Gastrointestinal complications after cardiac surgery: 10-year experience of a single Australian centre

Viana, Fabiano; Chen, Yi; Almeida, Aubrey; Baxter, Heather D; Cochrane, Andrew; Smith, Julian Anderson

doi:10.1111/ans.12134

Cited by 42 publications

(60 citation statements)

References 25 publications

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“…These are the main factors that lead to intestinal perforation following surgery for congenital cardiac disease in infant patients. Bowel development characteristics in infants and young children, and the effects of heart disease on intestinal canal development prior to surgery influence the occurrence of perforation (5). For such high-risk children, appropriate measures should be taken to reduce the occurrence of postoperative low cardiac output syndrome (24,25), and ensure normal blood pressure and heart rate.…”

Section: Discussionmentioning

confidence: 99%

“…Infants and children with congenital heart disease often suffer from gastrointestinal dysplasia and common postoperative abdominal complications, including peptic ulcer and gastrointestinal bleeding (4). Bowel perforation predominantly occurs on the basis of ulcer and bleeding and its incidence is 0.02-0.08% (5). However, if treatment is not administered in a time-efficient manner, mortality rates may reach 50% (6).…”

Section: Introductionmentioning

confidence: 99%

“…Symptoms of bowel perforation in the digestive system appear late and do not have clear characteristics. Once symptoms become clear, the disease has progressed; therefore the prognosis of patients is usually poor (7). Usually, perforation is secondary to bleeding and stress ulcers, and the key to treatment is dependent on early diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and treatment of postoperative intestinal perforation in infants and young children with congenital heart disease: A report of three cases

et al. 2018

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Abstract. The aim of the present study was to analyze risk factors of intestinal perforation following surgery for the treatment of congenital heart disease in infants and young children, and to summarize experiences of diagnosis and treatment. A total of 3,270 children, who underwent congenital heart disease surgery under extracorporeal circulation from January 2010 to July 2015, were retrospectively analyzed. Among these children, three (0.09%) developed postoperative intestinal perforation. Primary diseases were Tetralogy of Fallot (two cases) and ventricular septal defect combined with atrial septal defect (one case). The age range of the children was 6-11 months and the weight range was 7.3-8.6 kg. Furthermore, these children underwent radical surgery under general anesthesia and extracorporeal circulation in low temperatures. Abdominal symptoms appeared 4-10 days after surgery, and included poor appetite, abdominal distension, intermittent vomiting, high fever, refractory irritability, crying and shortness of breath. One case was confirmed by routine abdominal puncture and the remaining two were confirmed by the detection of free gas under the diaphragm, as revealed by abdominal X-ray. Following the diagnosis of intestinal perforation, emergency intestinal fistula surgery was performed. At 3-5 days post-surgery, the patients underwent treatment by fasting and intravenously administered parenteral nutrition.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diagnosis and treatment of postoperative intestinal perforation in infants and young children with congenital heart disease: A report of three cases

et al. 2018

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“…This shows uncommon GI complications after cardiac surgery but high mortality rate disregarding whether TEE is used or not. So, the related complications need to be studied more carefully when we plan to find the special contribution of TEE in this regard (28).…”

Section: Discussionmentioning

confidence: 99%

The Frequency of Dysphagia after Intraoperative Transesophageal Echocardiography in Open Cardiac Surgery

Babaei¹,

Fard²,

Ghadrdoost³

et al. 2016

Multidiscip Cardio Annal

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Objectives: The current study tries to assess the causative factors of dysphagia and omit them to find the exact contribution of TEE for this symptom among patients who suffer from elective open cardiac surgery in different age ranges in both sexes. Methods: In this observational study, 100 patients between 30-80 years of age with ASA < III and EF > 40% who were candidate for elective open cardiac surgery in a referral hospital in Tehran in 2011 were recruited. The patients were divided into two groups based on TEE performance; patients who needed to perform TEE based on medical indication were considered the case group and the other patients who did not have indication for TEE, formed the control group. Results: Total frequency of dysphagia was 13% in all patients disregarding TEE performance while 6 (12%) and 7 (14%) of controls and cases showed this symptom respectively. Odynophagia was the other symptom to be assessed for its frequency in this study and showed 13% total frequency considering all participants disregarding the groups. This symptom was reported exactly similar to dysphagia which was 6 (12%) in controls and 7 (14%) in cases. The participants' gender was not effective on the distribution of dysphagia where 6 (11.3%) females and 7 (14.9%) males were involved with no significant difference. Conclusions: Intraoperative trans-esophageal echocardiography during cardiac surgeries has greater usefulness than complications and is worth using in this case as well.

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“…Gastrointestinal complications occur in around 1% of cardiothoracic operations 1. Of those presenting with discomfort and bloating, ileus or pseudo-obstruction are the most common 1.…”

Section: Descriptionmentioning

confidence: 99%

Caecal volvulus after cardiac surgery

Müller

2014

BMJ Case Reports

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Gastrointestinal complications after cardiac surgery: 10-year experience of a single Australian centre

Cited by 42 publications

References 25 publications

Diagnosis and treatment of postoperative intestinal perforation in infants and young children with congenital heart disease: A report of three cases

Diagnosis and treatment of postoperative intestinal perforation in infants and young children with congenital heart disease: A report of three cases

The Frequency of Dysphagia after Intraoperative Transesophageal Echocardiography in Open Cardiac Surgery

Caecal volvulus after cardiac surgery

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