Actual Situation of Thromboembolic Prophylaxis in Obesity Surgery: Data of Quality Assurance in Bariatric Surgery in GermanyReport as inadecuate




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ThrombosisVolume 2012 2012, Article ID 209052, 6 pages

Research Article

Department of General, Abdominal and Pediatric Surgery, SRH Hospital, Straße des Friedens 122, 07548 Gera, Germany

Institute for Quality Assurance in Operative Medicine, Otto-von-Guericke University, 39106 Magdeburg, Germany

Municipal Hospital Sachsenhausen, Frankfurt-Main, Germany

Friedrich-Alexander University, 91054 Erlangen-Nuremberg, Germany

Municipal Hospital, Schwabach, Germany

Municipal Hospital, Rostock Suedstadt, Germany

Otto-von-Guericke Universität Magdeburg, 39106 Magdeburg, Germany

StatConsult, 39112 Magdeburg, Germany

Received 18 March 2012; Revised 7 May 2012; Accepted 7 May 2012

Academic Editor: Domenico Prisco

Copyright © 2012 Christine Stroh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Evidence-based data on optimal approach for prophylaxis of deep venous thrombosis VTE and pulmonary embolism PE in bariatric operations is discussed. Using antithrombotic prophylaxis weight adjusted the risk of VTE and its complications have to be balanced with the increased bleeding risk. Methods. Since 2005 the current situation for bariatric surgery has been examined by quality assurance study in Germany. As a prospective multicenter observational study, data on the type, regimen, and time course of VTE prophylaxis were documented. The incidences of clinically diagnosed VTE or PE were derived during the in-hospital course and follow up. Results. Overall, 11,835 bariatric procedures were performed between January 2005 and December 2010. Most performed procedures were 2730 gastric banding GB; 4901 Roux-en-Y-gastric bypass RYGBP procedures, and 3026 sleeve gastrectomies SG. Study collective includes 72.5% mean BMI 48.1 kg-m

female and 27.5% mean BMI 50.5 kg-m

male patients. Incidence of VTE was 0.06% and of PE 0.08%. Conclusion. VTE prophylaxis regimen depends on BMI and the type of procedure. Despite the low incidence of VTE and PE there is a lack of evidence. Therefore, prospective randomized studies are necessary to determine the optimal VTE prophylaxis for bariatric surgical patients.





Author: Christine Stroh, D. Luderer, R. Weiner, T. Horbach, K. Ludwig, F. Benedix, Stefanie Wolff, C. Knoll, H. Lippert, and T. M

Source: https://www.hindawi.com/



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