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[Abnormal gastrointestinal findings in patients with coronary disease revealed by endoscopy before cardiac surgery]

Sarūnas Kinduris1, Kestutis Adamonis, Tautvydas Vaisvila

  • 1Institute for Biomedical Research, Kaunas University of Medicine Hospital, Eiveniu 2, 50009 Kaunas, Lithuania. kinsar@one.lt

Medicina (Kaunas, Lithuania)
|July 7, 2005
PubMed

Insights

Pre-cardiac surgery endoscopy reveals higher rates of gastrointestinal bleeding risks in males. Guidelines suggest endoscopy for males aged 50-70 and females aged 60-80 to identify potential issues.

Area of Science:

  • Gastroenterology
  • Cardiology
  • Surgical Pre-operative Assessment

Background:

  • Cardiac surgery patients often undergo pre-operative screening for gastrointestinal abnormalities.
  • Identifying potential bleeding sources is crucial for managing surgical risk.

Purpose of the Study:

  • To determine the incidence of abnormal gastrointestinal findings via endoscopy before cardiac surgery.
  • To establish age- and sex-specific criteria for preventive endoscopy in patients with coronary disease.

Main Methods:

  • Retrospective analysis of 3847 patients undergoing fiberoptic esophagogastroduodenoscopy (FEGDS) before cardiac surgery.
  • Patients were categorized based on endoscopic findings: active bleeding/potential bleeding (Group I) vs. no significant findings (Group II).

Main Results:

  • Abnormal gastrointestinal changes requiring pre-surgical treatment were found in 62.4% of males and 58.7% of females.
  • The highest incidence of bleeding potential changes occurred in males aged 51-70 and females aged 61-80.
  • Only 14.5% of all performed FEGDS revealed no abnormal upper gastrointestinal tract changes.

Conclusions:

  • Abnormal gastrointestinal changes with bleeding potential are more common in males than females.
  • Recommended endoscopy screening ages are 50-70 for males and 60-80 for females undergoing cardiac surgery.
  • Screening in younger or older patients should be based on additional indications.
Abstract

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