Thrombophilia Prevalence in Patients Seeking Laparoscopic Sleeve Gastrectomy; Extended Chemoprophylaxis May Decrease Portal Vein Thrombosis Rate

Portomesenteric vein thrombosis (PMVT) may occur after laparoscopic sleeve gastrectomy (LSG). Previous studies have shown that PMVT patients may have undiagnosed thrombophilia. We recently changed our practice to check thrombophilia panel in every LSG patient preoperatively.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research

Related Links:

In this issue of Surgery of Obesity and Related Diseases, Parikh et  al. examined the prevalence of undiagnosed thrombophilia in patients seeking laparoscopic sleeve gastrectomy and sought to determine if extended chemoprophylaxis after surgery would reduce the incidence of portomesenteric vein thrombosis (PMVT). The authors performed a retrospective study in which thrombophilia panels were collected on 1075 patients. These patients were then discharged on extended chemoprophylaxis, and PMVT rates and bleeding were recorded.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Editorial comment Source Type: research
In this issue of Surgery of Obesity and Related Diseases, *** et al examined the prevalence of undiagnosed thrombophilia in patients seeking laparoscopic sleeve gastrectomy and sought to determine if extended chemophrophylaxis following surgery would reduce the incidence of portomesenteric vein thrombosis (PMVT). The authors performed a retrospective study in which thrombophilia panels were collected on 1,075 patients. These patients were then discharged on extended chemoprophylaxis and PMVT rates and bleeding was recorded.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
PMID: 32423832 [PubMed - as supplied by publisher]
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Tags: Surg Obes Relat Dis Source Type: research
Portomesenteric vein thrombosis (PMVT) may occur after laparoscopic sleeve gastrectomy (LSG). Previous studies have shown that PMVT patients may have undiagnosed thrombophilia. We recently changed our practice to check thrombophilia panel in every LSG patient preoperatively.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original article Source Type: research
Portomesenteric vein thrombosis (PMVT) is a known complication after laparoscopic sleeve gastrectomy (LSG). Previous studies have indicated that many of these patients may have an undiagnosed thrombophilia. We recently changed our practice to check thrombophilia panel on every patient preoperatively undergoing LSG. The purpose of this study is to 1) estimate the prevalence of thrombophilia in patients seeking LSG and 2) determine if extended chemoprophylaxis post-LSG reduces PMVT.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Laparoscopic sleeve gastrectomy (LSG) is today the most performed bariatric procedures in the world, and porto-mesenteric vein thrombosis (PMVT) has been reported as one of the rare complications of LSG. The purpose of our work is to present the prevalence, clinical presentation, and outcomes of PMVT in patients undergoing LSG in our service.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
ConclusionPortal and mesenteric venous thrombosis after laparoscopic sleeve gastrectomy is an unusual complication but it has life threatening consequences if it is not diagnosed early and treated adequately. The patients with porto-mesenteric venous thrombosis (PMVT) usually present themselves with vague abdominal symptoms. As so, the physicians should have high index of suspicion to recommend computed tomography (CT) abdomen to confirm diagnosis and start adequate treatment.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Practice patterns regarding post-discharge chemoprophylaxis for venous thromboembolism following bariatric surgery in the United States. Surg Obes Relat Dis. 2019 Mar 20;: Authors: Clark LN, Helm MC, Gould JC Abstract BACKGROUND: There is no consensus regarding the optimal venous thromboembolism (VTE) prevention strategy following bariatric surgery. Post-discharge chemoprophylaxis is frequently recommended for high-risk patients with little supporting data. OBJECTIVES: To define practices related to post-discharge chemoprophylaxis in the United States. SETTING: United States. ...
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Tags: Surg Obes Relat Dis Source Type: research
AbstractBackgroundObesity is associated with disturbances in the gut microbiota which is a risk factor forClostridium difficile infection (CDI). Bariatric surgery can induce substantive changes to the gut microbiota which may affect the risk of developing CDI.MethodsThe Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program captures variables specific to bariatric surgery from 832 centers. Patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) in 2016 and 2017 were identified. Primary outcomes included the prevalence and predictors of CDI after bari...
Source: Obesity Surgery - Category: Surgery Source Type: research
The objective of this study is to develop a tool to stratify individuals undergoing laparoscopic bariatric surgery according to their 30-day VTE risk.MethodsThis is a retrospective cohort study of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database. This registry collects data specific for metabolic or bariatric surgery with 30-day outcomes from 791 centers. Individuals undergoing primary laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) were included. Characteristics associated with 30-day VTE were identified using univariate and multiva...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
More News: Eating Disorders & Weight Management | Gastrectomy | Gastroenterology | Laparoscopy | Obesity | Study | Surgery | Thrombosis