{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:30:51Z","timestamp":1754159451696,"version":"3.41.2"},"reference-count":12,"publisher":"Vilnius University Press","issue":"2","license":[{"start":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T00:00:00Z","timestamp":1735171200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>Background:\u00a0Bariatric and metabolic surgery has emerged as an effective intervention for morbid obesity, offering substantial and sustained weight loss along with improvements in various comorbidities. Among the diverse spectrum of potential postoperative complications, thromboembolic events have garnered increasing attention due to their significant morbidity and mortality.The aim of this study is to present a single-center experience of thromboembolic complications following bariatric and metabolic surgery. Additionally, we present two distinctive cases, highlighting the clinical manifestations, diagnostic challenges, and therapeutic interventions associated with postoperative thromboembolism.Materials and Methods:\u00a0We retrospectively reviewed data from patients with obesity who underwent various bariatric and metabolic operations at Republican Vilnius University Hospital from January 2018 to February 2024. All patients, regardless of the type of operation performed, were included. Two patients with thromboembolic complications are presented as illustrative cases.Results:\u00a0A total of 633 patients were included in the analysis: 278 underwent laparoscopic adjustable gastric banding, 345 underwent sleeve gastrectomies, and 10 underwent gastric bypasses. Thromboembolic complications occurred in only two patients, with one developing portal vein thrombosis and the other developing pulmonary embolism.Conclusions:\u00a0This single-center experience emphasizes the unpredictable nature of thromboembolic events in postbariatric surgery patients and highlights the critical role of vigilant monitoring, early detection, and individualized therapeutic interventions. Continued research efforts are warranted to refine risk stratification, enhance preventive measures, and improve overall patient outcomes in the landscape of bariatric surgery.<\/jats:p>","DOI":"10.15388\/amed.2024.31.2.23","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T01:18:28Z","timestamp":1739409508000},"page":"409-415","source":"Crossref","is-referenced-by-count":0,"title":["Thromboembolic Complications after Bariatric and Metabolic Surgery: A Single-Center Experience, Two Case Reports and a Literature Review"],"prefix":"10.15388","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5913-5861","authenticated-orcid":false,"given":"\u017dygimantas","family":"Juodeikis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1150-6202","authenticated-orcid":false,"given":"Gintautas","family":"Brimas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6097","published-online":{"date-parts":[[2024,12,26]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Kesieme E, Kesieme C, Jebbin N, Irekpita E, Dongo A. Deep vein thrombosis: a clinical review. J Blood Med. 2011;2:59-69. doi:10.2147\/JBM.S19009","DOI":"10.2147\/JBM.S19009"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Sapala JA, Wood MH, Schuhknecht MP, Sapala MA. Fatal pulmonary embolism after bariatric operations for morbid obesity: a 24-year retrospective analysis. Obes Surg. 2003;13(6):819-825. doi:10.1381\/096089203322618588","DOI":"10.1381\/096089203322618588"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Rocha AT, de Vasconcellos AG, da Luz Neto ER, Ara\u00fajo DM, Alves ES, Lopes AA. Risk of venous thromboembolism and efficacy of thromboprophylaxis in hospitalized obese medical patients and in obese patients undergoing bariatric surgery. Obes Surg. 2006;16(12):1645-1655. doi:10.1381\/096089206779319383","DOI":"10.1381\/096089206779319383"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Winegar DA, Sherif B, Pate V, DeMaria EJ. Venous thromboembolism after bariatric surgery performed by Bariatric Surgery Center of Excellence Participants: analysis of the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis. 2011;7(2):181-188. doi:10.1016\/j.soard.2010.12.008","DOI":"10.1016\/j.soard.2010.12.008"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Guerrier JB, Dietch ZC, Schirmer BD, Hallowell PT. Laparoscopic Sleeve Gastrectomy Is Associated with Lower 30-Day Morbidity Versus Laparoscopic Gastric Bypass: an Analysis of the American College of Surgeons NSQIP. Obes Surg. 2018;28(11):3567-3572. doi:10.1007\/s11695-018-3396-4","DOI":"10.1007\/s11695-018-3396-4"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Jamal MH, Corcelles R, Shimizu H, et al. Thromboembolic events in bariatric surgery: a large multi-institutional referral center experience. Surg Endosc. 2015;29(2):376-380. doi:10.1007\/s00464-014-3678-4","DOI":"10.1007\/s00464-014-3678-4"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS updated position statement on prophylactic measures to reduce the risk of venous thromboembolism in bariatric surgery patients. Surg Obes Relat Dis. 2013;9(4):493-497. doi:10.1016\/j.soard.2013.03.006","DOI":"10.1016\/j.soard.2013.03.006"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Leong G, Wilson J, Charlett A. Duration of operation as a risk factor for surgical site infection: comparison of English and US data. J Hosp Infect. 2006;63(3):255-262. doi:10.1016\/j.jhin.2006.02.007","DOI":"10.1016\/j.jhin.2006.02.007"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Reames BN, Bacal D, Krell RW, Birkmeyer JD, Birkmeyer NJ, Finks JF. Influence of median surgeon operative duration on adverse outcomes in bariatric surgery. Surg Obes Relat Dis. 2015;11(1):207-213. doi:10.1016\/j.soard.2014.03.018","DOI":"10.1016\/j.soard.2014.03.018"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Chan MM, Hamza N, Ammori BJ. Duration of surgery independently influences risk of venous thromboembolism after laparoscopic bariatric surgery. Surg Obes Relat Dis. 2013;9(1):88-93. doi:10.1016\/j.soard.2011.09.019","DOI":"10.1016\/j.soard.2011.09.019"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Warschkow R, Tarantino I, Folie P, et al. C-reactive protein 2 days after laparoscopic gastric bypass surgery reliably indicates leaks and moderately predicts morbidity. J Gastrointest Surg. 2012;16(6):1128-1135. doi:10.1007\/s11605-012-1882-x","DOI":"10.1007\/s11605-012-1882-x"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Villard MA, Helm MC, Kindel TL, Goldblatt MI, Gould JC, Higgins RM. C-Reactive protein as a predictor of post-operative complications in bariatric surgery patients. 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