Discussion of: “Perioperative complications increase the risk of venous thromboembolism following bariatric surgery”

2017 ◽  
Vol 214 (6) ◽  
pp. 1141-1142 ◽  
Author(s):  
Melissa C. Helm ◽  
Kathleen Simon ◽  
Rana Higgins ◽  
Tammy L. Kindel ◽  
Jon C. Gould
Keyword(s):  
Bariatric Surgery ◽  
Venous Thromboembolism ◽  
Perioperative Complications

Perioperative complications increase the risk of venous thromboembolism following bariatric surgery

2017 ◽  
Vol 214 (6) ◽  
pp. 1135-1140 ◽  
Author(s):  
Melissa C. Helm ◽  
Kathleen Simon ◽  
Rana Higgins ◽  
Tammy L. Kindel ◽  
Jon C. Gould
Keyword(s):  
Bariatric Surgery ◽  
Venous Thromboembolism ◽  
Perioperative Complications

scholarly journals INTESTINAL MALROTATION IN PATIENTS UNDERGOING BARIATRIC SURGERY

2016 ◽  
Vol 29 (suppl 1) ◽  
pp. 24-26 ◽  
Author(s):  
Eduardo Arevalo VIDAL ◽  
Francisco Abarca RENDON ◽  
Trino Andrade ZAMBRANO ◽  
Yudoco Andrade GARCÍA ◽  
Mario Ferrin VITERI ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Perioperative Complications ◽  
Laparoscopic Approach ◽  
Intestinal Malrotation ◽  
Laparoscopic Bariatric Surgery ◽  
Single Anastomosis Gastric Bypass ◽  
Single Anastomosis ◽  
History Of ◽  
Upper Abdomen

ABSTRACT Background: Intestinal malrotation is a rare congenital anomaly. In adults is very difficult to recognize due to the lack of symptoms. Diagnosis is usually incidental during surgical procedures or at autopsy. Aim: To review the occurrence and recognition of uneventful intestinal malrotation discovered during regular cases of bariatric surgeries. Methods: Were retrospectively reviewed the medical registry of 20,000 cases undergoing bariatric surgery, from January 2002 to January 2016, looking for the occurrence of intestinal malrotation and consequences in the intraoperative technique and immediate evolution of the patients. Results: Five cases (0,025%) of intestinal malrotation were found. All of them were males, aging 45, 49, 37,52 and 39 years; BMI 35, 42, 49, 47 and 52 kg/m2, all of them with a past medical history of morbid obesity. The patient with BMI 35 kg/m2 suffered from type 2 diabetes also. All procedures were completed by laparoscopic approach, with no conversions. In one patient was not possible to move the jejunum to the upper abdomen in order to establish the gastrojejunostomy and a sleeve gastrectomy was performed. In another patient was not possible to fully recognize the anatomy due to bowel adhesions and a single anastomosis gastric bypass was preferred. No leaks or bleeding were identified. There were no perioperative complications. All patients were discharged 72 h after the procedure and no immediate 30-day complications were reported. Conclusion: Patients with malrotation can successfully undergo laparoscopic bariatric surgery. May be necessary changes in the surgical original strategy regarding the malrotation. Surgeons must check full abdominal anatomical condition prior to start the division of the stomach.

scholarly journals Venous Thromboembolism in Bariatric Surgery

10.5772/33666 ◽  
2012 ◽  
Author(s):  
Eleni Zachari ◽  
Eleni Sioka ◽  
George Tzovaras ◽  
Dimitris Zacharoulis
Keyword(s):  
Bariatric Surgery ◽  
Venous Thromboembolism

Factors Predictive of Venous Thromboembolism in Bariatric Surgery

2011 ◽  
Vol 77 (10) ◽  
pp. 1403-1406 ◽  
Author(s):  
Hossein Masoomi ◽  
Brian Buchberg ◽  
Kevin M. Reavis ◽  
Steven D. Mills ◽  
Michael Stamos ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Venous Thromboembolism ◽  
Surgical Techniques ◽  
Significant Risk ◽  
Patient Characteristics ◽  
Morbidly Obese ◽  
Open Gastric Bypass ◽  
Open Operation ◽  
Surgical Options

Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in bariatric surgery. The aim of this study was to evaluate the effect of patient characteristics, payer type, comorbidities, and surgical techniques on development of VTE in bariatric surgery. Using the National Inpatient Sample (NIS) database from 2006 to 2008, clinical data of 304,515 morbidly obese patients who underwent bariatric surgery were examined. Multiple regression analysis was performed to identify factors predictive of VTE. The overall rate of in-hospital VTE was 0.17 per cent, with the highest rate of VTE observed in open gastric bypass (0.45%). The VTE rate was significantly lower in laparoscopic compared with open gastric bypass (0.13% vs 0.45%, respectively, P < 0.01) and in nongastric bypass compared with gastric bypass procedures (0.06% vs 0.21%, respectively, P < 0.01). Alcohol abuse [odds ratio (OR): 8.7], open operation (OR: 2.5), gastric bypass procedures (OR: 2.4), renal failure (OR: 2.3), congestive heart failure (OR: 2.0), male gender (OR: 1.5), and chronic lung disease (OR: 1.4) were associated with a higher rate of VTE. This study identified several significant risk factors for development of VTE in bariatric surgery. To minimize the risk of VTE, surgeons may consider these factors in selection of appropriate prophylaxis and bariatric surgical options.

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