ARTERIAL THROMBOEMBOLIC COMPLICATIONS OF INFLAMMATORY BOWEL-DISEASE - REPORT OF 3 CASES

Title

ARTERIAL THROMBOEMBOLIC COMPLICATIONS OF INFLAMMATORY BOWEL-DISEASE - REPORT OF 3 CASES

Creator

Novotny D A; Rubin R J; Slezak F A; Porter J A

Publisher

Diseases of the Colon & Rectum

Date

1992
1992-02

Description

Extraintestinal manifestations of inflammatory bowel disease are legion and are demonstrated in one-third of those afflicted. In general, they do not mandate surgery. Three patients with active pancolonic ulcerative colitis developed arterial thromboembolic complications prior to surgical treatment. Thromboembolic complications are not fully understood, as is evidenced by the paucity of information in the literature, and only sporadic cases of arterial thromboemboli are found. These have been described primarily in the postsurgical patient. To ascertain whether others have encountered similar cases, a survey form was distributed to members of The American Society of Colon and Rectal Surgeons, yielding an additional 54 patients with thromboembolic complications. Approximately two-thirds were deep venous thromboses and/or pulmonary emboli. Ten patients had cerebrovascular accidents, and eight had arterial emboli. Eleven patients, over 21 percent, suffered multiple events. There were four resultant mortalities. An arterial thromboembolic event in a patient with ulcerative colitis is usually associated with pancolonic disease, has a poor long-term prognosis, and is an indication for colectomy.

Subject

coagulation; crohns-disease; Gastroenterology & Hepatology; Surgery; ulcerative-colitis

Identifier

Format

Journal Article

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

193-196

Issue

2

Volume

35

Citation

Novotny D A; Rubin R J; Slezak F A; Porter J A, “ARTERIAL THROMBOEMBOLIC COMPLICATIONS OF INFLAMMATORY BOWEL-DISEASE - REPORT OF 3 CASES,” NEOMED Bibliography Database, accessed October 22, 2021, https://neomed.omeka.net/items/show/6662.

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