Trial reportObesity surgery2008
Incidence of lower limbs deep vein thrombosis after open and laparoscopic gastric bypass: a prospective study.
Trial report in Obesity surgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 34 citations in OpenAlex.
- Prophylaxis of venous thromboembolism with low molecular weight heparin in bariatric surgery: a prospective, randomised pilot study evaluating two doses of parnaparin (BAFLUX Study).Obesity surgery · 2014Trial
- A New Protocol for Venous Thromboembolism Prophylaxis in Bariatric Surgery.Obesity surgery · 2019Article
- A 7-Year Clinical Audit of 1107 Cases Comparing Sleeve Gastrectomy, Roux-En-Y Gastric Bypass, and Mini-Gastric Bypass, to Determine an Effective and Safe Bariatric and Metabolic Procedure.Obesity surgery · 2016Article
- Does Obesity Predispose Medical Intensive Care Unit Patients to Venous Thromboembolism despite Prophylaxis? A Retrospective Chart Review.Critical care research and practice · 2016Article
- The impact of surgical complications as a main risk factor for venous thromboembolism: a multicenter study.Obesity surgery · 2014Article
- Impact of screening versus symptomatic measurement of deep vein thrombosis in a national quality improvement registry.Journal of vascular surgery · 2012Article
- Deep venous thrombosis in lap band surgery: a single center study.The Indian journal of surgery · 2012Article
- The long-term risk of venous thromboembolism following bariatric surgery.Obesity surgery · 2011Article
- Establishing laparoscopic Roux-en-Y gastric bypass: perioperative outcome and characteristics of the learning curve.Obesity surgery · 2009Article
- Postoperative venous thromboembolism rates vary significantly after different types of major abdominal operations.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2008Article
- Adding chemoprophylaxis to sequential compression might not reduce risk of venous thromboembolism in bariatric surgery patients.Surgery for obesity and related diseases : official journal of the American Society for Bariatric SurgeryArticle
- Routine anticoagulation for venous thromboembolism prevention following laparoscopic gastric bypass.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLower limbs deep vein thrombosis (DVT) and pulmonary embolism (PE) are major causes of morbidity and mortality and are even higher in bariatric patients. The longer operative time and higher immobility in these patients increase the DVT risk. Although deaths after bariatric surgery have been reported, there is no consensus regarding the prophylaxis of DVT. This study's objective is to determine the incidence of lower limbs DVT in patients submitted to Roux-en-Y-gastric bypass (RYGBP) under prophylaxis by enoxaparin.
methodsPatients with body mass index (BMI) equal to or higher than 35 kg/m(2) who submitted to RYGBP by laparotomy or laparoscopy using 40 mg/day of enoxaparin for 15 days were recruited between October 2004 and August 2005. Individuals with previous DVT and heparin allergy were excluded. Patients were tested for DVT using color Doppler ultrasound performed before surgery and on the second and fifth weeks after surgery.
resultsThe study population included 136 patients, with 126 concluding the protocol. There were 79% (100/126) of female patients aged 19 to 65 years old, with mean of 40 years SD = 10 and BMI between 35 and 61 kg/m(2), mean of 43 kg/m(2) (SD = 5). All patients who submitted to RYGBP were divided as 55% (69/126) by laparoscopy and 45% (57/126) by laparotomy. The incidence rate of lower limbs DVT was 0.79% (1/126).
conclusionThe low incidence rate of DVT found in our study suggests that obesity might not be a major risk factor for venous thromboembolism in patients submitted to RYGBP.
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