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[Gastrontestinal hemorrhage following thoracic surgery].

O Durić, R Tvrtković, M Budalica

    Acta Chirurgica Iugoslavica
    |January 1, 1976
    PubMed
    Summary

    Hemorrhaging stress ulcers occurred in 8 of 200 patients after thoracotomies, often linked to hypoxia. Early conservative treatment is recommended, with surgery for persistent cases.

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    Area of Science:

    • Thoracic Surgery
    • Gastroenterology
    • Critical Care Medicine

    Background:

    • Hemorrhaging stress ulcers are a serious complication following thoracic surgery.
    • Understanding the factors contributing to their development is crucial for patient outcomes.

    Purpose of the Study:

    • To analyze the incidence, causes, diagnosis, and treatment of hemorrhaging stress ulcers in patients undergoing thoracotomy.
    • To identify pre-operative, intra-operative, and post-operative factors associated with this complication.

    Main Methods:

    • Retrospective review of 200 patients who underwent thoracotomy.
    • Detailed analysis of eight cases who developed hemorrhaging stress ulcers.
    • Review of patient history, operative procedures, complications, and treatment outcomes.

    Main Results:

    • Eight out of 200 patients (4%) developed hemorrhaging stress ulcers post-thoracotomy.
    • Hypoxia was identified as a primary contributing factor.
    • Bleeding occurred between 3 and 30 days post-operatively.
    • Conservative treatment was used in six patients, with four fatalities; two patients treated with reoperation were cured.

    Conclusions:

    • Hemorrhaging stress ulcers following thoracic surgery are often linked to hypoxia and a chain of events starting pre-operatively.
    • Early recognition and conservative management are advised.
    • Surgical intervention, including suture, vagotomy, and pyloroplasty, is indicated for refractory cases.

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