Impaired Fibrinolytic Capacity in Patients with Inflammatory Bowel Disease

J C Gris; J F Schved; C Raffanel; A Dubois; P Aguilar-Martinez; A Arnaud; N Sanchez; C Sarlat; J L Balmès

doi:10.1055/s-0038-1645068

Thrombosis and Haemostasis, Table of Contents

Thromb Haemost 1990; 63(03): 472-475
DOI: 10.1055/s-0038-1645068

Original Article

Schattauer GmbH Stuttgart

Impaired Fibrinolytic Capacity in Patients with Inflammatory Bowel Disease

Authors

J C Gris

The Department of Haematology, University Hospital, Nîmes, France
J F Schved

The Department of Haematology, University Hospital, Nîmes, France
C Raffanel

^*The Department of Gastroenterology-Hepatology, University Hospital, Nîmes, France
A Dubois

^*The Department of Gastroenterology-Hepatology, University Hospital, Nîmes, France
P Aguilar-Martinez

The Department of Haematology, University Hospital, Nîmes, France
A Arnaud

The Department of Haematology, University Hospital, Nîmes, France
N Sanchez

The Department of Haematology, University Hospital, Nîmes, France
C Sarlat

The Department of Haematology, University Hospital, Nîmes, France
J L Balmès

^*The Department of Gastroenterology-Hepatology, University Hospital, Nîmes, France

Abstract

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Summary

The venous occlusion test was applied to 17 patients with inflammatory bowel disease (IBD; 7 cases of Crohn’s disease, 10 cases of ulcerative colitis). Results were compared to those obtained in 20 healthy matched control subjects. Patients with IBD had significantly decreased t-PA Ag release (p <0.001) and had no significant vWF Ag release. Residual PAI activity was evidenced after venous stasis in the IBD group but not in the control group. Hypofibrinolysis was more important in patients with an evolutive IBD than in patients with IBD in remission. Impaired systemic fibrinolytic capacity might contribute to an increased risk for thromboembolic complications and to the pathogenesis of inflammatory bowel disease.

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References

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