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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
10
|
| pubmed:dateCreated |
1994-10-27
|
| pubmed:abstractText |
Gastrointestinal complications after cardiopulmonary bypass (CPB) procedures are rare, but when they do occur, they carry a significant incidence of morbidity and mortality. Over a 5-year period spanning 1988-1992, 4923 CPB procedures were performed and 64 patients were identified who suffered a GI complication, giving an incidence of 1.3 per cent. The most frequent complications were GI bleeding (40%) and pancreatitis (34%). Other complications included acute cholecystitis (11%), perforated duodenal ulcer (8%), ischemic bowel (5%), and diverticulitis (2%). Complications occurred most frequently in patients undergoing procedures with longer pump and cross-clamp times, such as valvular and combination (CABG/valve) procedures. Redo procedures and the use of an intra-aortic balloon pump increased the risk of developing a GI complication 2.5 and 12 times, respectively. Patients were treated aggressively both medically and surgically, but suffered a higher mortality (16%) as compared to those not suffering a GI complication (3%). We conclude that GI complications after CPB procedures are infrequent but lethal. Clinical features are often subtle, and a high index of suspicion is needed for early diagnosis and aggressive treatment.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0003-1348
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
60
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
789-92
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:7944044-Adolescent,
pubmed-meshheading:7944044-Adult,
pubmed-meshheading:7944044-Aged,
pubmed-meshheading:7944044-Cardiopulmonary Bypass,
pubmed-meshheading:7944044-Case-Control Studies,
pubmed-meshheading:7944044-Child,
pubmed-meshheading:7944044-Child, Preschool,
pubmed-meshheading:7944044-Female,
pubmed-meshheading:7944044-Gastrointestinal Diseases,
pubmed-meshheading:7944044-Humans,
pubmed-meshheading:7944044-Incidence,
pubmed-meshheading:7944044-Infant,
pubmed-meshheading:7944044-Intra-Aortic Balloon Pumping,
pubmed-meshheading:7944044-Male,
pubmed-meshheading:7944044-Middle Aged,
pubmed-meshheading:7944044-Reoperation,
pubmed-meshheading:7944044-Risk Factors,
pubmed-meshheading:7944044-Time Factors
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
Gastrointestinal complications associated with cardiopulmonary bypass procedures.
|
| pubmed:affiliation |
Department of Cardiac Surgery, Kaiser Permanente Medical Center, Los Angeles, CA 90027.
|
| pubmed:publicationType |
Journal Article,
Clinical Trial,
Controlled Clinical Trial
|