Missing something? A scoping review of venous thromboembolic events and their associations with bariatric surgery. Refining the evidence base. (November 2020)

• Record Type: Journal Article
• Authors: El Ansari, Walid; El-Ansari, Kareem
• Is Part Of: Annals of medicine and surgery. Volume 59(2020)
• Page Start: 264
• Page End: 273
• Publication Date: 2020-11
• Subjects: Post-operative -- Venous thromboembolism -- Pulmonary embolism -- Porto/ mesenteric venous thrombosis -- Upper extremity -- Bariatric surgery -- Policy; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2020.08.014
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Background: Venous thromboembolic events (VTE) post-bariatric surgery (BS) lead to morbidity and mortality. Methods: This scoping review assessed whether reported VTE post-BS could be under/over-estimated; suggested a possible number of VTE post-BS; appraised whether VTE are likely to decrease/increase; examined BS as risk/protective factor for VTE; and mapped the gaps, proposing potential solutions. Results: VTE appears under-estimated due to: identification/coding of BS and VTE; reporting of exposure (BS); and reporting of outcomes (VTE). The review proposes a hypothetical calculation of VTE post-BS. VTE are unlikely to decrease soon. BS represents risk and protection for VTE. Better appreciation of VTE-BS relationships requires longer-term strategies. Conclusion: VTE are underestimated. Actions are required for understanding the VTE-BS relationships to in order to crease VTE by better-informed prevention strategy/ies. Highlights: Venous thromboembolic events (VTE) post-bariatric surgery (BS) lead to morbidity and mortality. VTE post-BS appears under-estimated due to identification, coding and reporting of both the exposure (BS) and outcomes (VTE). The review proposes a hypothetical calculation of VTE post-BS. VTE are unlikely to decrease soon. BS represents risk and protection for VTE. Better appreciation of VTE-BS relationships requires longer-term strategies.