Skip to main content

Advertisement

SpringerLink
Log in

Failure in prophylactic management of thromboembolic disease in colorectal surgery

  • Published:
Diseases of the Colon & Rectum

Abstract

The operative courses of 294 elective consecutive colorectal resections were reviewed in order to evaluate the morbidity and mortality of postoperative thromboembolic complications. All patients received low-dose heparin prophylaxis. Fifty-seven patients were screened for deep venous thrombosis with the fibrinogen uptake test, and treatment of thromboembolism was started if the diagnosis was established by venography and/or pulmonary scintigraphy. Neither the morbidity nor mortality from clinical thromboembolic complications was lowered in the group of patients who were screened. Rectal surgery seems to carry a higher risk of postoperative thromboembolic complications than colon surgery, and thromboembolic complications are responsible for about half of the postoperative deaths following elective colorectal surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Kakker VV. Prevention of venous thromboembolism. Clin Haematol 1981;10:534–82.

    Google Scholar 

  2. Törngren S, Rieger A. Prophylaxis of deep venous thrombosis in colorectal surgery. Dis Colon Rectum 1982;25:563–6.

    PubMed  Google Scholar 

  3. Wille-Jørgensen P, Kjaergaard J, Thorup J. Postoperative thromboembolic complications despite heparin prophylaxis in major abdominal surgery. Ann Chir Gynaecol 1985;74:130–3.

    PubMed  Google Scholar 

  4. Wille-Jørgensen P. Low-dosage heparin combined with either dihydroergotamin or graduated supportive stockings. Ugeskr Laeger 1986;148:501–3.

    PubMed  Google Scholar 

  5. Olsson CG. A modified [125I]fibrinogen technique for thrombus detection in the whole leg. Scan J Clin Lab Invest 1979;39:677–84.

    CAS  Google Scholar 

  6. Bergqvist D. Postoperative thromboembolism frequency, etiology, prophylaxis. New York: Springer Verlag, 1983.

    Google Scholar 

  7. Gallus AS, Hirsh J, Hull R, van Aken WG. Diagnosis of venous thromboembolism. Semin Thromb Hemost 1976;2:203–31.

    PubMed  CAS  Google Scholar 

  8. Lindhagen A, Bergqvist D, Hallböök T, Efsing HO. Venous function in the leg after postoperative thrombosis diagnosed with125I-fibrinogen uptake test. Ann Surg 1983;197:215–9.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgical Gastroenterology, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark

    Peer Wille-Jørgensen M.D., Johan Kjaergaard M.D., Ph.D., Torben Jørgensen M.D. & Tommy Korsgaard Larsen M.D.

Authors
  1. Peer Wille-Jørgensen M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Johan Kjaergaard M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Torben Jørgensen M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tommy Korsgaard Larsen M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Wille-Jørgensen, P., Kjaergaard, J., Jørgensen, T. et al. Failure in prophylactic management of thromboembolic disease in colorectal surgery. Dis Colon Rectum 31, 384–386 (1988). https://doi.org/10.1007/BF02564891

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02564891

Key words

Search

Navigation