| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 52, 826-831, Copyright © 1991 by The Society of Thoracic Surgeons
SK Ohri, JB Desai, JA Gaer, JB Roussak, M Hashemi, PL Smith and KM Taylor
Thirty-three intraabdominal complications occurred in 27 patients over a
16-year period in 4,629 patients who underwent cardiopulmonary bypass
(0.58% incidence). The mortality was 14.8% for the intraabdominal
complication group compared with 3.4% for the control group of patients (p
less than 0.01). The most common complication was gastrointestinal
hemorrhage (n = 20), of which esophagitis (n = 6) was the most common
cause. However, patients with duodenal ulcer (n = 4) had the highest
mortality; 2 patients who underwent truncal vagotomy and pyloroplasty
subsequently died. Two further patients underwent operation for perforated
anterior duodenal ulcers without further morbidity. Cholecystitis developed
in 5 patients and acute pancreatitis in 4; all were managed nonoperatively
with no mortality. Multisystem organ failure developed in 2 patients, of
whom 1 died. There was a significant correlation between intraabdominal
complications and prolonged bypass time. The mean bypass time was 96.7 +/-
28.6 minutes for the patients with gastrointestinal complications, compared
with 81.7 +/- 48.4 minutes for the whole group (p less than 0.01). No
correlation was demonstrated for type of operation undergone or the age of
the patient. In the last 5 years, 2,145 patients underwent cardiopulmonary
bypass, of whom 562 received pulsatile and 1,583 nonpulsatile flow. The
incidence of intraabdominal complications was 0.18% (n = 1) in the
pulsatile group compared with 0.63% (n = 10) for the nonpulsatile group (p
= 0.14). Intraabdominal complications, although of low incidence, carry a
significantly high mortality, and the clinician must be alert in the
postoperative period to institute early therapy.
ARTICLES
Intraabdominal complications after cardiopulmonary bypass
Department of Cardiothoracic Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London, England.
This article has been cited by other articles:
|
|
 |
|
  J. W. Hammon Extracorporeal Circulation: Perfusion System Card. Surg. Adult, January 1, 2008; 3(2008): 350 - 370. [Full Text]
|
|
|
|
 |
|
 V. Kosmoliaptsis, V. Singhal, A. Vohrah, and W. Dimitri Selective embolotherapy as a treatment option for lower gastrointestinal haemorrhage following open-heart surgery Interactive CardioVascular and Thoracic Surgery, August 1, 2007; 6(4): 558 - 560. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Passage, P. Joshi, and D. V. Mullany Acute Cholecystitis Complicating Cardiac Surgery: Case Series Involving More Than 16,000 Patients Ann. Thorac. Surg., March 1, 2007; 83(3): 1096 - 1101. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Goritz, H. Schelkle, J.-G. Rein, and S. Urbanek Dynamic bubble trap can replace an arterial filter during cardiopulmonary bypass surgery Perfusion, November 1, 2006; 21(6): 367 - 371. [Abstract] [PDF]
|
|
|
|
|
|
S. K Ohri and T. Velissaris Gastrointestinal Dysfunction Following Cardiac Surgery Perfusion, July 1, 2006; 21(4): 215 - 223. [PDF]
|
|
|
|
 |
|
 N. Chaudhuri, J. James, A. Sheikh, A. D. Grayson, and B. M. Fabri Intestinal ischaemia following cardiac surgery: a multivariate risk model. Eur. J. Cardiothorac. Surg., June 1, 2006; 29(6): 971 - 977. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Thomasset, S. L. Ong, and S. R. Large Post-Coronary Artery Bypass Graft Liver Failure: A Possible Association With Leflunomide Ann. Thorac. Surg., February 1, 2005; 79(2): 698 - 699. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Hasan, C. Ratnatunga, C.T. Lewis, and R. Pillai Gut ischaemia following cardiac surgery Interactive CardioVascular and Thoracic Surgery, September 1, 2004; 3(3): 475 - 478. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. A. Hessel II Abdominal Organ Injury After Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2004; 8(3): 243 - 263. [Abstract] [PDF]
|
|
|
|
 |
|
 S. Ishikawa, T. Koyano, T. Takahashi, Y. Sato, Y. Hasegawa, S. Ohki, K. Oshima, S. Oki, F. Kunimoto, and Y. Morishita What Influences the Results in Critical Patients After Cardiovascular Surgery? Asian Cardiovasc Thorac Ann, September 1, 2004; 12(3): 250 - 253. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. E. McSweeney, S. Garwood, J. Levin, M. R. Marino, S. X. Wang, D. Kardatzke, D. T. Mangano, and R. L. Wolman Adverse Gastrointestinal Complications After Cardiopulmonary Bypass: Can Outcome Be Predicted from Preoperative Risk Factors? Anesth. Analg., June 1, 2004; 98(6): 1610 - 1617. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Sanisoglu, M. Guden, Z. Bayramoglu, E. Sagbas, C. Dibekoglu, S. Y. Sanisoglu, and B. Akpinar Does off-pump CABG reduce gastrointestinal complications? Ann. Thorac. Surg., February 1, 2004; 77(2): 619 - 625. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Velissaris, A. Tang, M. Murray, A. El-Minshawy, D. Hett, and S. Ohri A prospective randomized study to evaluate splanchnic hypoxia during beating-heart and conventional coronary revascularization Eur. J. Cardiothorac. Surg., June 1, 2003; 23(6): 917 - 924. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Hessel II and L. H. Edmunds Jr. Extracorporeal Circulation: Perfusion Systems Card. Surg. Adult, January 1, 2003; 2(2003): 317 - 338. [Full Text]
