Fatal Pulmonary Embolism after Bariatric Operations for Morbid Obesity: A 24-Year Retrospective Analysis

  title={Fatal Pulmonary Embolism after Bariatric Operations for Morbid Obesity: A 24-Year Retrospective Analysis},
  author={James A. Sapala and Michael H. Wood and Michael P Schuhknecht and Magdalena Sapała},
  journal={Obesity Surgery},
Background: Pulmonary embolism (PE) is a leading cause of death following gastric bypass operations for morbid obesity. Although its incidence appears to be stable, the number of bariatric operations performed annually is increasing considerably; hence, the isolated fatal PE is no longer a rare occurrence. The records of patients undergoing bariatric surgical operations since 1979 were reviewed to determine specific factors that increased the risk of developing a fatal PE. Both recommended and… 

Clinical pulmonary embolus after gastric bypass surgery.

Inferior vena cava filter placement for pulmonary embolism risk reduction in super morbidly obese undergoing bariatric surgery.

Predictive factors of thromboembolic events in patients undergoing Roux-en-Y gastric bypass.

Risk of thrombosis and thromboembolic prophylaxis in obesity surgery: data analysis from the German Bariatric Surgery Registry

Age, BMI, male gender, and a previous history of VTE are the most important risk factors and LMWH should be given preference over unfractionated heparin due to their improved pharmacological properties.

Retrievable inferior vena cava filters may be safely applied in gastric bypass surgery

Prophylactic IVC filter placement and retrieval can be safely undertaken in high-risk gastric bypass patients and should be recommended in selected patients.

Actual Situation of Thromboembolic Prophylaxis in Obesity Surgery: Data of Quality Assurance in Bariatric Surgery in Germany

There is a lack of evidence on optimal approach for prophylaxis of deep venous thrombosis (VTE) and pulmonary embolism (PE) in bariatric operations, and prospective randomized studies are necessary to determine the optimal VTE proplylaxis for bariatric surgical patients.



Complications of gastric bypass for morbid obesity.

The Micropouch Gastric Bypass: Technical Considerations in Primary and Revisionary Operations

The micropouch can be constructed safely in both primary and redo procedures and has, with rare exception, eliminated pouch enlargement, staple-line separation, reflux esophagitis, and marginal ulceration.

Gastric Bypass for Morbid Obesity: A Medical‐Surgical Assessment

It is concluded that gastric bypass, with a 50–60 cc pouch and a small (1–1.2 cm) gastrojejunostomy, remains the operation of choice for morbid obesity.

Current Practices in the Prophylaxis of Venous Thromboembolism in Bariatric Surgery

The prevailing opinion of members of the American Society for Bariatric Surgery is that morbidly obese patients are at high risk for developing perioperative venous thromboembolism, and a vast majority routinely use prophylaxis.

Pulmonary embolus after vena cava filter placement.

Patients experiencing PE after insertion of VCF mandate an aggressive diagnostic approach that should include venacavography and a search for identifiable risk factors including procoagulant state, which confirms the reliability and low complication rate for VCF.

Inferior vena caval filters: review of a 26-year single-center clinical experience.

Inferior vena caval filters provide protection from life-threatening PE, with minimal morbidity, during a 26-year single-center clinical experience with inferior vena Caval filters.

Gastric Bypass in Patients Weighing More Than 500 Ib: technical innovations for the ‘ultraobese’

Using the technical innovations described, the bariatric surgeon can perform the Roux-en-Y gastric bypass in the ultraobese patient with a reasonable degree of morbidity and mortality.

Risk factors in pulmonary embolism.

  • W. Coon
  • Medicine
    Surgery, gynecology & obstetrics
  • 1976
The influence of several diseases and conditions upon the prevalence of pulmonary embolism in autopsies performed during a ten year period at the University of Michigan has been analyzed. The major

Deep vein thrombosis and pulmonary emboli in neurosurgical patients: a review.

Thrombi involving the popliteal, deep femoral, and iliac veins appear most likely to cause significant PE, and anticoagulation therapy constitutes standard management of DVT and PE; however, in neurosurgical patients the potential for precipitating intracranial or intraspinal hemorrhage may necessitate vena caval interruption.