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Editorial| Volume 164, P97-98, April 2018

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Direct oral anticoagulants after bariatric surgery: To use or not to use

      The prevalence of obesity has more than doubled in recent decades, including 35% of the US population [
      • World Health Organization
      World Health Organization Fact Sheet N311: Obesity and Overweight.
      ]. In the last decade, bariatric surgery (BS) has become the mainstay of treatment for morbid obesity, due to its demonstrated efficacy in achieving significant weight loss and in improving obesity-related comorbidities [
      • Buchwald H.
      • Avidor Y.
      • Braunwald E.
      • et al.
      Bariatric surgery: a systematic review and meta-analysis.
      ]. As the prevalence of obesity continues to rise worldwide, the utilization of bariatric procedures has been increasing dramatically, with over 200,000 bariatric surgeries performed annually in the United States [
      • Ponce J.
      • Nguyen N.T.
      • Hutter M.
      • Sudan R.
      • Morton J.M.
      American Society for Metabolic and Bariatric Surgery estimation of bariatric surgery procedures in the United States, 2011–2014.
      ].

      Abbreviations:

      BS (bariatric surgery), DOACs (direct-acting oral anticoagulants), VTE (venous thromboembolism)
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