Challenges and Opportunities in Bariatric Surgery
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".
Deadline for manuscript submissions: 31 October 2025 | Viewed by 65
Special Issue Editors
Interests: postoperative bleeding; postoperative thromboembolism; revisional metabolic/bariatric surgery
Special Issue Information
Dear Colleagues,
Despite recent advancements in metabolic and bariatric post-surgical outcomes, this population remains at a particularly increased risk for both thromboembolic and early bleeding complications, affecting up to 3 to 4% of cases, respectively. Recent ASMBS national surveys of metabolic/bariatric surgeons underscore today’s wide national practice patterns concerning the utilization of post-discharge thromboembolic prophylaxis, where only 29% employ treatment for 4 weeks, 38% for 2 weeks, and the rest do not provide treatment beyond discharge. In a similar fashion, there is no consensus on an in-hospital DVT prophylaxis regimen that effectively balances early bleeding complications. Our group is investigating the use of intraoperative antifibrinolytics as an adjunct to mitigate early bleeding rates while still minimizing postoperative VTE complications. We have also recently published our experience with long-term post-discharge VTE prophylaxis and its encouraging results. We recognize this is an active area of investigation in our field and invite others to contribute their experience in order to help leverage better outcomes for our patients.
Dr. Francisco Guzman Pruneda
Dr. Umashankkar Kannan
Guest Editors
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Keywords
- bariatric surgery
- DVT/VTE
- bleeding
- complications
- prophylaxis
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