Prevention of Venous Thromboembolic Disease in Colorectal Surgery

Publication Date: January 1, 2018

RECOMMENDATIONS

The use of a VTE risk assessment model is recommended to guide VTE prophylaxis in patients undergoing colorectal surgery. (2A)
312133
Mechanical strategies for VTE prophylaxis, including early mobilization and intermittent pneumatic compression (IPC) devices, should be deployed for patients undergoing colorectal surgery. (1B)
312133
Pharmacological thromboprophylaxis with either LMWH or LDUH should typically be given to patients undergoing colorectal operations who are deemed to be at moderate or high risk for VTE, who are not identified as high risk for bleeding complications. (1A)
312133
For high VTE risk patients undergoing colorectal surgery, where chemoprophylaxis is contraindicated or previously found to be insufficient, an inferior vena cava (IVC) filter may be considered. (2C)
312133
In patients undergoing colorectal cancer resection deemed to be at high risk for VTE, strong consideration should be given to extended-duration pharmacological thromboprophylaxis (4 weeks). (1B)
312133
Patients with IBD are at high risk for DVT and select patients may benefit from extended prophylaxis. (2C)
312133

Recommendation Grading

Disclaimer

Overview

Title

Prevention of Venous Thromboembolic Disease in Colorectal Surgery

Authoring Organization

Publication Month/Year

January 1, 2018

Supplemental Implementation Tools

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Inclusion Criteria

Male, Female, Adult, Older adult

Health Care Settings

Ambulatory, Emergency care, Outpatient, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Assessment and screening, Management, Prevention

Diseases/Conditions (MeSH)

D054556 - Venous Thromboembolism, D020246 - Venous Thrombosis, D003107 - Colorectal Surgery

Keywords

pulmonary embolism, Venous Thromboembolic, Colorectal Surgery, deep venous thrombosis

Source Citation

Fleming, Fergal M.D.; Gaertner, Wolfgang M.D.; Ternent, Charles A. M.D.; Finlayson, Emily M.D., M.S.; Herzig, Daniel M.D.; Paquette, Ian M. M.D.; Feingold, Daniel L. M.D.; Steele, Scott R. M.D. The American Society of Colon and Rectal Surgeons Clinical Practice Guideline for the Prevention of Venous Thromboembolic Disease in Colorectal Surgery, Diseases of the Colon & Rectum: January 2018 - Volume 61 - Issue 1 - p 14-20 doi: 10.1097/DCR.0000000000000982
 

Supplemental Methodology Resources

Data Supplement

Methodology

Number of Source Documents
44
Literature Search Start Date
January 1, 2003
Literature Search End Date
December 1, 2016