[Prevention of gastroduodenal complications in coronary surgery. Usefulness of preoperative fiberoscopy].
Fiberoscopic examination of the oesophagus, stomach and duodenum was carried out in 60 coronary disease patients prior to aorto-coronary bypass. Lesions of the upper digestive tract were detected in one-third of the patients; half of them were asymptomatic. The management of these cases depended upon the urgency of the cardiovascular operation. In 17 cases, a 1-month treatment of the digestive lesions with antacids and cimetidine was instituted immediately after fiberoscopy, and revascularization was performed 8 days later. In 3 cases, the cardiovascular operation was postponed; after 1 month of treatment only one patient had active lesions on control fiberoscopy and had to undergo digestive surgery prior to aorto-coronary bypass. No gastroduodenal complications of cardiovascular surgery was observed in this series.
D000863:Antacids / Q000008:administration & dosage; D002927:Cimetidine / Q000008:administration & dosage; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003327:Coronary Disease / Q000601:surgery; D004378:Duodenal Diseases / Q000175:diagnosis; D004724:Endoscopy; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000175:diagnosis*; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D011300:Preoperative Care; D013276:Stomach Ulcer / Q000175:diagnosis
D000863:Antacids; D002927:Cimetidine
Prévention des complications gastro-duodénales de la chirurgie coronarienne. Intérêt de la fibroscopie pré-opératoire.