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
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
All the latest content is available, no embargo periods.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud