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Gastrointestinal complications after cardiac surgery
Gastrointestinal complications after cardiac surgery are relatively rare entities but carry a high mortality. We identified over 70 articles written since 2010 using the PubMed database. We included 40 in our review. The most common complications include paralytic ileus, gastrointestinal bleeding, a...
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Published in: | Trauma surgery & acute care open 2024-04, Vol.9 (1), p.e001324-e001324 |
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description | Gastrointestinal complications after cardiac surgery are relatively rare entities but carry a high mortality. We identified over 70 articles written since 2010 using the PubMed database. We included 40 in our review. The most common complications include paralytic ileus, gastrointestinal bleeding, and bowel ischemia. Patients who undergo cardiac procedures are at risk for poor perfusion of the gastrointestinal tract and, thus, at risk for resulting complications. Risk factors for these complications include peri-operative use of vasopressors, prolonged operative time, and the time of cardiopulmonary bypass. Presentation of gastrointestinal complications tends to differ as patients after open heart surgery can remain intubated, and exams can be limited. Early recognition and aggressive therapy are paramount. We aim to provide a review that will help the reader get familiar with the most common gastrointestinal complications that can negatively affect outcomes after cardiac surgery. |
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We identified over 70 articles written since 2010 using the PubMed database. We included 40 in our review. The most common complications include paralytic ileus, gastrointestinal bleeding, and bowel ischemia. Patients who undergo cardiac procedures are at risk for poor perfusion of the gastrointestinal tract and, thus, at risk for resulting complications. Risk factors for these complications include peri-operative use of vasopressors, prolonged operative time, and the time of cardiopulmonary bypass. Presentation of gastrointestinal complications tends to differ as patients after open heart surgery can remain intubated, and exams can be limited. Early recognition and aggressive therapy are paramount. We aim to provide a review that will help the reader get familiar with the most common gastrointestinal complications that can negatively affect outcomes after cardiac surgery.</description><identifier>ISSN: 2397-5776</identifier><identifier>EISSN: 2397-5776</identifier><identifier>DOI: 10.1136/tsaco-2023-001324</identifier><identifier>PMID: 38616788</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Abdomen ; acute cholecystitis ; Antibiotics ; cardiac surgery ; Case reports ; Cholecystectomy ; Diverticulitis ; Gallbladder diseases ; gastrointestinal complications ; Heart surgery ; Ischemia ; Mortality ; Pain ; Pancreatitis ; Patients ; Review ; Risk factors ; Ulcers</subject><ispartof>Trauma surgery & acute care open, 2024-04, Vol.9 (1), p.e001324-e001324</ispartof><rights>Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2024 Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . 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Damle, Sameer ; Sellke, Frank William ; Robich, Michael Phillip</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b476t-c67b0a10286ef2cd5d607ddbe1b6d444fad46bdc3654d3663bc727ead29006343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdomen</topic><topic>acute cholecystitis</topic><topic>Antibiotics</topic><topic>cardiac surgery</topic><topic>Case reports</topic><topic>Cholecystectomy</topic><topic>Diverticulitis</topic><topic>Gallbladder diseases</topic><topic>gastrointestinal complications</topic><topic>Heart surgery</topic><topic>Ischemia</topic><topic>Mortality</topic><topic>Pain</topic><topic>Pancreatitis</topic><topic>Patients</topic><topic>Review</topic><topic>Risk factors</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwarzova, Klara</creatorcontrib><creatorcontrib>Damle, Sameer</creatorcontrib><creatorcontrib>Sellke, Frank William</creatorcontrib><creatorcontrib>Robich, Michael Phillip</creatorcontrib><collection>British Medical Journal Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>DOAJÂ Directory of Open Access Journals</collection><jtitle>Trauma surgery & acute care open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwarzova, Klara</au><au>Damle, Sameer</au><au>Sellke, Frank William</au><au>Robich, Michael Phillip</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gastrointestinal complications after cardiac surgery</atitle><jtitle>Trauma surgery & acute care open</jtitle><stitle>Trauma Surg Acute Care Open</stitle><addtitle>Trauma Surg Acute Care Open</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>9</volume><issue>1</issue><spage>e001324</spage><epage>e001324</epage><pages>e001324-e001324</pages><issn>2397-5776</issn><eissn>2397-5776</eissn><abstract>Gastrointestinal complications after cardiac surgery are relatively rare entities but carry a high mortality. 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subjects | Abdomen acute cholecystitis Antibiotics cardiac surgery Case reports Cholecystectomy Diverticulitis Gallbladder diseases gastrointestinal complications Heart surgery Ischemia Mortality Pain Pancreatitis Patients Review Risk factors Ulcers |
title | Gastrointestinal complications after cardiac surgery |
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