Obesity Surgery

, Volume 25, Issue 6, pp 1098–1101 | Cite as

Incidence and Clinical Implications of Upper Extremity Deep Vein Thrombosis After Laparoscopic Bariatric Procedures

  • Fernando M. Safdie
  • Fernando Dip
  • Jessica Ardila-Gatas
  • Savannah Moon
  • Emanuele Lo Menzo
  • Samuel Szomstein
  • Raul RosenthalEmail author
Brief Communication


Upper extremity deep vein thrombosis (UEDVT) represents less than 10 % of thromboembolic events, but has been associated with higher incidence of asymptomatic pulmonary embolism. Data regarding UEDVT and its treatment is limited. Our objective was to investigate UEDVT incidence, diagnosis, and treatment in our bariatric patient population. We conducted a retrospective review of patients undergoing laparoscopic bariatric surgery at our institution. Variables analyzed included patient demographics, body mass index (BMI), history of venous thromboembolic event (VTE), type of procedure, and other comorbidities. One thousand five hundred three patients were included in the study. Twenty patients developed VTE events, of which five suffered UEDVT. Although infrequent, awareness of UEDVT is necessary in order to initiate treatment in a timely fashion and to prevent major complications.


Upper extremity deep vein thrombosis Bariatric surgery Laparoscopic Venous thromboembolic event 



Raul Rosenthal has received speaking honoraria from Ethicon Endosurgery, and educational grants from Karl Storz Endoscopy, Baxter, Ethicon, and Covidien. Fernando M. Safdie, Jessica Ardila-Gatas, Fernando Dip, Savannah Moon, Emanuele Lo Menzo, and Samuel Szomstein have nothing to disclose.

Statement of Informed Consent

For this type of study, formal consent is not required.

Statement of Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Supplementary material

11695_2015_1646_MOESM1_ESM.docx (20 kb)
ESM 1 (DOCX 20 kb)
11695_2015_1646_MOESM2_ESM.docx (20 kb)
ESM 2 (DOCX 19 kb)


  1. 1.
    Kearon C, Kahn SR, Agnelli G, et al. Antithrombotic therapy for venous thromboembolic disease: American college of chest physicians evidence-based clinical practice guidelines (8th Edition). Chest. 2008;133(6 Suppl):454S–545.CrossRefPubMedGoogle Scholar
  2. 2.
    Grant JD, Stevens SM, Woller SC, et al. Diagnosis and management of upper extremity deep-vein thrombosis in adults. Thromb Haemost. 2012;108(6):1097–108.CrossRefPubMedGoogle Scholar
  3. 3.
    Kerr TM, Lutter KS, Moeller DM, et al. Upper extremity venous thrombosis diagnosed by duplex scanning. Am J Surg. 1990;160(2):202–6.CrossRefPubMedGoogle Scholar
  4. 4.
    Prandoni P, Polistena P, Bernardi E, et al. Upper-extremity deep vein thrombosis. Risk factors, diagnosis, and complications. Arch Intern Med. 1997;157(1):57–62.CrossRefPubMedGoogle Scholar
  5. 5.
    Kucher N. Clinical practice. Deep-vein thrombosis of the upper extremities. N Engl J Med. 2011;364(9):861–9.CrossRefPubMedGoogle Scholar
  6. 6.
    Sapala JA, Wood MH, Schuhknecht MP, et al. Fatal pulmonary embolism after bariatric operations for morbid obesity: a 24-year retrospective analysis. Obes Surg. 2003;13(6):819–25.CrossRefPubMedGoogle Scholar
  7. 7.
    Joffe HV, Kucher N, Tapson VF, et al. Deep vein thrombosis (DVT) FREE steering committee. Upper-extremity deep vein thrombosis: a prospective registry of 592 patients. Circulation. 2004;110(12):1605–11.CrossRefPubMedGoogle Scholar
  8. 8.
    Mahan C, Holdsworth M, Welch S, et al. Deep-vein thrombosis: a United States cost model for a preventable and costly adverse event. Thromb Haemost. 2011;106:405–15.CrossRefPubMedGoogle Scholar
  9. 9.
    Blaivas M, Stefanidis K, Nanas S, et al. Sonographic and clinical features of upper extremity deep venous thrombosis in critical care patients. Crit Care Res Pract. 2012;2012:489135.PubMedCentralPubMedGoogle Scholar
  10. 10.
    Adedeji R, Oragui E, Khan W, et al. The importance of correct patient positioning in theatres and implications of mal-positioning. J Perioper Pract. 2010;20(4):143–7.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Fernando M. Safdie
    • 1
  • Fernando Dip
    • 1
  • Jessica Ardila-Gatas
    • 1
  • Savannah Moon
    • 1
  • Emanuele Lo Menzo
    • 1
  • Samuel Szomstein
    • 1
  • Raul Rosenthal
    • 1
    • 2
    Email author
  1. 1.The Bariatric and Metabolic Institute and the Section of Minimally Invasive and Endoscopic SurgeryCleveland Clinic FloridaWestonUSA
  2. 2.Department of General Surgery, The Bariatric and Metabolic InstituteCleveland Clinic FloridaWestonUSA

Personalised recommendations