Prescribing the right anticoagulant after bariatric surgery, using all available evidence

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PRACTICE

Prescribing the right anticoagulant after bariatric surgery, using all available evidence

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Vanessa Weenink

Gastric bypass using a Roux-en-T anastomosis
Schematic of gastric bypass using a Roux-en-Y anastomosis

PHARMACOTHERAPY

The incidence of patients having bariatric surgery has increased. Here, we work through the options for a patient with a gastric bypass who would like to switch from warfarin to another anticoagulant

Penny Clark

Key points, Surgical modifications to the gastrointestinal tract can have significant effects on the pharmacokinetics and bioavailability of medicines. If possi