Related Experiment Video
Updated: Sep 23, 2025
Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
Factors Associated with Increased Risk for Pulmonary Embolism After Metabolic and Bariatric Surgery: Analysis of
R Wesley Vosburg1, Nicholas M Druar2, Julie J Kim3
1Department of Surgery Mount Auburn Hospital, Harvard Medical School, 355 Waverley Oaks Rd, Suite 100, Waltham, MA, 02452, USA. rvosburg@mah.harvard.edu.
Background:
Metabolic and bariatric surgery (MBS) has a low incidence of post-operative morbidity and mortality. Understanding risk factors associated with complications that occur allows surgeons to define at-risk patients and assess the need for preventive and prophylactic measures.
Objectives:
To determine risk factors associated with development of pulmonary embolism (PE) within 30 days of MBS and to predict the increased risk for mortality when PE occurs.
Setting:
USA, MBSAQIP database.
Methods:
Analysis of the MBSAQIP database was undertaken. This included information on 966,646 MBS cases from 2015 to 2019 in the USA.
Results:
Twenty-two risk factors for development of PE post-MBS were identified to be statistically significant.
Conclusions:
PE is a relatively uncommon complication after MBS. When it does occur, there is a 50.9-fold increased risk for mortality. Patients with significant risk factors for PE may benefit from higher dose perioperative and/or extended VTE prophylaxis after MBS.
Related Concept Videos
01:29Pulmonary Embolism I: Introduction
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
01:27Pulmonary Embolism III: Nursing Management
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:24Obesity
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management