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Related Experiment Videos

Abdominal complications after lung transplantation

P C Smith1, M S Slaughter, M G Petty

  • 1Division of Cardiovascular and Thoracic Surgery, University of Minnesota, Minneapolis 55455, USA.

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation
|January 1, 1995
PubMed
Summary

Serious abdominal complications affect 16% of lung transplant recipients, leading to significant morbidity and mortality. Early recognition and intervention are crucial to improve outcomes in these patients.

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Area of Science:

  • Abdominal surgery
  • Transplant surgery
  • Gastroenterology

Background:

  • Abdominal complications are a significant cause of death and illness in heart and lung transplant patients.
  • This study focuses on the frequency and types of abdominal issues in lung transplant recipients.

Purpose of the Study:

  • To review the incidence and spectrum of abdominal complications in lung transplant recipients.
  • To highlight the impact of these complications on patient outcomes.

Main Methods:

  • A retrospective review of 75 lung transplant patients (January 1988-July 1993).
  • Analysis of early (<30 days) and late (>30 days) abdominal complications.
  • Documentation of management procedures and outcomes.

Main Results:

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  • 16% of patients (12/75) experienced 20 abdominal complications.
  • Early complications included ileus, diaphragmatic hernia, and ischemic bowel.
  • Late complications included colonic perforation, cholelithiasis, and pseudoaneurysm.
  • Four deaths were directly attributed to abdominal complications, with delayed diagnosis exceeding 6 days.

Conclusions:

  • Abdominal complications represented 22% of deaths in the lung transplant group.
  • Prompt diagnosis and intervention are essential to reduce mortality.
  • A high index of suspicion is necessary for managing these complications.