The incidence of gastrointestinal symptoms in cardiac surgery patients through six weeks after discharge

Efficacy of a Proton Pump Inhibitor Given in the Early Postoperative Period to Relieve Symptoms of Hiatal Hernia After Open Heart Surgery

“…Grap et al reported that more than 50% of patients undergoing cardiac surgery consequently suffered upper GI symptoms, such as poor appetite or nausea, during hospitalization. 1 They also stated that these symptoms were associated with some degree of depression. All of our patients with upper GI symptoms underwent GFS to ascertain which upper GI disorders were causing their symptoms, al- though no information was available on the incidence of depression in this study.…”

“…1 Prophylactic treatment with Histamine2 (H2)-receptor antagonists or proton pump inhibitors (PPIs) soon after open heart surgery has recently shown success in alleviating these symptoms to some degree with time. However, the incidence of GI diseases and the efficacy of prophylactic treatment with H2-receptor antagonist or PPI in such patients have not been assessed directly by gastric fiberscopy (GFS).…”

Post-operative nausea and vomiting in the cardiac surgery population: Who is at risk?

“…2,18,19 Patients experiencing PONV may also have inadequate absorption of per os medications (e.g., beta blockers, diuretics, analgesics), which, in turn may lead to complications such as increased rates of peri-operative dysrhythmias, fluid volume overload, and uncontrolled pain. 20 In a prospective study of gastrointestinal (GI) symptoms in cardiac surgery patients (N ¼ 122), Grap et al 10 found that nausea was the most distressing GI symptom reported during patients' hospital stay. Furthermore, PONV may impact on the patient's willingness and ability to participate effectively in their postoperative recovery (e.g., ambulating, deep breathing and coughing, dietary and fluid intake).…”

Predictors of health care needs in discharged patients who have undergone coronary artery bypass graft surgery

“…[2][3][4][5] In addition to the physiologic problems, patients in the first days after surgery are susceptible to negative emotions, such as anxiety, depression, and anger because they must adjust to the physical, psychologic, and social changes in their life and learn to carry out postsurgery self-care. Because of the advances in medicine, surgery, and anesthesia, the survival of patients undergoing CABG has greatly increased 6 .…”