Thromboembolic events in patients with inflammatory bowel disease

Background/Aims: Inflammatory bowel disease (ulcerative colitis and Crohn's disease) is characterized by a chronic inflammatory condition, and is accompanied by abnormalities in coagulation and a hyper-coagulable state. This study was conducted to examine the risk factors for developing Thrombo...

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Main Authors: Farjah H Algahtani, Youssef M.K Farag, Abdulrahman M Aljebreen, Nahla A Alazzam, Aamer S Aleem, Fouad F Jabri, Mohammad H Rajab, Mohamed M Shoukri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:The Saudi Journal of Gastroenterology
Subjects:
Online Access:http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2016;volume=22;issue=6;spage=423;epage=427;aulast=Algahtani
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author Farjah H Algahtani
Youssef M.K Farag
Abdulrahman M Aljebreen
Nahla A Alazzam
Aamer S Aleem
Fouad F Jabri
Mohammad H Rajab
Mohamed M Shoukri
author_facet Farjah H Algahtani
Youssef M.K Farag
Abdulrahman M Aljebreen
Nahla A Alazzam
Aamer S Aleem
Fouad F Jabri
Mohammad H Rajab
Mohamed M Shoukri
author_sort Farjah H Algahtani
collection DOAJ
description Background/Aims: Inflammatory bowel disease (ulcerative colitis and Crohn's disease) is characterized by a chronic inflammatory condition, and is accompanied by abnormalities in coagulation and a hyper-coagulable state. This study was conducted to examine the risk factors for developing Thromboembolic Events in Inflammatory Bowel Disease (IBD) in a population with prevalent consanguinity. Patients and Methods: Patients with a definitive diagnosis of IBD who were seen in the gastroenterology clinic of King Khalid University Hospital (Riyadh, Saudi Arabia) from 2010- to 2012, were asked to participate in this prospective cohort study, and were followed for one 1 year. Data was collected using specifically designed case report forms (CRF) by trained research personnel. Results: A total of 100 Saudi patients with IBD were studied. There were 51 (51%) women and the mean ± standard deviation (SD) age of the group was 31.24 ± 10.78 years. Those with Crohn's disease constituted 72% of the patients, and 28% had ulcerative colitis. Eight patients (8%) had at least one Thrombotic Event ([six deep venous thrombosis (DVT), and two pulmonary embolism (PE)]. Family history of deep venous thrombosis was present in 5%, and family history of pulmonary embolism (PE) in 4% of the patients. After adjusting for age and gender, a family history of Thrombotic event was identified as to be the only statistically significant predictor of thrombosis in IBD patients (RR = 9.22, 95% CI: 2.10-–40.43). Conclusion: In a population with high consanguinity, Thromboembolic events (DVT and PE) had a prevalence of 8% among IBD patients, positive family history of pulmonary embolism was a predictor of thrombosis. Further studies are needed to explore the role of genetic factors in this population.
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spelling doaj.art-4b2fadb3a21f4bdbb65837ca497e23102022-12-22T03:57:40ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492016-01-0122642342710.4103/1319-3767.195558Thromboembolic events in patients with inflammatory bowel diseaseFarjah H AlgahtaniYoussef M.K FaragAbdulrahman M AljebreenNahla A AlazzamAamer S AleemFouad F JabriMohammad H RajabMohamed M ShoukriBackground/Aims: Inflammatory bowel disease (ulcerative colitis and Crohn's disease) is characterized by a chronic inflammatory condition, and is accompanied by abnormalities in coagulation and a hyper-coagulable state. This study was conducted to examine the risk factors for developing Thromboembolic Events in Inflammatory Bowel Disease (IBD) in a population with prevalent consanguinity. Patients and Methods: Patients with a definitive diagnosis of IBD who were seen in the gastroenterology clinic of King Khalid University Hospital (Riyadh, Saudi Arabia) from 2010- to 2012, were asked to participate in this prospective cohort study, and were followed for one 1 year. Data was collected using specifically designed case report forms (CRF) by trained research personnel. Results: A total of 100 Saudi patients with IBD were studied. There were 51 (51%) women and the mean ± standard deviation (SD) age of the group was 31.24 ± 10.78 years. Those with Crohn's disease constituted 72% of the patients, and 28% had ulcerative colitis. Eight patients (8%) had at least one Thrombotic Event ([six deep venous thrombosis (DVT), and two pulmonary embolism (PE)]. Family history of deep venous thrombosis was present in 5%, and family history of pulmonary embolism (PE) in 4% of the patients. After adjusting for age and gender, a family history of Thrombotic event was identified as to be the only statistically significant predictor of thrombosis in IBD patients (RR = 9.22, 95% CI: 2.10-–40.43). Conclusion: In a population with high consanguinity, Thromboembolic events (DVT and PE) had a prevalence of 8% among IBD patients, positive family history of pulmonary embolism was a predictor of thrombosis. Further studies are needed to explore the role of genetic factors in this population.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2016;volume=22;issue=6;spage=423;epage=427;aulast=AlgahtaniDeep vein thrombosisinflammatory bowel diseasepulmonary embolismthromboembolismthrombosisthrombosisvenous thromboembolism
spellingShingle Farjah H Algahtani
Youssef M.K Farag
Abdulrahman M Aljebreen
Nahla A Alazzam
Aamer S Aleem
Fouad F Jabri
Mohammad H Rajab
Mohamed M Shoukri
Thromboembolic events in patients with inflammatory bowel disease
The Saudi Journal of Gastroenterology
Deep vein thrombosis
inflammatory bowel disease
pulmonary embolism
thromboembolism
thrombosis
thrombosis
venous thromboembolism
title Thromboembolic events in patients with inflammatory bowel disease
title_full Thromboembolic events in patients with inflammatory bowel disease
title_fullStr Thromboembolic events in patients with inflammatory bowel disease
title_full_unstemmed Thromboembolic events in patients with inflammatory bowel disease
title_short Thromboembolic events in patients with inflammatory bowel disease
title_sort thromboembolic events in patients with inflammatory bowel disease
topic Deep vein thrombosis
inflammatory bowel disease
pulmonary embolism
thromboembolism
thrombosis
thrombosis
venous thromboembolism
url http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2016;volume=22;issue=6;spage=423;epage=427;aulast=Algahtani
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