Evaluation of The Risk of Pulmonary Thromboembolism Using a Padua Score In Laparoscopic Sleeve Gastrectomy: a Retrospective Study

Number: 1 March 1, 2019
  • Serdar Yormaz
  • Hüseyin Yılmaz
  • Hüsnü Alptekin
  • Fahrettin Acar
  • İlhan Ece
  • Bayram Çolak
  • Burcu Yormaz
  • Mehmer Ertuğrul Kafali
  • Mustafa Şahin
EN TR

Evaluation of The Risk of Pulmonary Thromboembolism Using a Padua Score In Laparoscopic Sleeve Gastrectomy: a Retrospective Study

Abstract

Background: Pulmonary thromboembolism in bariatric surgery is a complication that has higher rates of postoperative morbidity and mortality, requiring rapid diagnosis and treatment. As morbid obesity rates increase in society, the development potential of pulmonary thromboemboli further increases. The aim of our study was to evalute clinical, laboratory and radiological outcomes of patients who have been diagnosed with pulmonary tromboembolism and treated retrospectively.Material and methods: The clinical follow up cards were collected of patients who had undergone Laparoscopic sleeve gastrectomy for morbid obesity between March 2014 to January 2016 retrospectively. Clinical, radiological, laboratory, demographic characteristics outcomes and Padua scores were evaluated. Postoperative data and complications of the patients were evaluated statistically. Factors that might affect postoperative pulmonary thromboembolism were evaluated by univariate regression analysis.Results: The gender of patients were 146 55% female and 124 45% male. The mean age was 44.7 ± 4.3 years. Also mean postoperative stay in hospital was 5.7 ± 2.3 days. Patients performed varicose vein socks in mid-high-risk MR and low-risk LR groups while the pneumothic device was applied to very high-risk VHR and high-risk groups. Despite the protective procedures, deep vein thrombosis was seen in 3 patients and pulmonary thromboembolism was seen in 2 patients p

Keywords

References

  1. 1. Cohen AT, Tapson VF, Bergmann JF, Goldhaber SZ, Kakkar AK, Deslandes B, et al. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (Endorse Study): a multinational cross-sectional study. Lancet 2008;371:387–94. [CrossRef]
  2. 2. Kearon C. Natural history of venous thromboembolism. Circulation 2003;107:22–30. [CrossRef]
  3. 3. Roy PM, Meyer G, Vielle B, Le Gall C, Verschuren F, Carpentier F, et al. Appropriateness of diagnostic management and outcomes of suspected pulmonary embolism. Ann Intern Med 2006;144:157–64. [CrossRef]
  4. 4. Leizorovicz A, Cohen AT, Turpie AG, Olsson CG, Vaitkus PT, Goldhaber SZ. Randomized, placebo-controlled trial of dalteparin for the prevention of venous thromboembolism in acutely ill medical patients. Circulation 2004;110:874–9. [CrossRef]
  5. 5. Geerts WH, Pineo GF, Heit JA, Bergqvist D, Lassen MR, Colwell CW, Ray JG. Prevention of venous thromboembolism: the seventh ACCP conference on antithrombotic and thrombolytic therapy. Chest 2004;126:338S–408S. [CrossRef]
  6. 6. Owens WD. American Society of Anesthesiologists Physical Status Classification System is not a risk classification system. Anesthesiology 2001;94:378. [CrossRef]
  7. 7. Bartlett MA, Mauck KF, Daniels PR. Prevention of venous thromboembolism in patients undergoing bariatric surgery. Vasc Health Risk Manag 2015;11:461–77. [CrossRef]
  8. 8. Cushman M. Epidemiology and risk factors for venous thrombosis. Semin Hematol 2007;44:62–9. [CrossRef]

Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Serdar Yormaz

Hüseyin Yılmaz

Hüsnü Alptekin

Fahrettin Acar

İlhan Ece

Bayram Çolak

Burcu Yormaz

Mehmer Ertuğrul Kafali

Mustafa Şahin

Publication Date

March 1, 2019

Submission Date

-

Acceptance Date

-

Published in Issue

Year 1970 Number: 1

EndNote
Yormaz S, Yılmaz H, Alptekin H, Acar F, Ece İ, Çolak B, Yormaz B, Kafali ME, Şahin M (March 1, 2019) Laparoskopik Sleeve Gastrektomi De Pulmoner Tromboemboli Riskinin Padua Skoru ile Değerlendirilmesi: Retrospektif Bir Çalışma. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 1 73–77.