Ruiz-Tovar Jaime, Llavero Carolina
Department of Surgery, University Hospital Rey Juan Carlos, 28933, Madrid, Spain.
Department of Surgical Nursery, Hospital del Sureste, Madrid, Spain.
Adv Exp Med Biol. 2017;906:9-13. doi: 10.1007/5584_2016_101.
Obesity itself is associated with an increased risk of thromboembolic events. Moreover, most bariatric procedures actually are performed by laparoscopic approach, implying an increased intraabdominal pressure during the surgical procedure that may favor the development of thrombus. Therefore, bariatric surgery is considered a high-risk procedure for thromboembolic events. Actual recommendations are to include low molecular weight heparins (LMWH) and compression stockings in the primary prophylaxis of thromboembolic events. Following these measures, a routine screening of thromboembolic complications with imaging tests is not recommended.
肥胖本身与血栓栓塞事件风险增加相关。此外，大多数减肥手术实际上是通过腹腔镜手术进行的，这意味着手术过程中腹内压升高，可能有利于血栓形成。因此，减肥手术被认为是血栓栓塞事件的高风险手术。实际建议是在血栓栓塞事件的一级预防中使用低分子量肝素（LMWH）和加压袜。采取这些措施后，不建议通过影像学检查对血栓栓塞并发症进行常规筛查。
