short bowel syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Diagnosis of short bowel syndrome (<170 cm after Treitz ligamentum) or intestinal malabsorption, diagnosed by an endocrinologist in the AMC - Current use of TPN - Age 18 years or over- - Indication for anticoagulant therapy (DOAC, vitamin K antagonist, heparin) such as stroke prevention in patients with atrial fibrillation, prevention of venous thromboembolic events
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study- Symptomatic thrombosis at inclusion- Major bleeding defined according to the International Society on Thrombosis and Haemostasis(11) in the 6 months prior to start participation- Contraindication for direct oral anticoagulanto Chronic treatment with NSAID/Cytochrome P450/PgP dependent co-medicationo Severe renal (eGFR<15) or hepatic impairment (Child Pugh score B or C) o Pregnancy or inadequate use of contraception- Gastrectomy or short bowel syndrome < 30 cm after Treitz ligamentum- Medical or psychological condition that would not permit completion of the study or signing of informed consent, including life expectancy less than six months, or unwillingness to sign informed consent;- Non-compliance or inability to adhere to treatment or to the follow-up visits.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study parameters are the clinical outcomes: VTE for efficacy and bleeding/mortality for safety measurement | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are - the correlation of the differen laboratory outcomes wtih one another; anti Xa levels and LC MS/MS for determination of rivaroxaban levels. - effectiveness of change of anticoagulants on the quality of life within this complicated patient population | — |
Countries
Netherlands