Obesity is a major public health problem, with a prevalence of 10% to 20% in Western
Europe.
1
It is a risk factor for arterial hypertension, atherosclerosis, and heart failure.
2
In times of rising prevalence in obesity, bariatric surgery offers an effective way
to achieve weight loss.
2
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.
3
Previous studies have shown that in late pregnancy, compression of the inferior vena
cava can lead to hypotension and thrombosis. As previously published,
4
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
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References
- Facing morbid obesity: how to approach it.Angiology. 2015; 67: 391-397
- Effects of bariatric surgery on cardiovascular function.Circulation. 2008; 118: 2091-2102
- Bariatric surgery: a systematic review and meta-analysis.JAMA. 2004; 292: 1724-1737
- Vena cava compression syndrome in patients with obesity presenting with edema and thrombosis.Obesity (Silver Spring). 2016; 24: 1648-1652
- Intra-abdominal pressure, sagittal abdominal diameter and obesity comorbidity.J Intern Med. 1997; 241: 71-79
Article info
Publication history
Published online: February 26, 2018
Footnotes
Funding: None.
Conflicts of Interest: The authors declare no conflict of interest.
Authorship: All authors had access to the data and contributed equally to this manuscript.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
