Upper gastrointestinal bleeding following open heart surgery : predominant finding of aggressive duodenal ulcer disease

We reviewed our experience with endoscopically evaluated severe upper gastrointestinal hemorrhage following open heart surgery. Of 4892 patients undergoing open heart surgery, 18 (0.4%) sustained upper gastrointestinal hemorrhage requiring endoscopic evaluation. Endoscopy identified the source of bl...

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Bibliographic Details
Published in:Digestive diseases and sciences 1991-06, Vol.36 (6), p.757-760
Main Authors: LEBOVICS, E, LEE, S. S, DWORKIN, B. M, HEIER, S. K, CASELLAS, A, REED, G, ROSENTHAL, W. S
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Cardiac Surgical Procedures
Duodenal Ulcer - complications
Endoscopy, Digestive System
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Male
Medical sciences
Other diseases. Semiology
Peptic Ulcer Hemorrhage - complications
Peptic Ulcer Hemorrhage - diagnosis
Peptic Ulcer Hemorrhage - epidemiology
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Risk Factors
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Summary:We reviewed our experience with endoscopically evaluated severe upper gastrointestinal hemorrhage following open heart surgery. Of 4892 patients undergoing open heart surgery, 18 (0.4%) sustained upper gastrointestinal hemorrhage requiring endoscopic evaluation. Endoscopy identified the source of bleeding in all cases. No significant complications of endoscopy were observed. Duodenal ulcers (DUs) were found in 16 (89%) of cases and were felt to be the source of bleeding in 15 (83%). Aggressive features, such as multiplicity, large size, or distal location were associated with 13 (81%) of the DU cases. Complications necessitated endoscopic or surgical therapy in eight (44%) patients with DUs. We conclude that aggressive DU disease accounts for the majority of severe upper gastrointestinal bleeding following open heart surgery.
ISSN:0163-2116
1573-2568
DOI:10.1007/BF01311233