Prevention of Venous Thromboembolism in Hospitalized Patients With Inflammatory Bowel Disease

被引:10
作者
Chande, Nilesh [1 ]
机构
[1] Western Univ, Dept Med, Div Gastroenterol, London, ON, Canada
关键词
venous thromboembolism; deep vein thrombosis; ulcerative colitis; Crohn's disease; heparin; ACTIVE ULCERATIVE-COLITIS; MOLECULAR-WEIGHT HEPARIN; PLACEBO-CONTROLLED TRIAL; ILL MEDICAL PATIENTS; GUIDELINES; MANAGEMENT; THROMBOSIS; ENOXAPARIN; THERAPY; ADULTS;
D O I
10.1097/MIB.0b013e31827e7a0f
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Venous thromboembolism is a relatively common and potentially serious complication in inpatients with inflammatory bowel disease (IBD). There are a number of pathophysiologic mechanisms for venous thromboembolism that are specific to patients with IBD that may be active. The use of anticoagulants for prophylaxis against venous thromboembolism in hospitalized patients with IBD needs to be balanced against the potential for worsening of rectal bleeding. Evidence from randomized trials suggests that heparin and low-molecular weight heparin are generally safe to use in patients with active IBD, and a number of guidelines support their use for thromboprophylaxis in this patient population. (Inflamm Bowel Dis 2013;19:669-671)
引用
收藏
页码:669 / 671
页数:3
相关论文
共 22 条
[1]   Low molecular weight heparin (tinzaparin) vs. placebo in the treatment of mild to moderately active ulcerative colitis [J].
Bloom, S ;
Kiilerich, S ;
Lassen, MR ;
Forbes, A ;
Leiper, K ;
Langholz, E ;
Irvine, EJ ;
O'Morain, C ;
Lowson, D ;
Orm, S .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2004, 19 (08) :871-878
[2]   Clinical trial: oral colon-release parnaparin sodium tablets (CB-01-05 MMX®) for active left-sided ulcerative colitis [J].
Celasco, G. ;
Papa, A. ;
Jones, R. ;
Moro, L. ;
Bozzella, R. ;
Surace, M. M. ;
Naccari, G. C. ;
Gasbarrini, G. .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2010, 31 (03) :375-386
[3]   Unfractionated or low-molecular weight heparin for induction of remission in ulcerative colitis [J].
Chande, N. ;
McDonald, J. W. ;
MacDonald, J. K. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2008, (02)
[4]   Unfractionated or low-molecular weight heparin for induction of remission in ulcerative colitis [J].
Chande, Nilesh ;
McDonald, John W. D. ;
MacDonald, John K. ;
Wang, Josh J. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2010, (10)
[5]   Randomized, placebo-controlled trial of low molecular weight heparin in active ulcerative colitis [J].
de Bievre, M. A. ;
Vrij, A. A. ;
Schoon, E. J. ;
Dijkstra, G. ;
de Jong, A. E. ;
Woolthuis, A. H. Oberndorff-Klein ;
Hemker, H. C. ;
Stockbrugger, R. W. .
INFLAMMATORY BOWEL DISEASES, 2007, 13 (06) :753-758
[6]   Thromboembolism in Inflammatory Bowel Disease: An Insidious Association Requiring a High Degree of Vigilance [J].
Di Fabio, Francesco ;
Lykoudis, Pavlos ;
Gordon, Philip H. .
SEMINARS IN THROMBOSIS AND HEMOSTASIS, 2011, 37 (03) :220-225
[7]   Prevention of venous thromboembolism [J].
Geerts, William H. ;
Bergqvist, David ;
Pineo, Graham F. ;
Heit, John A. ;
Samama, Charles M. ;
Lassen, Michael R. ;
Colwell, Clifford W. .
CHEST, 2008, 133 (06) :381S-453S
[8]   Thromboembolic risk among Danish children and adults with inflammatory bowel diseases: a population-based nationwide study [J].
Kappelman, Michael D. ;
Horvath-Puho, Erzsebet ;
Sandler, Robert S. ;
Rubin, David T. ;
Ullman, Thomas A. ;
Pedersen, Lars ;
Baron, John A. ;
Sorensen, Henrik T. .
GUT, 2011, 60 (07) :937-943
[9]  
Kornbluth A, 2010, AM J GASTROENTEROL, V105, P501, DOI 10.1038/ajg.2009.727
[10]   Randomized, placebo-controlled trial of dalteparin for the prevention of venous thromboembolism in acutely ill medical patients [J].
Leizorovicz, A ;
Cohen, AT ;
Turpie, AGG ;
Olsson, CG ;
Vaitkus, PT ;
Goldhaber, SZ .
CIRCULATION, 2004, 110 (07) :874-879