PMID: 15375483Sep 18, 2004Paper

Abdominal organ injury after cardiac surgery

Seminars in Cardiothoracic and Vascular Anesthesia
Eugene A Hessel

Abstract

Gastrointestinal complications occur in about 2.5% of patients undergoing cardiac surgery, are associated with a high mortality (about 33%), and account for nearly 15% (and perhaps increasing) of all postoperative deaths. The various complications and risk factors are reviewed. Splanchnic ischemia prior to, during, and especially postoperatively appears to be an important cause of these complications. In addition, splanchnic ischemia is hypothesized to be one cause of the systemic inflammatory response syndrome and multiorgan failure that may follow cardiac surgery. The physiology of splanchic perfusion and the effects of cardiac surgery, including cardiopulmonary bypass, on it are reviewed. Finally, possible methods to minimize splanchnic ischemia and reduce the incidence of abdominal complications are discussed.

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Citations

Oct 11, 2012·Journal of Cardiothoracic Surgery·Guohua DongHaiwei Wu
Dec 18, 2013·Journal of Critical Care·Florian WeisPatrick Möhnle
Sep 4, 2008·Anesthesiology Clinics·Geraldine C DiazRobert N Sladen
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Dec 26, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Geraldine C Diaz, John F Renz
Jun 18, 2017·Expert Review of Cardiovascular Therapy·Mina FaragAlexander Weymann
Aug 29, 2018·Asian Cardiovascular & Thoracic Annals·Rakan I NazerMazen Hassanain
Mar 6, 2007·Critical Care Medicine·Ludwig KramerUNKNOWN Austrian Epidemiologic Study on Intensive Care, ASDI Study Group
Aug 12, 2020·Asian Cardiovascular & Thoracic Annals·Cheryl Yan Ting ChorAmer Harky
Nov 12, 2020·World Journal of Cardiology·Dmitry Vladimirovich BelovNikolay Olegovich Arefyev
Nov 21, 2020·The Annals of Thoracic Surgery·Haytham ElgharablyGosta B Pettersson
Aug 8, 2021·Khirurgiia·V V BasylevM A Pantyukhina

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