Management of bleeding complications after bariatric surgery
| Autor: | Shanu N. Kothari, Joel R. Brockmeyer, Kara J. Kallies, Brandon T. Grover, Matthew T. Baker |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Acute blood loss anemia business.industry medicine.drug_class medicine.medical_treatment Anticoagulant Heparin Nissen fundoplication medicine.icd_9_cm_classification Surgery Bleeding complication Port (medical) Staple line Medicine business Index hospitalization medicine.drug |
| Zdroj: | Journal of the American College of Surgeons. 221:e47 |
| ISSN: | 1072-7515 |
| DOI: | 10.1016/j.jamcollsurg.2015.08.018 |
| Popis: | RESULTS: Overall, 1532 patients underwent either LRYGB or LSG. Twenty-nine patients (2%) had a bleeding complication. All of the bleeding complications occurred after LRYGB; one patient underwent a concurrent Nissen fundoplication takedown. Twenty patients (62%) with bleeding complications required a transfusion, and 8 (28%) were taken back to the OR for re-exploration during their index hospitalization. Seven patients were readmitted for bleeding complications at a median of 9 days (range 2e15) postoperative. Location of bleeds included the gastrojejunostomy (n1⁄44), jejunojejunostomy (n1⁄42), port sites (n1⁄42), and staple line (n1⁄45). The site of bleeding was not determined in 2 patients. Thirteen (45%) patients were transfused for acute blood loss anemia. In 2004, we revised our anticoagulant from enoxaparin to heparin. This change resulted in decreased rates of bleeding complications, from 6% (14/239) to 1% (14/1293). There were no 30-day mortalities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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