title: [Extra-cardiac risk factors in heart surgery evaluated by the gastroenterologist].
abstract: The present review analyzes the main gastroenterologic and hepatologic risk factors that influence the risk of cardiosurgical operations, as well as the prognosis. Gastroenterological or hepatic diseases are only rarely a contraindication for open-heart surgery, but sometimes require further preoperative diagnostic investigations and treatment. Although gastroenterological or hepatic complications of open-heart surgery are present in less than 1% of all cases, up to 30-40% are lethal. The severe complications often require other surgical interventions, especially in case of perforation of ulcer, gastrointestinal bleeding or intestinal ischemia. The postoperative jaundice of unknown origin is a very difficult clinical problem. Its pathogenesis is still incompletely understood.
authors.affiliation: Abteilung für Gastroenterologie, Heinrich-Heine-Universität Düsseldorf.
authors.forename: G
authors.initials: G
authors.lastname: Strohmeyer
authors.forename: C M
authors.initials: CM
authors.lastname: Niederau
mesh_terms: D005767:Gastrointestinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006331:Heart Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors
vernacular_title: Extrakardiale Risikofaktoren in der Herzchirurgie in der Bewertung des Gastroenterologen.