E-ISSN: 2651-3153
The Risk Factors in the Development of Gastrointestinal Complications in Coronary Artery Surgery
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Original Article
VOLUME: 30 ISSUE: 3
P: 153-157
December 2014

The Risk Factors in the Development of Gastrointestinal Complications in Coronary Artery Surgery

Eur Arc Med Res 2014;30(3):153-157
DOI: 10.5222/otd.2014.153
Türkan Kudsioğlu 1
Gökçen Orhan 2
Murat Sargın 2
Murat Acarel 1
Müge Taşdemir Mete 2
Murat Baştopçu 2
Nihan Yapıcı 1
Serap Aykut Aka 2
1. S.B. Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Merkezi Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği
2. S.B. Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Merkezi Eğitim ve Araştırma Hastanesi, Kardiyovasküler Cerrahi Kliniği
No information available.
No information available
Received Date: 25.06.2014
Accepted Date: 18.08.2014
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ABSTRACT

Objective:

Gastrointestinal complications in coronary artery surgery are rare but highly mortal. Preoperative factors, co-morbidities and the effects of cardiopulmonary bypass result in various pathologies concerning gastrointestinal system complications. In this retrospective study we aimed to determine the risk factors for gastrointestinal system complications by evaluating preoperative factors, perioperative and postoperative clinical data of patients who underwent coronary artery surgery.

Material and Methods:

Preoperative factors, perioperative and postoperative clinical data of 1212 consecutive patients who underwent coronary artery surgery in Dr. Siyami Ersek Hospital between January 2012 and July 2013 were studied with the approval of the hospital’s education and scientific board.

Results:

The group with gastrointestinal system complications was older, had chronic renal and cardiac failure. Postoperative acute renal failure was found to be the most significant risk factor. (OR: 6.1, % 95 CI 3.6-8.7). Peripheral artery disease was an especially significant risk factor in patients who developed mesenteric ischemia (OR: 3.9, % 95 CI 2.6-6.9).

Conclusion:

Mortality and morbidity can be reduced in patients under risk for all gastrointestinal system complications, especially mesenteric ischemia, with close monitoring, early diagnosis and treatment.