Pulmonary thromboembolism in bariatric surgery is a complication that has higher rates of postoperative morbidity and
mortality, requiring rapid diagnosis and treatment. As morbid obesity rates increase in society, the development potential of pulmonary
thromboemboli further increases. The aim of our study was to evalute clinical, laboratory and radiological outcomes of patients who have
been diagnosed with pulmonary tromboembolism and treated retrospectively.
Material and methods: The clinical follow up cards were collected of patients who had undergone Laparoscopic sleeve gastrectomy
for morbid obesity between March 2014 to January 2016 retrospectively. Clinical, radiological, laboratory, demographic characteristics
outcomes and Padua scores were evaluated. Postoperative data and complications of the patients were evaluated statistically. Factors that
might affect postoperative pulmonary thromboembolism were evaluated by univariate regression analysis.
Results: The gender of patients were 146 (55%) female and 124 (45%) male. The mean age was 44.7 ± 4.3 (22-72) years. Also mean
postoperative stay in hospital was 5.7 ± 2.3 (2-25) days. Patients performed varicose vein socks in mid-high-risk (MR) and low-risk (LR)
groups while the pneumothic device was applied to very high-risk (VHR) and high-risk groups. Despite the protective procedures, deep
vein thrombosis was seen in 3 patients and pulmonary thromboembolism was seen in 2 patients (p<0.05), no mortality was detected.
Postoperative pulmonary comorbidities and the risk factors for postoperative pulmonary thromboembolism (Body mass index, history of
previous venous emboli, immobility and complications) were statistically significant (p<0.05).
Conclusion: The recommended medication for pulmonary thromboembolism prophylaxis in bariatric surgery is always low-molecularweight
heparin. In addition to this preventive treatment of the disease, the application of a pneumatic device and / or varicose veins socks
are required. Pneumatic device is more effective than varicose vein application in preventing possible complications in bariatric surgery.