Prevalence of lower extremity venous disease in inflammatory bowel disease

I. Gosk-Bierska, R. D. Mcbane, E. Waszczuk, L. Paradowski, Waldemar E. Wysokinski

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Aim. Inflammatory bowel disease (IBD) has long been considered a risk factor for venous thromboembolism (VTE). Whereas most patients have persistent venous valvular dysfunction following lower extremity deep venous thrombosis (DVT), we hypothesized that patients with IBD would have an increased prevalence of valvular incompetence and changes of chronic DVT (reduced venous caliber with thickened walls) relative to patients with irritable bowel syndrome (IBS) or normal volunteers. Methods. Subjects with confirmed IBD, clinical features of IBS or normal volunteers underwent complete, prospective duplex ultrasound assessment of their lower extremity venous vascular system. The sonographer performing the venous study was blinded to the clinical diagnosis of the patients. Valvular incompetence was graded as mild, moderate or severe based on accepted criteria. Results. Eighty patients with IBD (ulcerative colitis, UC: 66; Crohn's disease: 14), 80 patients with IBS, and 80 healthy volunteers agreed to participate. One patient with UC was found to have non-occlusive chronic DVT within the left superficial femoral vein. Mild and moderate valvular incompetence was evenly distributed between the 3 groups. No patients met criteria for either acute DVT or severe venous incompetence. Conclusion. In patients with IBD, neither valvular incompetence nor chronic venous obstruction are over-represented compared to patients with EBS or normal volunteers. In this prospective assessment of venous physiology by duplex ultrasound, we were not able to confirm prior reports that IBD is a major risk factor for VTE.

Original languageEnglish (US)
Pages (from-to)67-71
Number of pages5
JournalInternational Angiology
Volume26
Issue number1
StatePublished - Mar 2007

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Inflammatory Bowel Diseases
Lower Extremity
Venous Thrombosis
Irritable Bowel Syndrome
Healthy Volunteers
Venous Thromboembolism
Femoral Vein
Ulcerative Colitis
Crohn Disease
Blood Vessels

Keywords

  • Crohn disease
  • Thromboembolism
  • Ulcerative colitis
  • Veins

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Gosk-Bierska, I., Mcbane, R. D., Waszczuk, E., Paradowski, L., & Wysokinski, W. E. (2007). Prevalence of lower extremity venous disease in inflammatory bowel disease. International Angiology, 26(1), 67-71.

Prevalence of lower extremity venous disease in inflammatory bowel disease. / Gosk-Bierska, I.; Mcbane, R. D.; Waszczuk, E.; Paradowski, L.; Wysokinski, Waldemar E.

In: International Angiology, Vol. 26, No. 1, 03.2007, p. 67-71.

Research output: Contribution to journalArticle

Gosk-Bierska, I, Mcbane, RD, Waszczuk, E, Paradowski, L & Wysokinski, WE 2007, 'Prevalence of lower extremity venous disease in inflammatory bowel disease', International Angiology, vol. 26, no. 1, pp. 67-71.
Gosk-Bierska I, Mcbane RD, Waszczuk E, Paradowski L, Wysokinski WE. Prevalence of lower extremity venous disease in inflammatory bowel disease. International Angiology. 2007 Mar;26(1):67-71.
Gosk-Bierska, I. ; Mcbane, R. D. ; Waszczuk, E. ; Paradowski, L. ; Wysokinski, Waldemar E. / Prevalence of lower extremity venous disease in inflammatory bowel disease. In: International Angiology. 2007 ; Vol. 26, No. 1. pp. 67-71.
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