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Published on: September 15, 2023

Gastrointestinal complications in patients undergoing coronary artery bypass grafting

Kazunori Yoshida1, Masahiko Matsumoto, Takaaki Sugita

  • 1Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|March 25, 2005
PubMed

Insights

Gastrointestinal complications after coronary artery bypass grafting (CABG) are rare but serious. Advanced age, diabetes, cerebrovascular disease, renal failure, and low output syndrome predict these dangerous complications.

Area of Science:

  • Cardiovascular Surgery
  • Gastroenterology
  • Critical Care Medicine

Background:

  • Gastrointestinal complications (GICs) following coronary artery bypass grafting (CABG) are infrequent but linked to significant mortality and morbidity.
  • These complications include gastroduodenal ulcers, enterocolitis, and ischemic colitis.

Purpose of the Study:

  • To identify risk factors associated with GICs after CABG.
  • To investigate the outcomes of patients experiencing GICs post-CABG.

Main Methods:

  • Retrospective analysis of 17 patients who developed GICs after CABG with cardiopulmonary bypass between 1992 and 2001.
  • Logistic multivariate analysis was employed to identify predictors of GICs.

Main Results:

  • Identified predictors for GICs include age over 70, diabetes mellitus (especially insulin-dependent), history of cerebrovascular disease or renal failure, and postoperative low output syndrome (LOS).
  • All patients required emergent treatment for hemorrhage, including blood transfusions and endoscopic interventions.

Conclusions:

  • Gastrointestinal complications after CABG are rare but potentially fatal events.
  • Prompt diagnosis and intervention are crucial for improving patient outcomes in cases of GICs post-CABG.
Abstract

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