Clinical analysis of gastrointestinal bleeding after cardiac surgery

To explore early diagnosis, treatment and prevention of gastrointestinal (GI) bleeding after cardiac surgery. In the last 13 years, cases complicated with GI bleeding after cardiac surgeries were analyzed retrospectively. Fourty-four GI bleeding occurred post-operatively in (6 +/- 3) d. The mortalit...

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Published inChung-hua wai kʿo tsa chih Vol. 43; no. 10; p. 650
Main Authors Guo, Hui-ming, Wu, Ruo-bin, Yang, Hong-wei, Zheng, Shao-yi, Fan, Rui-xin, Lu, Cong, Zhang, Jing-fang
Format Journal Article
LanguageChinese
Published China 15.05.2005
Subjects
Adult
Aged
Cardiac Surgical Procedures - adverse effects
Early Diagnosis
Female
Gastrointestinal Hemorrhage - diagnosis
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - mortality
Gastrointestinal Hemorrhage - therapy
Humans
Male
Middle Aged
Postoperative Complications
Retrospective Studies
Risk Factors
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Summary:To explore early diagnosis, treatment and prevention of gastrointestinal (GI) bleeding after cardiac surgery. In the last 13 years, cases complicated with GI bleeding after cardiac surgeries were analyzed retrospectively. Fourty-four GI bleeding occurred post-operatively in (6 +/- 3) d. The mortality was 23% (10/44). Thirty-eight were located in upper GI tract, of them 26 underwent conservative therapy while 4 died of other than GI bleeding cause; six underwent laparotomy while 1 and 3 died of septicemia and multi-organ failure respectively; six underwent gastric endoscopic hemostasis by electrocautery or clipping the bleeding vessel while all survived. Six were located in lower GI tract, and 2 of them underwent laparotomy without finding bleeding section and died of multi-organ failure. By multivariable logistic regression analysis, deaths were highly related to the post-operative ventilator-dependence, acute renal insufficiency, intra-aortic balloon pump (IABP) assisting and laparotomy. The mortality of GI
ISSN:0529-5815