지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.5
- 발행연도
- 2013.5
- 수록면
- 298 - 303 (6page)
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초록· 키워드
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Purpose: Venous thromboembolism (VTE) after bariatric surgery is a significant cause of morbidity and mortality. Current modalities of thromboprophylaxis include subcutaneous injection of unfractionated or low-molecular-weight heparin (LMWH), pneumatic compression, elastic stockings, and inferior vena cava filters. Despite universal agreement on the need for thromboprophylaxis, no clear consensus has been reached regarding the best regimen and treatment duration of bariatric surgery. Methods: From April, 2009 to December, 2011, we performed 200 bariatric surgery (191 with primary intent, 9 with revisional intent). There was no history of VTE prior to surgery. Clexane therapy was done with 4000 U SQ once daily for 2 weeks to the day before surgery. Development of VTE was assessed by direct interview, physical examination in out-patient clinic, and phone calls to patients for history taking if needed. The history taking was presented in questionnaire format. The patients were asked to state their symptoms of VTE by answering the questionnaire. The patients were followed up for a minimum of 6 months after surgery to determine the incidence of clinical VTE. Results: Two-week Clexane therapy was completed in 193 patients. Clexane was stopped in 5 due to surgical related complications (4 bleeding, 1 reoperation due to leak), in 2 due to Clexane related complications (1 epistaxis, 1 metrorrhagia). Follow-up of out-patient clinic were 68%, those who could follow up by telephone were 89%. There was no evidence of VTE. Conclusion: A 2-week VTE prophylaxis regimen using LMWH is simple, effective and associated with a low incidence of complications.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (23)
참고문헌 신청
1. [학술지(정기간행물)] - Montoya RC / 2012 / Current status of new anticoagulants in the management of venous thromboembolism / Adv Hematol 2012 : 856341 ~
2. [학술지(정기간행물)] - Geerts WH / 2008 / Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition) / Chest 133 (6 Suppl) : 381S ~ 453S
3. [학술지(정기간행물)] - Sapala JA / 2003 / Fatal pulmonary embolism after bariatric operations for morbid obesity: a 24-year retrospective analysis / Obes Surg 13 : 819 ~ 825
4. [학술지(정기간행물)] - Wu EC / 2000 / Current practices in the prophylaxis of venous thromboembolism in bariatric surgery / Obes Surg 10 : 7 ~ 13
5. [학술지(정기간행물)] - Magee CJ / 2010 / Extended thromboprophylaxis reduces incidence of postoperative venous thromboembolism in laparoscopic bariatric surgery / Surg Obes Relat Dis 6 : 322 ~ 325
2. [학술지(정기간행물)] - Geerts WH / 2008 / Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition) / Chest 133 (6 Suppl) : 381S ~ 453S
3. [학술지(정기간행물)] - Sapala JA / 2003 / Fatal pulmonary embolism after bariatric operations for morbid obesity: a 24-year retrospective analysis / Obes Surg 13 : 819 ~ 825
4. [학술지(정기간행물)] - Wu EC / 2000 / Current practices in the prophylaxis of venous thromboembolism in bariatric surgery / Obes Surg 10 : 7 ~ 13
5. [학술지(정기간행물)] - Magee CJ / 2010 / Extended thromboprophylaxis reduces incidence of postoperative venous thromboembolism in laparoscopic bariatric surgery / Surg Obes Relat Dis 6 : 322 ~ 325
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UCI(KEPA) : I410-ECN-0101-2014-510-003543571