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Titolo:
COLORECTAL COMPLICATIONS FOLLOWING CARDIAC-SURGERY - 6-YEAR EXPERIENCE
Autore:
VISSER T; BOVE P; BARKEL D; VILLALBA M; BENDICK P; GLOVER J;
Indirizzi:
WILLIAM BEAUMONT HOSP,DEPT SURG,3601 W 13 MILE RD ROYAL OAK MI 48073 WILLIAM BEAUMONT HOSP,DEPT SURG ROYAL OAK MI 48073
Titolo Testata:
Diseases of the colon & rectum
fascicolo: 11, volume: 38, anno: 1995,
pagine: 1210 - 1213
SICI:
0012-3706(1995)38:11<1210:CCFC-6>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
GENERAL SURGICAL COMPLICATIONS; CARDIOPULMONARY BYPASS-SURGERY; GASTROINTESTINAL COMPLICATIONS;
Keywords:
COLORECTAL COMPLICATIONS; COMPLICATIONS AFTER BYPASS SURGERY; COMPLICATIONS; POSTOPERATIVE COMPLICATIONS; INTESTINAL COMPLICATIONS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
T. Visser et al., "COLORECTAL COMPLICATIONS FOLLOWING CARDIAC-SURGERY - 6-YEAR EXPERIENCE", Diseases of the colon & rectum, 38(11), 1995, pp. 1210-1213

Abstract

PURPOSE: This study was undertaken to assess colorectal complicationsfollowing cardiopulmonary bypass surgery. METHOD: This is a retrospective review of 5,801 patients who underwent 5,801 cardiopulmonary bypass procedures from 1985 to 1991. Patients were evaluated for type of bypass procedure, postoperative colorectal complications, age, sex, bypass time, aortic cross-clamp time, elective vs. emergency cases, uses of intra-aortic balloon pump, perioperative hypotension, and use of vasopressors. Statistical analysis was performed using chi-squared analysis and Student's t-test. RESULTS: Nineteen of the 5,801 patients developed 19 colorectal complications, a prevalence of 0.3 percent for theinitial hospital stay following bypass surgery. Mortality in those with complications was 37 percent (7/19). Of the 19 complications, 9 (47percent) followed coronary artery bypass grafting, whereas 10 (53 percent) followed valve replacement or combined coronary artery bypass grafting with other cardiac procedures. Five (26 percent) of the complications followed emergency cases, whereas 14 (74 percent) followed elective cases. Average age of those with complications was 69.8 years, compared with 63.2 years for those without complications. Average aorticcross-clamp time for those with complications was 71 +/- 25 minutes; pump time was 106 +/- 34 minutes. That was significantly higher than in those without complications. Nine (47 percent) patients with complications required vasopressors during the perioperative period, whereas eight (42 percent) suffered prolonged hypotension (systolic blood pressure, <90 mmHg). CONCLUSIONS: It appears that increased age, valve replacement, or combined cardiac procedures, emergency procedures, and prolonged aortic cross-clamp and bypass pump times are risk factors for development of colorectal complications. Hypoperfusion, as suggested by prolonged pump times, clamp times, and emergency procedures may be apossible cause for development of colorectal complications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 07:09:12