关键词: 静脉血栓栓塞症, 预防, 肥胖, 加速康复外科

Abstract: Prevention and treatment of venous thromboembolism during the perioperative period in bariatric surgery                   ZHANG Pin. Department of Bariatric & Metabolic Surgery，Shanghai Jiao Tong University Affiliated Sixth People’s Hospital，Shanghai 200233，China
Abstract    Venous thromboembolism (VTE) is a major cause of morbidity and mortality in bariatric surgery. Patients with obesity and related metabolic disorders are at an increased risk for the development of thromboembolic disease. Besides，effects of pneumoperitoneum and position，prolonged bed rest may induce VTE. There is no generally accepted guidance or ideal prevention options for VTE in bariatric surgery. Hence doctors and nurses should have a sense of prevention and collaborate with patients. The author recommend the preoperative risk assessment for VTE，and provide mechanical (intermittent pneumatic compression，IPC and/or graduated compression stockings，GCS) or pharmacological prophylaxis for patients if necessary. Multi-disciplinary team approach  and ERAS should be encouraged. If VTE is suspected，early diagnosis and therapy is of great importance to reduce harmful consequence of VTE.

Key words: venous thromboembolism, prevention, obesity, enhanced recovery after surgery（ERAS）