Visceral ischemia after cardiopulmonary bypass.

摘要: The diagnosis and management of gastrointestinal complications associated with cardiopulmonary bypass is often hindered by a complicated clinical picture equivocal examination. To better define the incidence, risk factors, mortality, we reviewed records all patients undergoing from 1988 through 1996. database for this study comprised 14,521 who underwent cardiac surgery. (543) were identified, those major (166) individually reviewed. Major included pancreatitis, gastritis, laparotomy, gastric ulcer, cholecystitis, colonic perforation, bleeding, diverticulitis, bowel obstruction, visceral ischemia. Our results following. 1) Gastrointestinal noted in 3.7 per cent occurring 1.2 cent. In 166 patients, 187 noted. 2) Visceral ischemia, an infrequent but usually fatal (71%) complication, occurred 24 (0.17%). 3) Of ischemic events, 83 (20 24) affected bowel; colon involved 80 time (16 20). 4) Patients ischemia more likely to be female (relative 2.1), have longer pump times (92.2 versus 74.2), procedures other than coronary artery graft 2.6), end-stage renal disease 16.7). We conclude that, given incidence mortality related especially colon, factors (end-stage disease, sex, non-coronary graft, times) should undergo routine endoscopic examination early after when clinically indicated thereafter.