Journal Review in Bariatric Surgery: Controversies Surrounding Extended VTE Prophylaxis

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 16 September 2021

⏱️ 23 minutes

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Summary

Ever wonder why some bariatric patients received extended VTE prophylaxis and others do not? Or what the ideal chemical VTE prophylaxis is for bariatric patients? All of your questions answered in this journal review discussion!

Journal articles:

A single-center comparison of extended and restricted thromboprophylaxis with LMWH after metabolic surgery: https://pubmed.ncbi.nlm.nih.gov/31641983/

Risk factors for postdischarge venous thromboembolism among bariatric surgery patients and the evolving approach to extended thromboprophylaxis with enoxaparin: https://pubmed.ncbi.nlm.nih.gov/33814315/

Transcript

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0:00.0	What does home mean to you?
0:02.0	I'm Jimmy Femma-Raewer, writer, broadcaster, and restaurant critic.
0:06.0	And I've been speaking to well-known names about what home means to them.
0:10.0	And it was in the East state, it was in Burmese, when Burmese was rough.
0:13.0	I remember thinking that the boys are going to fancy me.
0:16.0	Good number, Otty, and a chicken curry.
0:18.0	You are full, you are connected to your culture, and you may get a heart attack.
0:23.0	That's where's home really, with me, Jimmy Femma-Raewer.
0:27.0	Find it wherever you're listening to this.
0:30.0	Behind the Knife, the Surgery Podcast, where we take a behind-the-scenes intimate look at surgery from leaders in the field.
0:51.0	Welcome back to another episode of Behind the Knife.
0:54.0	I'd like to take a minute to introduce you to the bariatric team.
0:58.0	My name is Dr. Ivy Haskins, and I am Assistant Professor of Surgery at the University of Nebraska in Omaha.
1:05.0	I am joined by my two colleagues, Dr. Tiffany Tanner, who is an Associate Professor of Surgery and the Residency Program Director,
1:12.0	and Dr. Cory McBride, who is a Professor of Surgery and the Section Chief for MIS and Bariatric Surgery.
1:19.0	Today, we will be discussing two articles regarding post-operative venous swambo-embalism, VTE for short, and bariatric surgery patients.
1:28.0	Before we get into the articles, we'd like to discuss why we chose this topic and provide some background regarding the instance of VTE events and bariatric surgery patients.
1:37.0	Thank you, Ivy.
1:38.0	VTE is really a really important topic in bariatric surgery.
1:43.0	Currently, the risk of DVT or PEs within 30 days of bariatric surgery is predicted to be somewhere between 0.2 and 2.2%.
1:52.0	And while objectively these seem like small percentages or incidents, it's important that our listeners understand that with an estimated of 256,000 annual bariatric surgery cases performed in the United States,
2:06.0	this means it's going to affect somewhere around 56,000 patients a year.
	...

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