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Importance of special blood test in obese patients receiving blood thinner enoxaparin, posted for laparoscopic bariatric surgery

Monitoring of anti-Xa levels following extended duration of thromboprophylaxis with enoxaparin in morbidly obese patients undergoing laparoscopic bariatric surgery

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2017/08/009476
Enrollment
40
Registered
2017-08-23
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: null- Morbidly obese patients(BMI more than 40Kg/m2 or BMI more than 35Kg/M2 with an obesity related co-morbidty), posted for laparoscopic bariatric surgery

Interventions

None listed

Sponsors

Narani KK
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients with morbid obesity (BMI more than 40 Kg/m2 or BMI more than 35 Kg/m2 with an obesity related co-morbidity), undergoing laparoscopic bariatric surgery

Exclusion criteria

Exclusion criteria: 1. Patients on anticoagulants or antiplatelet drugs 2. Patients with h/o DVT and PE 3. Chronic liver disease (serum bilirubin above 2mg/dl) 4. Chronic renal disease (Cr Cl less than 30ml/min)

Design outcomes

Primary

MeasureTime frame
Anti-Xa levels - 2.7 ml of blood collected in Vacutainers (BD Franklin Lakes, NJ, USA), containing Buff. Na citrate, 0.109 M, 3.2%,to monitor anti-Xa levels Timepoint: Anti-Xa levels 1. On the day of surgery, before starting operation at 8 AM (12 hrs after 1st dose of enoxaparin) 2. 4 hrs after after the dose of enoxaparin, administered 8 hrs after surgery 3. 2nd postoperative day, 4 hrs after the dose of enoxaparin 4. 8th postoperative day, 4 hrs after the dose of enoxaparin 5.15th postoperative day, 4 hrs after the dose of enoxaparin 6. 30th postoperative day, 4 hrs after the dose of enoxaparin

Secondary

MeasureTime frame
Ultrasound clour Doppler mapping of leg veins to rule out presence of any asymptomatic DVTTimepoint: Preoperatve, on 8th and 30th postoperative days

Countries

India

Contacts

Public ContactNarani KK

Sir Ganga Ram Hospital

drkknarani@hotmail.com09810465134

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026