|
|
|
|
|
|
R.V. Venkateswaran, S.C. Charman, M. Goddard, and S.R. Large Lethal mesenteric ischaemia after cardiopulmonary bypass: a common complication? Eur. J. Cardiothorac. Surg., October 1, 2002; 22(4): 534 - 538. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. D. Sivak Liberation From Mechanical Ventilation Following Heart Surgery Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2002; 6(3): 203 - 217. [Abstract] [PDF]
|
|
|
|
|
|
S. Wan, A. A Arifi, C. S. Chan, C. S. Ng, I. Y. Wan, T. W. Lee, and A. P. Yim Is Hyperamylasemia After Cardiac Surgery Due to Cardiopulmonary Bypass? Asian Cardiovasc Thorac Ann, June 1, 2002; 10(2): 115 - 118. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Ghosh, N. Roberts, R.K. Firmin, J. Jameson, and T.J. Spyt Risk factors for intestinal ischaemia in cardiac surgical patients Eur. J. Cardiothorac. Surg., March 1, 2002; 21(3): 411 - 416. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Asimakopoulos Mechanisms of the systemic inflammatory response Perfusion, July 1, 1999; 14(4): 269 - 277. [PDF]
|
|
|
|
|
|
E. Silistreli, H. Catalyurek, N. Sariosmanoglu, U. Acikel, E. Hazan, and O. Oto Effects on the Endocrine System of Pulsatile and Nonpulsatile Perfusion in Heart Surgery Asian Cardiovasc Thorac Ann, March 1, 1999; 7(1): 18 - 22. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. A. Stchepinsky, Y. V. Theodose, J.-P. D. Huisman, Y. M. Gaultier, and H. C. Maas Prevention of gastrointestinal bleeding after a cardiac operation Ann. Thorac. Surg., July 1, 1998; 66(1): 306 - 307. [Full Text] [PDF]
|
|
|
|
|
|
A. Hamulu, Y. Atay, T. Ya'gdi, B. Discigil, T. Bakalim, S. Buket, and O. Bilkay Effects of flow types in cardiopulmonary bypass on gastric intramucosal pH Perfusion, March 1, 1998; 13(2): 129 - 135. [Abstract] [PDF]
|
|
|
|
|
|
J. T. Christenson, P. Badel, F. Simonet, and M. Schmuziger Preoperative Intraaortic Balloon Pump Enhances Cardiac Performance and Improves the Outcome of Redo CABG Ann. Thorac. Surg., November 1, 1997; 64(5): 1237 - 1244. [Abstract] [Full Text]
|
|
|
|
 |
|
 F. Castro, L. P. Caccamo, K. J. Carter, B. A. Erickson, W. Johnson, E. Kessler, N. P. Ritchey, and C. A. Ruiz Sequential Test Selection in the Analysis of Abdominal Pain Med Decis Making, June 1, 1996; 16(2): 178 - 183. [Abstract] [PDF]
|
|
|
|
|
|
S. K Ohri Systemic inflammatory response and the splanchnic bed in cardiopulmonary bypass Perfusion, May 1, 1996; 11(3): 200 - 212. [PDF]
|
|
|
|
|
|
M. Miyama, W. C. Dihmis, P. H. Deleuze, Y. Uozaki, S. L. Bambang, F. Pasteau, N. Rostaqui, and D. Y. Loisance The Gastrointestinal Tract: An Underestimated Organ as Demonstrated in an Experimental LVAD Pig Model Ann. Thorac. Surg., March 1, 1996; 61(3): 817 - 822. [Abstract] [Full Text]
|
|
|
|
|
|
T. W. Prendergast, A. E. Ortega, V. A. Starnes, T. M. Klein, and M. L. Barr Safe Application of Diagnostic Laparoscopy During Biventricular Assistance Ann. Thorac. Surg., February 1, 1996; 61(2): 735 - 737. [Abstract] [Full Text]
|
|
|
|
 |
|
 K. Fukae, R. Tominaga, S. Tokunaga, Y. Kawachi, T. Imaizumi, and H. Yasui THE EFFECTS OF PULSATILE AND NONPULSATILE SYSTEMIC PERFUSION ON RENAL SYMPATHETIC NERVE ACTIVITY IN ANESTHETIZED DOGS J. Thorac. Cardiovasc. Surg., February 1, 1996; 111(2): 478 - 484. [Abstract] [Full Text]
|
|
|
|
|
|
M. J. Ott, T. G. Buchman, and W. A. Baumgartner Postoperative Abdominal Complications in Cardiopulmonary Bypass Patients: A Case-Controlled Study Ann. Thorac. Surg., May 1, 1995; 59(5): 1210 - 1213. [Abstract] [Full Text]
|
|
|
|
|
|
J. T. Christenson, M. Schmuziger, J. Maurice, F. Simonet, and V. Velebit Gastrointestinal complications after coronary artery bypass grafting J. Thorac. Cardiovasc. Surg., November 1, 1994; 108(5): 899 - 906. [Abstract] [Full Text]
|
|
|
|
|
|
S. Watarida, A. Mori, M. Onoe, R. Tabata, S. Shiraishi, T. Sugita, T. Nojima, Y. Nakajima, and S. Matsuno A clinical study on the effects of pulsatile cardiopulmonary bypass on the blood endotoxin levels J. Thorac. Cardiovasc. Surg., October 1, 1994; 108(4): 620 - 625. [Abstract] [Full Text]
|
|
|
|
|
|
S.K. Ohri, C.T. Bowles, A. Siddiqui, A. Khaghani, B.E. Keogh, G. Wright, M.H. Yacoub, and K.M. Taylor The effect of cardiopulmonary bypass on gastric and colonic mucosal perfusion: a tonometric assessment Perfusion, March 1, 1994; 9(2): 101 - 108. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
