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Gastrointestinal complications after transperitoneal abdominal aortic surgery
Ufuk Alpagut1, Yusuf Kalko, Enver Dayioglu
1Department of Cardiovascular Surgery, University of Istanbul Medical Faculty, Istanbul, Turkey. alpagutu@usa.net
Asian Cardiovascular & Thoracic Annals
|April 15, 2003
Summary
Gastrointestinal complications after transperitoneal aortic surgery are uncommon but serious, leading to prolonged hospital stays. No specific risk factors were identified in this study.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Surgical Complications
Background:
- Transperitoneal aortic surgery for aneurysmal or occlusive disease can lead to significant gastrointestinal complications.
- These complications, though unusual, can be severe and impact patient outcomes.
Purpose of the Study:
- To retrospectively identify risk factors, associated events, and outcomes of gastrointestinal complications following transperitoneal aortic revascularization.
- To analyze the incidence and consequences of these complications over a 10-year period.
Main Methods:
- Retrospective review of 750 patients who underwent transperitoneal aortic surgery.
- Analysis of postoperative gastrointestinal complications, including type, incidence, and patient outcomes.
Main Results:
- Gastrointestinal complications occurred in 8.6% of patients (65/750).
- Common complications included paralytic ileus (35 patients), ischemic colitis/diarrhea (10 patients), and gastrointestinal bleeding (6 patients).
- Five patients died from multiorgan failure; prolonged intensive care unit and hospital stays were observed.
Conclusions:
- Gastrointestinal complications after transperitoneal aortic surgery are associated with prolonged hospitalization and potentially severe outcomes.
- No specific risk factors for these complications were identified in this patient cohort.