Advertisement

Vena Cava Compression Syndrome in Obesity is Reversed by Bariatric Surgery

Published:February 26, 2018DOI:https://doi.org/10.1016/j.amjmed.2018.01.053
      Obesity is a major public health problem, with a prevalence of 10% to 20% in Western Europe.
      • Ricci M.A.
      • De Vuono S.
      • Scavizzi M.
      • et al.
      Facing morbid obesity: how to approach it.
      It is a risk factor for arterial hypertension, atherosclerosis, and heart failure.
      • Ashrafian H.
      • le Roux C.W.
      • Darzi A.
      • et al.
      Effects of bariatric surgery on cardiovascular function.
      In times of rising prevalence in obesity, bariatric surgery offers an effective way to achieve weight loss.
      • Ashrafian H.
      • le Roux C.W.
      • Darzi A.
      • et al.
      Effects of bariatric surgery on cardiovascular function.
      The indication for bariatric surgery is provided by interdisciplinary specialists and applies for patients with a body mass index (BMI) >40 kg/m2 or a BMI >35 kg/m2 with relevant comorbidities.
      • Buchwald H.
      • Avidor Y.
      • Braunwald E.
      • et al.
      Bariatric surgery: a systematic review and meta-analysis.
      Previous studies have shown that in late pregnancy, compression of the inferior vena cava can lead to hypotension and thrombosis. As previously published,
      • Linicus Y.
      • Kindermann I.
      • Cremers B.
      • et al.
      Vena cava compression syndrome in patients with obesity presenting with edema and thrombosis.
      there is a correlation between obesity and elevated pressure in the vena cava inferior simulating obesity-induced vena cava compression syndrome, potentially leading to venous congestion, thrombosis, and subsequent pulmonary embolism. It is unknown whether obesity-related vena cava compression is reversible after bariatric surgery.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ricci M.A.
        • De Vuono S.
        • Scavizzi M.
        • et al.
        Facing morbid obesity: how to approach it.
        Angiology. 2015; 67: 391-397
        • Ashrafian H.
        • le Roux C.W.
        • Darzi A.
        • et al.
        Effects of bariatric surgery on cardiovascular function.
        Circulation. 2008; 118: 2091-2102
        • Buchwald H.
        • Avidor Y.
        • Braunwald E.
        • et al.
        Bariatric surgery: a systematic review and meta-analysis.
        JAMA. 2004; 292: 1724-1737
        • Linicus Y.
        • Kindermann I.
        • Cremers B.
        • et al.
        Vena cava compression syndrome in patients with obesity presenting with edema and thrombosis.
        Obesity (Silver Spring). 2016; 24: 1648-1652
        • Sugerman H.
        • Windsor A.
        • Bessos M.
        • et al.
        Intra-abdominal pressure, sagittal abdominal diameter and obesity comorbidity.
        J Intern Med. 1997; 241: 71-79