GASTROINTESTINAL COMPLICATIONS AFTER CARDIAC SURGERY
Karim Sobhy Sayed;
Abstract
Gastrointestinalcomplicationsaftercardiacoperations,althoughrare,oftencarryanincreasedmortality.
Abdominalcomplicationsaftercardiacsurgeryinclude,paralyticileus,gastrointestinalhaemorrhage,gastroduodenalperforation,acuteacalcularcholecystitis,hepaticdysfunctionandischemicboweldisease,acutepancreatitisandpseudomembranouscolitis.
Althoughovertinjuryoftheintra-abdominalorgansaftercardiacsurgeryisrelativelyuncommon,whenitoccurs,itisassociatedwithahighmortalityandthusaccountsforasignificantandperhapsincreasingfractionofpostoperativedeaths.
Despitethedeteriorationoftheriskprofileofpatientspresentingforcardiacsurgery,theoverallincidenceofgastrointestinalcomplicationshasimprovedoverthelasttwodecades,whichmaybearesultofimprovementsincardiacsurgicaltechniques,anaesthesiaandintensivecare.
Acommonthemeamongthesecomplicationsisthedifficultyinmakinganearlydiagnosis.Themajorityofthesepatientsaremechanicallyventilated,requiringsedationandoftenreceivingpharmacologiccardiovascularsupport.Becauseofthesefactors,physicalexamisfrequentlyunreliableandsomeofthediagnostictools,suchasCTscans,aredifficulttoobtainduetotheinstabilityofthepatient.
Abdominalcomplicationsaftercardiacsurgeryinclude,paralyticileus,gastrointestinalhaemorrhage,gastroduodenalperforation,acuteacalcularcholecystitis,hepaticdysfunctionandischemicboweldisease,acutepancreatitisandpseudomembranouscolitis.
Althoughovertinjuryoftheintra-abdominalorgansaftercardiacsurgeryisrelativelyuncommon,whenitoccurs,itisassociatedwithahighmortalityandthusaccountsforasignificantandperhapsincreasingfractionofpostoperativedeaths.
Despitethedeteriorationoftheriskprofileofpatientspresentingforcardiacsurgery,theoverallincidenceofgastrointestinalcomplicationshasimprovedoverthelasttwodecades,whichmaybearesultofimprovementsincardiacsurgicaltechniques,anaesthesiaandintensivecare.
Acommonthemeamongthesecomplicationsisthedifficultyinmakinganearlydiagnosis.Themajorityofthesepatientsaremechanicallyventilated,requiringsedationandoftenreceivingpharmacologiccardiovascularsupport.Becauseofthesefactors,physicalexamisfrequentlyunreliableandsomeofthediagnostictools,suchasCTscans,aredifficulttoobtainduetotheinstabilityofthepatient.
Other data
| Title | GASTROINTESTINAL COMPLICATIONS AFTER CARDIAC SURGERY | Other Titles | مضاعفات الجهاز الهضمي بعد عمليات القلب المفتوح | Authors | Karim Sobhy Sayed | Issue Date | 2015 |
Attached Files
| File | Size | Format | |
|---|---|---|---|
| G11550.pdf | 794.38 kB | Adobe PDF | View/Open |
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