Document Detail


Deep venous thrombosis after emergency gastrointestinal operations: a pilot study.
MedLine Citation:
PMID:  1681915     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a prospective pilot study, 30 patients over 50 years of age undergoing major emergency gastrointestinal surgery were examined with the 125I-fibrinogen uptake test for postoperative deep venous thrombosis (DVT). Prophylaxis against thrombosis was at that time not used routinely for the emergency patients. The surgeon decided for each patient whether and when prophylaxis with low-dose heparin, 5,000 units twice daily, should be given. DVT was diagnosed in 11 patients (37%; 95% confidence interval 20 to 56%), in five of them bilaterally. No thrombi occurred within seven days in the patients who received low-dose heparin from the day of surgery. Major emergency gastrointestinal surgery carries a high risk of postoperative DVT.
Authors:
S Törngren; L Engström
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The European journal of surgery = Acta chirurgica     Volume:  157     ISSN:  1102-4151     ISO Abbreviation:  Eur J Surg     Publication Date:    1991 Jun-Jul
Date Detail:
Created Date:  1991-12-26     Completed Date:  1991-12-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9105264     Medline TA:  Eur J Surg     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  389-91     Citation Subset:  IM    
Affiliation:
Department of Surgery, Södersjukhuset, Stockholm, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Emergencies
Female
Fibrinogen / diagnostic use
Gastrointestinal Diseases / surgery*
Gastrointestinal Hemorrhage / surgery
Heparin / therapeutic use
Humans
Incidence
Iodine Radioisotopes / diagnostic use
Male
Middle Aged
Phlebography
Pilot Projects
Postoperative Care
Postoperative Complications*
Premedication
Prospective Studies
Thrombophlebitis / epidemiology*,  etiology
Chemical
Reg. No./Substance:
0/Iodine Radioisotopes; 9001-32-5/Fibrinogen; 9005-49-6/Heparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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