• Skip to primary navigation
  • Skip to content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Society of American Gastrointestinal and Endoscopic Surgeons

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Committees
      • Descriptions and Video Updates
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Mentors
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Mission Statement
    • SAGES Resource Guide
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Distinguished Service
      • Young Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • The Brandeis
      • Advocacy Summit Award
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • SAGES 2019 Meeting Information
    • 2019 Scientific Session Call For Abstracts
    • 2019 Emerging Technology Session Call For Abstracts
    • 2018 Prevent BDI Consensus Conference
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • Leadership Development and Health Policy Conference Videos
      • SAGES Quality Summit Meeting
      • SAGES 2018
      • SAGES 2017
      • SAGES 2016
      • SAGES 2015
      • SAGES 2014
      • SAGES 2013
    • Related Meetings Calendar
  • Membership
    • Join SAGES!
    • Give the Gift of SAGES Membership
    • Membership Benefits
    • Active Membership
    • Allied Health Membership
    • Associate Active Membership
    • Candidate Membership
    • International Membership
    • Medical Student Membership
  • For Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • Find a SAGES Member
  • Publications
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • Troubleshooting Guides
  • Education
    • Virtual Hernia Clinic
    • The Safe Cholecystectomy Didactic Modules
    • Masters Series
      • SAGES Masters Program Facebook Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • The SAGES HPB/Solid Organ Program
    • The SAGES Safe Cholecystectomy Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Endorsed Courses
    • SAGES Robotics Fellows Course
    • MIS Fellows Course
    • Free Educational Webinars
    • SMART Enhanced Recovery Program
    • SAGES Quality Initiative
    • SAGES OR SAFETY Video
    • SAGES.TV Video Library
    • SAGES Surgical WIKI
    • iMAGES Image Library
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Research Opportunities
    • SAGES Endorsed Courses
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search the Video Library
  • Log In

Venous Thromboembolic Events and risk stratification: Evaluation of Short vs Prolonged Prophylaxis in Bariatric Patients

Introduction: The risk of a venous thromboembolic event (VTE) after bariatric surgery remains a significant source of morbidity, mortality, and liability. A survey of ASBS members showed the incidence of DVT/PE after open bariatric surgery to be 2.63% and 0.95% respectively. Reviews of the laparoscopic literature demonstrate a risk of symptomatic VTE to be 0.8-2.4. The purpose of this study is to identify a baseline risk profile and evaluate a short hospital-based prophylaxis protocol and a longer post-hospital protocol for bariatric surgery patients.

Methods: A retrospective database was maintained and reviewed. Patients undergoing laparoscopic gastric bypass, laparoscopic gastric sleeve, and revisional procedures were included. We stratified the patients into two groups: “Low risk” patients were age 50. All patients received postoperative enoxaparin 30 mg every 12 hours beginning 8 hours after surgery while hospitalized. All underwent treatment with compression devices. High risk patients maintained the enoxaparin therapy for 10 days postoperatively. The incidence of DVT was assessed by complete lower extremity venous Doppler preoperatively and at 2 weeks postoperatively.

Results: 390 patients met criteria to be included in the study. The “low risk” group included 147 patients (123 female, 24 male) and had an average length of stay (LOS) of 1.15 days (1-3). This group received an average of 2.2 postoperative doses of enoxaparin. There were no VTE events seen and no significant bleeding events in the low risk group. The “high risk” group included 243 patients (180 female, 63 male) and had an average LOS of 1.32 days (1-15). 3 patients had a VTE. 2 patients had a DVT and 1 patient had a DVT and nonfatal PE. There were 2 significant bleeding complications requiring transfusion. Incidence of DVT/PE of 0.77% and 0.26% overall and 1.23% and 0.41% in the high risk group.

Discussion: VTE risk stratification in surgery patients has been addressed by both SAGES and ASBS. Current recommendation includes compression devices and pharmaceutical propholaxis while hospitalized. We demonstrate a short course of enoxaparin while hospitalized (average 2.2 doses in our study) for low risk bariatric patients is safe and effective for DVT/PE prophylaxis. Prolonged prophylaxis after discharge in high risk bariatric patients (BMI or age greater than 50) is effective for achieving a low incidence of VTE and bleeding.


Session: Podium Presentation

Program Number: S111

Post Views: 26

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2008 abstract archive

Recently, on SAGES…

Robotic Surgery

Spotlight: Robotics Committee

In the most recent issue of SCOPE, SAGES President Dr. Jeffrey Marks shared his desire to highlight the hard work of the many SAGES committees. As the Society strives to fully realize the new SAGES University Masters Program, the initial focus will be on the affiliated pathway committees and task forces. This is the third […]

Mastering the Art of Surgery – Annual Meeting Press Release

Mastering the Art of Surgery At the 16th World Congress of Endoscopic Surgery and 2018 SAGES Meeting April 11th–14th in Seattle, WA The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) will kick off its 2018 Annual Meeting as part of the 16th World Congress of Endoscopic Surgery. Hosted by SAGES and CAGS (Canadian Association […]

Complete the SAGES Video Based Assessment Survey for a Chance to Win!

https://survey.az1.qualtrics.com/jfe/form/SV_5pCM9JWvDBphkjj Who Can Enter Open to any surgeon who is either a member of SAGES or an attendee at the 2018 SAGES Annual Meeting AND who completes the 2018 SAGES Video Based Assessment Online Survey at the link above. Drawing Entry Period The drawing period is from survey launch on April 6, 2018 to 11:59pm […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Newsletter Subscription

  • This field is for validation purposes and should be left unchanged.

Important Links

SAGES 2019 Meeting Information

Healthy Sooner: Patient Information

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

· Log in

Copyright © 2019 Society of American Gastrointestinal and Endoscopic Surgeons · Legal
· Managed by BSC Management, Inc