Extended-Duration Venous Thromboembolism Prophylaxis Following Colorectal Surgery: Ready for Prime Time?

Extended-Duration Venous Thromboembolism Prophylaxis Following Colorectal Surgery: Ready for... 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Diseases of the Colon & Rectum Wolters Kluwer Health

Extended-Duration Venous Thromboembolism Prophylaxis Following Colorectal Surgery: Ready for Prime Time?

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Publisher
Wolters Kluwer Health
Copyright
© The ASCRS 2018
ISSN
0012-3706
eISSN
1530-0358
D.O.I.
10.1097/DCR.0000000000001035
Publisher site
See Article on Publisher Site

Abstract

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

Journal

Diseases of the Colon & RectumWolters Kluwer Health

Published: Mar 1, 2018

References

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