Surgery for inflammatory bowel disease raises risk of blood clots
Posted Oct 18 2011 10:29am
Patients suffering from inflammatory bowel diseaseA group of inflammatory conditions of the intestine. The two major forms are Crohn’s disease and ulcerative colitis. (IBDAn abbreviation for inflammatory bowel disease, a group of inflammatory conditions of the intestine. The two major forms are Crohn’s disease and ulcerative colitis.) have been seen to have an increased risk of deep vein thrombosisObstruction of one of the deep veins, often in the calf, by a blood clot. Often abbreviated to DVT. (DVTAn abbreviation for deep vein thrombosis: the obstruction of one of the deep veins, often in the calf, by a blood clot.) and pulmonary embolismObstruction of the pulmonary artery by a blood clot. (PEpulmonary embolism) for over 75 years.
A new comprehensive study of over 270,000 surgery patients, of whom over 2000 had IBD, found that those patients with IBD had an increased risk of post-operative thromboembolismThe breaking away of a blood clot that is then carried in the blood from one point in the circulatory system to another point, where it lodges. within thirty days of surgery than those who were not suffering from IBD. The researchers, publishing in JAMA Archives of Surgery, found that the risk of DVT and PE was higher in patients with the bowel disorder but the risk of suffering a myocardial infarctionDeath of an area of heart muscle due to poor blood supply. This is commonly known as a heart attack. or strokeAny sudden neurological problem caused by a bleed or a clot in a blood vessel. were not increased.
Surprisingly the risks were even higher in IBD sufferers who were undergoing non-intestinalrelating to the intestines, the digestive tract between the stomach and the anus surgery. Patients with IBD frequently require surgical intervention and it is therefore important that these patients are given DVT and PE prevention.