Purpose: gastrointestinal complication (GIC) following open heart surgery usually are rare but with high morbidity and mortality. The aim of this study was to see the outcome of these patients after complication, compared with a similar study found in literature. Identifying risk factors preoperatively and postoperatively in our patient’s series, for GIC.
Materials and methods: Between January 2012 and December 2017 from 1990 operated cardiac patient 34 of them developed GIC, presenting gastro duodenal bleeding due to active ulcer, liver failure, pancreatitis, cholecystitis, or intestinal ischemia. We performed a retrospective analysis.
Results: From all consecutive patient only 1.7 % developed GIC. Mortality rate was 55.8%, especially 100 % mortality in intestinal ischemia patient. Regarding risk factors, those were the same found in other similar study (age, atherosclerosis disease, by pass time, postoperative ARF, Low cardiac output syndrome.)
Conclusion: GIC after cardiac surgery are rare but when it happens the mortality is very high not even of late diagnosis. In ages patients, diabetes, long by pass time, long hypoperfusion state. It is recommended to be alert for GIC for detection in early phase, and for reducing as much as possible morbidity and mortality.
Rodriguez F, Nguyen TC, Galanko JA, et al. Gastrointestinal complications after coronary artery bypass grafting: a national study of morbidity and mortality predictors. J Am Coll Surg. 2007; 205:741-7.
Andersson B, Nilsson J, Brandt J, et al. Gastrointestinal complications after cardiac surgery. Br J Surg. 2005; 92:326-33.
Geissler HJ, Fischer UM, Grunert S, et al. Incidence and outcome of gastrointestinal complications after cardiopulmonary bypass. Interact Cardiovasc Thorac Surg. 2006;5:239-42.
McSweeney ME, Garwood S, Levin J, et al. Adverse gastrointestinal complications after cardiopulmonary bypass: can outcome be predicted from preoperative risk factors?Anesth Analg. 2004;98:1610-7.
Yilmaz AT, Arslan M, Demirkilç U, et al. Gastrointestinal complications after cardiac surgery. Eur J Cardiothorac Surg. 1996;10:763-7.
Simic O, Strathausen S, Geidel S, et al. Abdominal complications following cardiac surgery. Acta Med Croatica. 1997;51:191-6.
Hashemzadeh K, Hashemzadeh S. Predictors and outcome of gastrointestinal complications after cardiac surgery. Minerva Chir. 2012;67:327-35.
Gonzalez OA, Orozco MA, Barrera ZL, et al. Abdominal complications after cardiopulmonary procedures. Rev Gastroenterol Mex 1999; 64: 61–9.
Hessel EA. Abdominal organ injury after cardiac surgery. Semin Cardiothorac Vasc Anesth. 2004;8:243-63.
Takala J. Determinants of splanchnic blood flow. Br J Anaesth. 1996;77:50-8.
Ackland G, Grocott MP, Mythen MG. Understanding gastrointestinal perfusion in critical care: So near, and yet so far. Crit Care. 2000;4:269-81.
Sever K, Ozbek C, Goktas B, et al. Gastrointestinal complications after open heart surgery: Incidence and determinants of risk factors. Angiology. 2014;65:425-9
Emmiler M, Yaveri A, Kocogulari CU, et al. A. Gastrointestinal ischemia related mortality in patients undergoing off- or on- pump coronary artery bypass grafting. Heart Surg Forum 2009 Apr; 12(2):E79-8
Croome KP, Kiaii B, Fox S, et al. Comparison of gastrointestinal complications in on-pump versus off-pump coronary bypass grafting. Can J Surg. 2009;52:125-8.
Poirier B, Baillot R, Bauset R, et al. Abdominal complications associated with cardiac surgery. Review of a contemporary surgical experience and of a series done without extracorporeal circulation. Can J Surg. 2003;46:176-82
Bolcal C, Iyem H, Sargin M, et al. Gastrointestinal complications after cardiopulmonary bypass: Sixteen years of experience. Can J Gastroenterol. 2005;19:613-7.
Filsoufi F, Rahmanian PB, Castillo JG, et al. Predictors and outcome of gastrointestinal complications in patients undergoing cardiac surgery. Ann Surg. 2007;246:323-9
Zacharias A, Schwann TA, Parenteau GL, et al. Predictors of gastrointestinal complications in cardiac surgery. Tex Heart Inst J. 2000;27:93-
Kazui T, Yamasaki M, Abe K, et al. Non- obstructive mesenteric ischemia: a potentially lethal complication after cardiovascular surgery: report of two cases. Ann Thorac Cardiovasc Surg. 2012;18:56-60.
Schoots IG, Koffeman GI, Legemate DA, et al. Systematic review of survival after acute mesenteric ischaemia according to disease aetiology. Br J Surg. 2004;91:17-27
Raman JS, Kochi K, Morimatsu H, et al. Severe ischemic early liver injury after cardiac surgery. Ann Thorac Surg. 2002;74:1601-6.
Seeto RK, Fenn B, Rockey DC. Ischemic hepatitis: Clinical presentation and pathogenesis. Am J Med. 2000;1:109-13.
Sakurai T, Ichimiya H, Miyazaki H, et al. Profiling of eicosanoids in inflamed gall bladder wall by gas chromatography with selected-ion monitoring. J Chromatogr. 1991;15:571
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