Navigation Links
Inflammatory Bowel Disease Tied to Higher Risk of Post-Op Blood Clots
Date:10/20/2011

THURSDAY, Oct. 20 (HealthDay News) -- Researchers report that following surgery, people with inflammatory bowel disease (IBD) may be at increased risk for blood clots known as deep vein thromboses and pulmonary embolisms.

Deep vein thrombosis (DVT) is a blood clot in a deep vein in the thigh or leg -- it's best known as "economy-class syndrome," after cases that occurred in passengers on long-haul flights. DVTs can travel to the lungs and lead to dangerous clots there known as pulmonary embolisms (PE).

"An increased risk of DVT and PE in patients with IBD has been evident for the past 75 years," co-authors Dr. Andrea Merrill of Massachusetts General Hospital and Dr. Frederick Millham of Newton-Wellesley Hospital, both in Boston, wrote in the study published in the Oct. 17 online edition of the journal Archives of Surgery.

However, they added that "most work in this area has not looked specifically at patients undergoing surgery." Because surgery is common for people with IBD, getting a better idea of their level of risk for these clots is important, the researchers said.

According to the American College of Family Physicians, over 600,000 Americans suffer from IBD, which involves a chronic inflammation of the intestines. Crohn's disease and ulcerative colitis are two common forms of IBD.

In their study, Merrill and Millham looked at data from over 2,200 IBD patients and almost 270,000 patients without IBD who had surgery at 211 U.S. hospitals in 2008.

Overall, there were 2,665 cases of DVT or PE (1 percent), but the rate among patients with IBD was more than double, at 2.5 percent.

Interestingly, surgeries in locations away from the intestines had an even higher rate of DVT or PE for people with IBD -- 5 percent, the investigators found.

Rates of post-surgical heart attack or stroke were not different in IBD patients versus those without the illness, the team noted in a journal news release.

The researchers concluded that "patients with IBD who undergo surgery have a twofold increased risk of DVT or PE. In patients with IBD who are having nonintestinal surgery, this risk may be even higher. These findings suggest that standard DVT and PE prophylaxis [prevention] should be reconsidered for this patient group."

One expert said the new finding may have an impact on clinical practice.

"Current guidelines do not recommend routine DVT and PE prophylaxis in patients with IBD undergoing surgery," said Dr. David Bernstein, chief of the division of gastroenterology at North Shore University Hospital in Manhasset, N.Y.

However, he said that "the data presented in this study begs the question that perhaps the approach to prevention of DVT and PE in IBD patients undergoing routine, non-emergent surgery needs to be reassessed."

More information

There's more on inflammatory bowel disease at the American Academy of Family Physicians.

-- Robert Preidt

SOURCES: David Bernstein, M.D., chief, division of gastroenterology, North Shore University Hospital, Manhasset, N.Y.; JAMA/Archives journals, news release, Oct. 17, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. New study shows inflammatory food toxins found in high levels in infants
2. Inflammatory mediator enhances plaque formation in Alzheimer’s disease
3. Starving inflammatory immune cells slows damage caused by multiple sclerosis
4. Common anti-inflammatory coaxes liver cancer cells to commit suicide
5. Anti-inflammatory drug may fight breast cancer
6. Sonography complements physical exam in identifying juvenile inflammatory arthritis in children
7. Digestive experts grade treatment options for inflammatory bowel disease
8. Aspirins ability to protect against colorectal cancer may depend on inflammatory pathways
9. Non-steroidal anti-inflammatory drugs linked to increased risk of erectile dysfunction
10. Porphyromonas gingivalis accelerates inflammatory atherosclerosis in a mouse model
11. Link between depression and inflammatory response found in mice
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Inflammatory Bowel Disease Tied to Higher Risk of Post-Op Blood Clots
(Date:9/21/2017)... ... September 21, 2017 , ... The New England Center for ... today the election of Yie-Hsin Hung to the Board of Directors. , “The ... of Directors. Ms. Hung is an invaluable addition to our team,” said Vincent Strully, ...
(Date:9/21/2017)... ... September 21, 2017 , ... Sagora Senior Living, one of ... Kingwood Assisted Living and Memory Care located at 24025 Kingwood Place Drive, Kingwood, ... living apartments, 43 memory care apartments and 23 extended care apartments. Modern floor ...
(Date:9/20/2017)... ... 2017 , ... Collins Concrete Coatings announced that they offer ... safety and cleanliness. This unique flooring system uses silver ion technology to resist ... for its antimicrobial properties. Unlike antibiotics, which kill specific microorganisms, silver ions attack ...
(Date:9/20/2017)... ... 20, 2017 , ... Mirror Mirror Beauty Boutique is excited ... This Autumn with CoolSculpting®. Scheduled for Thursday, September 28th, the afternoon will include ... Beauty Boutique is Houston’s largest CoolSculpting provider, holding the prestigious title ...
(Date:9/20/2017)... ... September 20, 2017 , ... Each ... for the National Athletic Trainers’ Association Annual Clinical Symposium and Expo. New research ... is also when Athletic Trainers are acknowledged by their peers with accolades and ...
Breaking Medicine News(10 mins):
(Date:9/6/2017)... NeuroRx, a clinical stage biopharma company developing the first oral ... granted Fast Track status by the US Food and Drug ... by NRX-101 (D-cycloserine + lurasidone). The company will shortly begin ... targeting patients who are admitted to Emergency Departments with ASIB ... ...
(Date:9/5/2017)... Sept. 5, 2017 Sapheneia and Scannerside received ... Scannerside DoseCheck is a third-party Vendor neutral CT product ... and allows compliance with current MITA standards. ... 29 DoseCheck solution is specifically designed to provide CT ... potential radiation doses over a predefined threshold. Scannerside Dose ...
(Date:9/5/2017)... WAYNE, N.J. , Sept. 5, 2017 /PRNewswire/ ... technology, has created a vibrant charitable donation program ... funds and support congenital heart defect research by ... healthcare providers and the general public are encouraged ... and submit the completed artwork to the ...
Breaking Medicine Technology: