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[Thromboembolic risk in inflammatory bowel disease]
La Revue Du Praticien
|August 6, 2014
Summary
Patients with inflammatory bowel disease (IBD) face a doubled risk of venous thromboembolic events, particularly during flare-ups. Prophylaxis is recommended during flares and post-discharge to mitigate this risk.
Area of Science:
- Gastroenterology
- Hematology
- Internal Medicine
Context:
- Inflammatory bowel disease (IBD) is associated with an increased risk of venous thromboembolic events (VTE).
- The risk is significantly elevated during active disease flares.
- Relapse of VTE is also more common in IBD patients.
Purpose:
- To highlight the heightened risk of VTE in IBD patients.
- To provide recommendations for VTE prophylaxis in IBD.
- To emphasize the importance of continued prophylaxis after hospital discharge.
Summary:
- Patients with IBD have approximately a twofold increased risk for VTE and VTE relapse.
- Antithrombotic prophylaxis should be considered for IBD patients during disease flares, even with rectal bleeding.
- Prophylaxis should likely continue after hospital discharge, and established VTE/pulmonary embolism treatment should follow general guidelines.
Impact:
- Informs clinical practice regarding VTE prevention in IBD.
- Aims to reduce VTE morbidity and mortality in this patient population.
- Underscores the need for proactive management of thrombotic risk in IBD flares.
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