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Related Experiment Videos

Gastrointestinal problems in the chronically critically ill patient.

S G Sheth1, J T LaMont

  • 1Haryard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

Clinics in Chest Medicine
|April 24, 2001
PubMed
Summary

Gastrointestinal issues are common in critically ill patients, often stemming from systemic illness. Delayed diagnosis of these nonclassic symptoms increases patient morbidity and mortality.

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Area of Science:

  • Critical care medicine
  • Gastroenterology
  • Internal medicine

Background:

  • Critically ill patients frequently develop gastrointestinal (GI) complications.
  • These GI issues often arise secondary to the primary systemic illness and its management.
  • The presentation of GI problems in this population can be atypical.

Purpose of the Study:

  • To review the spectrum of gastrointestinal processes in chronically critically ill patients.
  • To highlight the challenges in diagnosing GI conditions in this demographic.
  • To emphasize the impact of delayed diagnosis on patient outcomes.

Main Methods:

  • This is a review/summary of existing knowledge.
  • Analysis of clinical presentations and diagnostic delays.

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  • Discussion of consequences on morbidity and mortality.

    • Main Results:

    • A wide range of gastrointestinal complications occur in the chronically critically ill.
    • Clinical signs are often non-specific, mimicking other conditions.
    • Significant delays in diagnosis are common.

    Conclusions:

    • Gastrointestinal dysfunction is a significant concern in chronically critically ill patients.
    • Early recognition and timely diagnosis are crucial for improving outcomes.
    • Addressing GI issues promptly can reduce morbidity and mortality.