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Venous Thrombosis and Pulmonary Embolism

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Minimally Invasive Bariatric Surgery

Abstract

Morbid obesity is a major risk factor for the development of deep venous thrombosis (DVT) and pulmonary embolism (PE). Thromboembolic complications are the most common cause of death in bariatric surgery and contribute significantly to postoperative morbidity (1). A study of risk factors for venous thromboembolism in hospitalized patients demonstrated an association with age over 40 years, obesity, and major surgery (2). The increased risk in the morbidly obese is attributable to a sedentary lifestyle, increased abdominal pressure, and the excessive weight resting on the inferior vena cava drainage. Additional risk factors include prior history of DVT or PE, immobility, pregnancy, oral contraceptive use, smoking, hypercoagulable states, malignancy, and trauma (Table 26-1). Although they are usually diagnosed as postoperative complications, DVT and PE may also occur in nonhospitalized patients. Studies of risk factors for thromboembolism in the general population have demonstrated an association with obesity, suggesting that morbid obesity is an independent risk factor for DVT and PE (3,4).

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Gianluca Bonanomi MD (Assistant Professor)

  2. Department of Surgery, Magee-Women’s Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Giselle Hamad MD (Assistant Professor, Medical Director of Minimally Invasive General Surgery and Bariatrics)

  3. Department of Medicine, Magee-Women’s Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Franklin A. Bontempo MD (Associate Professor)

Authors
  1. Gianluca Bonanomi MD
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  2. Giselle Hamad MD
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  3. Franklin A. Bontempo MD
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Editor information

Editors and Affiliations

  1. Lerner College of Medicine, USA

    Philip R. Schauer MD (Professor of Surgery) (Professor of Surgery)

  2. Advanced Laparoscopic and Bariatric Surgery, Bariatric and Metabolic Institute The Cleveland Clinic Foundation, Cleveland, OH, 44195, USA

    Philip R. Schauer MD (Professor of Surgery) (Professor of Surgery)

  3. Department of Surgery Health Sciences Center, University of Virginia Health System, Charlottesville, VA, 22908, USA

    Bruce D. Schirmer MD (Stephen H. Watts Professor of Surgery) (Stephen H. Watts Professor of Surgery)

  4. Advanced Laparoscopic and Bariatric Surgery, Department of Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA

    Stacy A. Brethauer MD (Staff Surgeon) (Staff Surgeon)

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Bonanomi, G., Hamad, G., Bontempo, F.A. (2007). Venous Thrombosis and Pulmonary Embolism. In: Schauer, P.R., Schirmer, B.D., Brethauer, S.A. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68062-0_47

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  • DOI: https://doi.org/10.1007/978-0-387-68062-0_47

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-68058-3

  • Online ISBN: 978-0-387-68062-0

  • eBook Packages: MedicineMedicine (R0)

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