The incidence of postoperative venous thrombosis among patients with ulcerative colitis.

Hdl Handle:
http://hdl.handle.net/10147/208882
Title:
The incidence of postoperative venous thrombosis among patients with ulcerative colitis.
Authors:
O'Connor, O J; Cahill, R A; Kirwan, W O; Redmond, H P
Affiliation:
Dept of Academic Surgery, Cork University Hospital, Wilton, Cork.
Citation:
Ir J Med Sci. 2005 Jul-Sep;174(3):20-2.
Journal:
Irish journal of medical science
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208882
PubMed ID:
16285333
Abstract:
BACKGROUND: Patients with Ulcerative Colitis (UC) have inherent prothrombotic tendencies. It is unknown whether this necessitates the use of additional perioperative anti-thrombotic prophylaxis when such patients require major surgery. METHODS: The postoperative courses of 79 patients with UC undergoing 180 major abdominal and pelvic operations were examined for clinical and radiological evidence of venous thrombosis. Eighteen patients with Familial Adenomatous Polyposis (FAP) having surgery (35 operations) of similar magnitude were also studied. Standard anti-thrombosis prophylaxis was utilised in all patients. RESULTS: Nine patients with UC were clinically suspected of developing postoperative venous thrombosis, but only three (3.8%) had their diagnosis confirmed radiologically (all had a pulmonary embolus). Therefore, the overall postoperative thrombosis rate, on an intention to treat basis, was 1.7% (3/180). No patient with FAP developed significant venous thrombosis. CONCLUSION: Standard perioperative antithrombotic modalities are sufficient to maintain any potential increase in postoperative thrombotic risk at an acceptable level in patients with UC undergoing operative intervention.
Language:
eng
MeSH:
Adolescent; Adult; Aged; Child; Child, Preschool; Colitis, Ulcerative/complications/*surgery; Female; Humans; Incidence; Ireland; Male; Middle Aged; Postoperative Complications/*epidemiology; Risk Assessment; Risk Factors; Venous Thrombosis/epidemiology/*etiology
ISSN:
0021-1265 (Print); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Connor, O Jen_GB
dc.contributor.authorCahill, R Aen_GB
dc.contributor.authorKirwan, W Oen_GB
dc.contributor.authorRedmond, H Pen_GB
dc.date.accessioned2012-02-03T15:06:22Z-
dc.date.available2012-02-03T15:06:22Z-
dc.date.issued2012-02-03T15:06:22Z-
dc.identifier.citationIr J Med Sci. 2005 Jul-Sep;174(3):20-2.en_GB
dc.identifier.issn0021-1265 (Print)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid16285333en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208882-
dc.description.abstractBACKGROUND: Patients with Ulcerative Colitis (UC) have inherent prothrombotic tendencies. It is unknown whether this necessitates the use of additional perioperative anti-thrombotic prophylaxis when such patients require major surgery. METHODS: The postoperative courses of 79 patients with UC undergoing 180 major abdominal and pelvic operations were examined for clinical and radiological evidence of venous thrombosis. Eighteen patients with Familial Adenomatous Polyposis (FAP) having surgery (35 operations) of similar magnitude were also studied. Standard anti-thrombosis prophylaxis was utilised in all patients. RESULTS: Nine patients with UC were clinically suspected of developing postoperative venous thrombosis, but only three (3.8%) had their diagnosis confirmed radiologically (all had a pulmonary embolus). Therefore, the overall postoperative thrombosis rate, on an intention to treat basis, was 1.7% (3/180). No patient with FAP developed significant venous thrombosis. CONCLUSION: Standard perioperative antithrombotic modalities are sufficient to maintain any potential increase in postoperative thrombotic risk at an acceptable level in patients with UC undergoing operative intervention.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshColitis, Ulcerative/complications/*surgeryen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIncidenceen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPostoperative Complications/*epidemiologyen_GB
dc.subject.meshRisk Assessmenten_GB
dc.subject.meshRisk Factorsen_GB
dc.subject.meshVenous Thrombosis/epidemiology/*etiologyen_GB
dc.titleThe incidence of postoperative venous thrombosis among patients with ulcerative colitis.en_GB
dc.contributor.departmentDept of Academic Surgery, Cork University Hospital, Wilton, Cork.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceMunster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.