EDITORIAL Extended-Duration Venous Thromboembolism Prophylaxis Following Colorectal Surgery: Ready for Prime Time? Fergal J. Fleming, M.D., F.R.C.S. dently associated with 63% higher odds of VTE compared Christopher T. Aquina, M.D., M.P.H. with diverticulitis and 37% higher odds of VTE compared University of Rochester Medical Center, with cancer. The authors state that they could not perform Rochester, New York a multivariable analysis with the IBD subtypes because of the small numbers of outcome events. These findings are similar to previous retrospective enous thromboembolism (VTE) remains a seri- studies that have shown that IBD, specifically ulcerative ous postoperative complication, especially fol- colitis, is associated with a risk of postoperative VTE simi- Vlowing colon and rectal surgery, and is the most 6–8 lar to that of malignancy following colorectal surgery. likely cause of potentially preventable death in the surgi- Given these study findings, the most recent American cal population. Furthermore, there is evidence that the Society of Colon and Rectal Surgeons’ Clinical Practice risk of VTE persists as long as 12 weeks after surgery. Al- Guideline for the Prevention of Venous Thromboembolic though guidelines from various organizations, including Disease in Colorectal Surgery gave a grade 2C recommen- the American Society of Colon
Diseases of the Colon & Rectum – Wolters Kluwer Health
Published: Mar 1, 2018
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