Bariatric Surgery Outcomes in Patients on Preoperative Therapeutic Anticoagulation: an Analysis of the 2015 to 2017 MBSAQIP

Background Obesity has been found to be an independent predictor of adverse cardiac and pulmonary embolic events. As the popularity of bariatric surgery grows, surgeons are encountering more patients taking therapeutic anticoagulation medications preoperatively. This study aims to assess the safety...

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Bibliographic Details
Published in:Obesity surgery 2019-11, Vol.29 (11), p.3432-3442
Main Authors: Modasi, Aryan, Dang, Jerry T., Afraz, Sadaf, Hefler, Joshua, Switzer, Noah, Birch, Daniel W., Karmali, Shahzeer
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Anticoagulants - therapeutic use
Bariatric Surgery - adverse effects
Blood Coagulation Disorders - complications
Blood Coagulation Disorders - drug therapy
Blood Coagulation Disorders - epidemiology
Blood Coagulation Disorders - surgery
Databases, Factual
Female
Fish oils
Gastrointestinal surgery
Humans
Laparoscopy - adverse effects
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity, Morbid - complications
Obesity, Morbid - drug therapy
Obesity, Morbid - epidemiology
Obesity, Morbid - surgery
Original Contributions
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Hemorrhage - epidemiology
Postoperative Hemorrhage - etiology
Preoperative Period
Reoperation - adverse effects
Surgery
Treatment Outcome
Young Adult
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Summary:Background Obesity has been found to be an independent predictor of adverse cardiac and pulmonary embolic events. As the popularity of bariatric surgery grows, surgeons are encountering more patients taking therapeutic anticoagulation medications preoperatively. This study aims to assess the safety of bariatric surgery on these patients. Methods Data was extracted from 2015 to 2017 using the MBSAQIP database. Included patients were those who underwent a primary LSG or LRYGB. A multivariable regression analysis was performed looking at 30-day outcomes for pre-operatively anticoagulated patients. A secondary propensity-matched analysis was performed comparing outcomes among patients undergoing LSG vs LRYGB. Results A total of 430,396 patients were analyzed, 11,013 (2.56%) of which were taking anticoagulation medications pre-operatively. Absolute 30-day complication rates (8.73% vs 3.36%, p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-019-04064-3