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Venous thromboembolism in patients with inflammatory bowel disease : review of literature and practical algorithms

Journal Volume 84 - 2021
Issue Fasc.1 - Reviews
Author(s) L. Coremans 1, B. Strubbe 2, H. Peeters 2
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Full Article
PAGES 79-85
(1) Ghent University and AZ Sint-Lucas, Ghent, Belgium
(2) Department of Hepatology and Gastroenterology, AZ Sint-Lucas, Ghent, Belgium

Inflammatory bowel disease (IBD) is associated with several extra-intestinal complications, including venous thromboembolism (VTE). In patients with IBD, VTE occurs at younger age and is associated with higher recurrence and mortality rates as compared to patients without IBD. The risk appears to be higher during active disease and hospitalization. In this review we target the importance of prophylaxis and aim to describe strategies for treatment of VTE in patients with IBD. More awareness is needed, given the fact that VTE is often preventable with appropriate pharmacological prophylaxis. Algorithms are provided on which patients should be given prophylaxis and on treatment duration of VTE in patients with inflammatory bowel disease.

Keywords: Crohn’s disease, inflammatory bowel disease, ulcerative colitis, venous thromboembolism.

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.
PMID 33639697