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ISSN 2078-7170 (Electronic)

2011, Number 4

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CorSalud 2011; 3 (4)

Gastrointestinal complications found in deceased patients after cardiovascular surgery. Five years of experience

Puig RI, Martín GO, Moreno-Martínez FL, Vergara HM, Lagomasino HÁL, López BOJ

Language: Spanish
References: 32
Page: 209-215
PDF size: 229.87 Kb.


ABSTRACT

Background and Objectives: Gastrointestinal complications in heart surgery are low, between 0.4 to 2.9%; however, its diagnosis is of vital importance because it is associated with high mortality rates. An investigation was conducted to determine the frequency of these complications in those who died after cardiac surgery. Method: A retrospective study of 5 years (1999-2003) was performed in the Cardiovascular Surgery Department. Autopsy reports and medical records were analyzed to study gastrointestinal complications according to their frequency and their possible relationship to the cause of death. Results: There were a total of 57 deaths, 38.6% were valve replacements, 54.4% Coronary artery bypass grafting and 7.0% vascular prostheses. Multi-organ failure was predominant (38.6%), followed by stroke (26.3%) and shock (17.5%). 26 complications were found, of which 15 (57.7%) in deaths from multiple organ failure, 6 (23.1%) in patients with an infarct, 4 (15.4%) in the shock and 1 (3.8 %) in a dead from a pulmonary embolism. The acute hemorrhagic gastroenteropathy was the most frequent 61.6%, acute cholecystitis and pancreatitis shared 11.5%, just as mesenteric thrombosis and peptic ulcer disease with 7.7% each. Conclusions: The acute hemorrhagic gastroenteropathy was the most frequent complication. Most complications appeared in the diseased from multi-organ failure and stroke. The identification of risk factors, use of appropriate prophylaxis and the constant evaluation of these patients may help with early diagnosis and the establishment of the most successful therapy.


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