Gastrointestinal complications after cardiac surgery

Gastrointestinal complications after cardiac surgery are relatively rare entities but carry a high mortality. We identified over 70 articles written since 2010 using the PubMed database. We included 40 in our review. The most common complications include paralytic ileus, gastrointestinal bleeding, a...

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Main Authors: Klara Schwarzova, Sameer Damle, Frank William Sellke, Michael Phillip Robich
Format: Article
Language:English
Published: BMJ Publishing Group 2024-07-01
Series:Trauma Surgery & Acute Care Open
Online Access:https://tsaco.bmj.com/content/9/1/e001324.full
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author Klara Schwarzova
Sameer Damle
Frank William Sellke
Michael Phillip Robich
author_facet Klara Schwarzova
Sameer Damle
Frank William Sellke
Michael Phillip Robich
author_sort Klara Schwarzova
collection DOAJ
description Gastrointestinal complications after cardiac surgery are relatively rare entities but carry a high mortality. We identified over 70 articles written since 2010 using the PubMed database. We included 40 in our review. The most common complications include paralytic ileus, gastrointestinal bleeding, and bowel ischemia. Patients who undergo cardiac procedures are at risk for poor perfusion of the gastrointestinal tract and, thus, at risk for resulting complications. Risk factors for these complications include peri-operative use of vasopressors, prolonged operative time, and the time of cardiopulmonary bypass. Presentation of gastrointestinal complications tends to differ as patients after open heart surgery can remain intubated, and exams can be limited. Early recognition and aggressive therapy are paramount. We aim to provide a review that will help the reader get familiar with the most common gastrointestinal complications that can negatively affect outcomes after cardiac surgery.
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spelling doaj-art-acb8a3e5efd546c4a3e071d714ec1df92025-08-20T02:13:56ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762024-07-019110.1136/tsaco-2023-001324Gastrointestinal complications after cardiac surgeryKlara Schwarzova0Sameer Damle1Frank William Sellke2Michael Phillip Robich3Department of Surgery, Ascension Saint Agnes Hospital, Baltimore, Maryland, USADepartment of Surgery, Ascension Saint Agnes Hospital, Baltimore, Maryland, USADepartment of Cardiac Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USADepartment of Cardiac Surgery, Johns Hopkins Medical Institutions Campus, Baltimore, Maryland, USAGastrointestinal complications after cardiac surgery are relatively rare entities but carry a high mortality. We identified over 70 articles written since 2010 using the PubMed database. We included 40 in our review. The most common complications include paralytic ileus, gastrointestinal bleeding, and bowel ischemia. Patients who undergo cardiac procedures are at risk for poor perfusion of the gastrointestinal tract and, thus, at risk for resulting complications. Risk factors for these complications include peri-operative use of vasopressors, prolonged operative time, and the time of cardiopulmonary bypass. Presentation of gastrointestinal complications tends to differ as patients after open heart surgery can remain intubated, and exams can be limited. Early recognition and aggressive therapy are paramount. We aim to provide a review that will help the reader get familiar with the most common gastrointestinal complications that can negatively affect outcomes after cardiac surgery.https://tsaco.bmj.com/content/9/1/e001324.full
spellingShingle Klara Schwarzova
Sameer Damle
Frank William Sellke
Michael Phillip Robich
Gastrointestinal complications after cardiac surgery
Trauma Surgery & Acute Care Open
title Gastrointestinal complications after cardiac surgery
title_full Gastrointestinal complications after cardiac surgery
title_fullStr Gastrointestinal complications after cardiac surgery
title_full_unstemmed Gastrointestinal complications after cardiac surgery
title_short Gastrointestinal complications after cardiac surgery
title_sort gastrointestinal complications after cardiac surgery
url https://tsaco.bmj.com/content/9/1/e001324.full
work_keys_str_mv AT klaraschwarzova gastrointestinalcomplicationsaftercardiacsurgery
AT sameerdamle gastrointestinalcomplicationsaftercardiacsurgery
AT frankwilliamsellke gastrointestinalcomplicationsaftercardiacsurgery
AT michaelphilliprobich gastrointestinalcomplicationsaftercardiacsurgery