Hémorragies digestives hautes après chirurgie cardiaque

Houssa, Mahdi Ait; Selkane, C.; Allah, Y. Moutaki; Elbekkali, Youssef; Amahzoune, Brahim; Wahid, F.; Abdou, A.; Bamouss, M.; Boulahya, A.; Elkirat, A.; Drissi, M.; Ibat, D.; Jabrani, K

doi:10.1016/j.ancard.2007.02.002

Cited by 8 publications

(5 citation statements)

References 17 publications

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“…Stress ulceration and upper gastrointestinal haemorrhage (UGH) among patients who have undergone cardiac surgery have been reported to occur with a frequency varying from 0.35% to 0.9% [7][8][9][10]. Aljarallah [11] has reported a frequency of 0.4% in post coronary artery bypass graft; he found that it was most frequently related to a duodenal ulcer.…”

Section: Incidence-epidemiologymentioning

confidence: 99%

“…Previous studies have reported that the acute peptic ulcer after cardiac surgery complicated by upper gastrointestinal bleeding was associated with a mortality rate ranging from 1% to 22% [7][8][9].…”

Section: Incidence-epidemiologymentioning

confidence: 99%

“…The onset of symptoms is not necessarily immediately after surgery, but may develop after a delay of several days. The mean time point of onset of gastro duodenal ulceration was 9 -13 days after the bypass surgery [9,27,40]. Rey [2] noted tow peaks of bleeding after surgery.…”

Section: Clinical Featurementioning

confidence: 99%

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Stress gastric ulcer after cardiac surgery: Pathogenesis risk factors and medical management

Houssa¹,

Atmani²,

Nya³

et al. 2013

WJCD

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Stress ulcer lesions of upper gastrointestinal tract are well recognized in patients undergoing open cardiac surgery. Gastrointestinal bleeding following cardiac surgery is infrequent with significant morbidity and mortality. The pathogenesis of mucosal lesions and subsequent haemorrhage is complex and multifactorial. The diagnosis as well as the treatment of this complication remains a challenge for surgeons. Identifying the source of bleeding can be difficult. Despite of the successful control of haemorrhage using various combinations of endoscopic and pharmacological therapies, the mortality rate remains unchanged. Benefit of routine stress ulcer prophylaxis remains controversial.

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Section: Incidence-epidemiologymentioning

confidence: 99%

Section: Incidence-epidemiologymentioning

confidence: 99%

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Stress gastric ulcer after cardiac surgery: Pathogenesis risk factors and medical management

Houssa¹,

Atmani²,

Nya³

et al. 2013

WJCD

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“…The incidence of GI complications fallowed cardiac surgery was approximately 1%-5.5% [10,11]. Furthermore, the frequency of the stress ulceration was reported to be approximately 0.35%-0.9%, as well as the mortality rate due to acute peptic ulcers after cardiac surgery ranged from 1% to 22% [12][13][14][15][16][17]. Therefore, it is reasonable to prescribe prophylactic treatment for upper GI diseases in these patients.…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics of Intravenous Pantoprazole Consumption in Cardiac Intensive Care Unit

Eslami

Karimpour-Razkenari

Sharifi³

et al. 2021

PBR

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Background: Proton Pump Inhibitors (PPIs) are the most common medicine for the treatment and prophylaxis of acid peptic conditions. The inappropriate use of the PPIs, mainly the intravenous form of pantoprazole may lead to excessive cost and unexpected adverse effects. Objectives: The present study aimed to evaluate the use of intravenous pantoprazole in the International Heart Center in the north of Iran. Methods: The current retrospective study was performed on 215 patients hospitalized in Fatemeh Zahra Hospital in Sari City, Iran. Patients’ demographics, the type and doses of pantoprazole, and other relevant clinical data were recorded from their documentation. The appropriate use of pantoprazole was evaluated according to recommendations provided by Medscape 2020, and UpToDate 2020. Results: Prescribing PPI was appropriate for 53.5% of the examined patients; however, the majority of intravenous prescription cases were inappropriate (76.7%). Oral PPIs could have been used in 93.5% of the cases; however, they received the parenteral form of pantoprazole. The main cause of pantoprazole prescription in the explored hospital was stress ulcer prophylaxis, with the median 4/18 days used, which internal specialists in most of the cases (45.6%) prescribed. Conclusion: In the current study, administrating intravenous pantoprazole was inappropriate in most of the cases. As a result of this improper administration, the extensive cost is exposed to the healthcare system, i.e., likely to be unsafe for patients. Accordingly, risk and indication evaluation for the prescription of pantoprazole should be a priority in each patient. Finally, it seems necessary to determine a protocol for PPI prescription per hospital for the rational use of drugs.

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“…UDB is regarded as the expression of diffuse aggression on the body in the context of a risk situation, representing 28-31% of all gastrointestinal complications (4). In this setting, ulceration is the most common manifestation.…”

mentioning

confidence: 99%

Upper digestive bleeding due to Dieulafoy's lesion during the postoperative period of aortocoronary bypass surgery in a patient treated with clopidogrel

Fernández-Sender

Martínez-Cerezo

Amorós

et al. 2010

Rev. esp. enferm. dig.

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Hémorragies digestives hautes après chirurgie cardiaque

Cited by 8 publications

References 17 publications

Stress gastric ulcer after cardiac surgery: Pathogenesis risk factors and medical management

Stress gastric ulcer after cardiac surgery: Pathogenesis risk factors and medical management

Clinical Characteristics of Intravenous Pantoprazole Consumption in Cardiac Intensive Care Unit

Upper digestive bleeding due to Dieulafoy's lesion during the postoperative period of aortocoronary bypass surgery in a patient treated with clopidogrel

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