalante-Tattersfield, T., Tucker, O., Fajnwaks, P., Szomstein, S., & Rosenthal, R. J. (2008). Incidence of deep vein thrombosis in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 4(2), 126-30. https://doi.org/10.1016/j.soard.2007.12.015
Escalante-Tattersfield T, et al. Incidence of Deep Vein Thrombosis in Morbidly Obese Patients Undergoing Laparoscopic Roux-en-Y Gastric Bypass. Surg Obes Relat Dis. 2008 Mar-Apr;4(2):126-30. PubMed PMID: 18359453.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence of deep vein thrombosis in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass. AU - Escalante-Tattersfield,Tomas, AU - Tucker,Olga, AU - Fajnwaks,Patricio, AU - Szomstein,Samuel, AU - Rosenthal,Raul J, PY - 2007/03/14/received PY - 2007/11/27/revised PY - 2007/12/26/accepted PY - 2008/3/25/pubmed PY - 2008/6/27/medline PY - 2008/3/25/entrez SP - 126 EP - 30 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 4 IS - 2 N2 - BACKGROUND: To define the incidence of deep vein thrombosis in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass. METHODS: A retrospective study was conducted for all patients undergoing laparoscopic Roux-en-Y gastric bypass from 2004 to 2006. The data collected included patient demographics, body mass index, operative time, conversion rate, thromboprophylaxis measures, hospital stay, and complications. RESULTS: Of the 618 patients included in the study, 451 (73%) were women and 167 (27%) were men, with a mean age of 44 years (range 18-78). The preoperative body mass index was 49 kg/m(2) (range 35-90). All patients received the same thromboprophylaxis regimen. All surgical procedures were performed and completed laparoscopically, with a mean operative time of 93 minutes (range 50-196). All patients underwent lower extremity color Doppler ultrasonography within the first 24 hours after the surgical procedure. The mean hospital stay was 4 days (range 2-21). The most common in-hospital complication was basal atelectasis in 52 patients (8.4%), followed by gastrointestinal bleeding in 10 (1.6%), and anastomotic leak in 6 (1%). The postoperative follow-up visits were done at 2, 8, 12, 24, and 52 weeks after surgery; no mortality occurred. The overall rate of deep vein thrombosis in the group of 500 consecutive patients was .2%, with no clinically significant pulmonary embolism; 9 patients presented with postoperative bleeding. CONCLUSION: The overall rate of deep vein thrombosis in this group of patients was low, most probably because of the use of thromboprophylaxis. SN - 1550-7289 UR - https://www.unboundmedicine.com/medline/citation/18359453/Incidence_of_deep_vein_thrombosis_in_morbidly_obese_patients_undergoing_laparoscopic_Roux_en_Y_gastric_bypass_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(08)00066-X DB - PRIME DP - Unbound Medicine ER -