دوشنبه 1 آبان 1396
به پورتال جامع کنگره ها - سمینارها و همایشهای دانشگاه علوم پزشکی تبریز خوش آمدید
   October 23, 2017
   
   
     
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Title The Different perspectives and preventing methods of venous thromboembolism in morbid obese copd patients
Authors Dr Burcu Yormaz1 (Speaker),Dr İlhan Ece2,Dr Serdar Yormaz2 1-Beyhekım State Hospital, Department Of Chest Disease,Konya,Turkey 2-Selcuk UniversityMedicine faculty,Department Of General Surgery, Konya,Turkey
Abstract Aim: Venous thromboembolism (VTE) is a known and mortal complication of obesity surgery. Therefore, morbid obesity has been accepted as a high risk factor and justification for chemoprophylaxis for VTE. We aimed to review the prevalence and effects of venous thromboembolism treatment (VTT) among our patients and evaluate the incidence rates of VTE among operated and non operated patients. Methods We were evaluated 148 patients who have undergone elective bariatric surgery (BMI(body mass index) > 40) by experienced surgeons worked in tertiary hospital from March 2013 to November 2015.The patient demographics analyzed included age, gender, body mass index , excess weight loss and the additive comorbid diseases. Results Venous thromboembolism treatment (VTT) procedure (enoxaparine) and pneumotic tape were used before and after the surgical procedure. All of the patients mobilized after the postoperative 6 th hour of surgery.The incidence of VTE of 0.27% in our patients (5 patients of 148). Three of five patients (60%) who developed DVT and PE belonged to superobese group(BMI>55). The frequency of VTE in superobese patients was 0.60% and 0.40% in the obese patients. There were no significant differences in age, number of comorbidities, and a history of COPD (chronic obstructive pulmonary disease) between those who developed DVT and PE and those who did not. Conclusion With the low prevalence of VTE among our patient population, including patients with morbid obesity, advanced age, multiple comorbidities or COPD, the practice of routine chemoprophylaxis should be reviewed and new researchs neded to be studied in the future.
Keywords COPD,Venous thromboembolism ,OBESE
 
     
     
 
 
     
     
 
 
     
     
 

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