The American Journal of Surgery
Volume 194, Issue 6 , Pages 709-711 , December 2007

A comparison of thromboembolic and bleeding events following laparoscopic gastric bypass in patients treated with prophylactic regimens of unfractionated heparin or enoxaparin

Presented at the 59th Annual Meeting of the Southwestern Surgical Congress, Rancho Mirage, CA, March 25–29, 2007

  • Shanu N. Kothari, M.D., F.A.C.S.

      Affiliations

    • Department of Minimally Invasive Bariatric Surgery, Gundersen Lutheran Medical Foundation, Gundersen Lutheran Health System, 1900 South Ave, La Crosse, WI 54601, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-608-775-5187; fax: +1-608-775-4460.
    • ,
  • Pamela J. Lambert, R.N.

      Affiliations

    • Department of Research, Gundersen Lutheran Medical Foundation, Gundersen Lutheran Health System, 1900 South Ave, La Crosse, WI 54601, USA
    • ,
  • Michelle A. Mathiason, M.S.

      Affiliations

    • Department of Research, Gundersen Lutheran Medical Foundation, Gundersen Lutheran Health System, 1900 South Ave, La Crosse, WI 54601, USA

Received 5 July 2007 ,Revised 13 August 2007

References 

  1. Kothari S, Boyd W, Larson C, et al. Training of a minimally invasive bariatric surgeon: are laparoscopic fellowships the answer?. Obes Surg. 2005;15:323–329
  2. Miller M, Rovito R. An approach to venous thromboembolism prophylaxis in laparoscopic Roux-en-Y gastric bypass surgery. Obes Surg. 2004;14:731–737
  3. Helling T. The lethality of obstructing hematoma at the jejunojejunostomy following Roux-en-Y gastric bypass. Obes Surg. 2005;15:290–293
  4. Carmody B, Sugerman H, Kellum J, et al. Pulmonary embolism complicating bariatric surgery: detailed analysis of a single institution’s 24-year experience. J Am Coll Surg. 2006;203:831–837
  5. Spaw A, Husted J. Bleeding after laparoscopic gastric bypass: case report and literature review. Surg Obes Relat Dis. 2005;1:99–103
  6. Gonzalez Q, Tishler J, Plata-Munoz J. Incidence of clinically evident deep venous thrombosis after laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2004;18:1082–1084
  7. Nguyen N, Longoria M, Chalifoux B, et al. Gastrointestinal hemorrhage after laparoscopic gastric bypass. Obes Surg. 2004;14:1308–1312
  8. Wilson SJ, Wilbur K, Burton E, et al. Effect of patient weight on the anticoagulant response to adjusted therapeutic dosage of low-molecular-weight heparin for the treatment of venous thromboembolism. Haemostasis. 2001;31:42–48

PII: S0002-9610(07)00705-2

doi: 10.1016/j.amjsurg.2007.08.018

The American Journal of Surgery
Volume 194, Issue 6 , Pages 709-711 , December 2007

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