title: [Abdominal complications after heart surgery interventions].
abstract: OBJECTIVE
  Risk factors of abdominal complications after cardiac surgery are largely unknown. We undertook this study to determine different types of abdominal complications after cardiac surgery and to identify patients at risk.
  
  
  METHODS
  3312 adult patients were operated between Jan. 91 and Oct. 95 (2352 males, 960 females, 62.6 +/- 0.18y). We included all patients who suffered from abdominal complications within 30 days postoperatively.
  
  
  RESULTS
  Abdominal complications are rare after cardiac surgery using cardiopulmonary bypass (CPB) (1.4%), but they are associated with high mortality (14.5%) in our department. Abdominal complications like paralytic ileus (43.8%), erosive gastritis (22.9%) and gastrointestinal bleeding (18.8%) are more often, compared with acute cholecystitis (14.5%), acute pancreatitis (8.3%) and intestinal ischemia (19.5%). Patients with intestinal ischemia are at high risk and do have a high mortality (83%). Abdominal complications can be found more often in connection with prolonged myocardial ischemia and valve replacement or combined operations. Prediction of complications on the basis of anamnestic data alone was not possible.
  
  
  CONCLUSIONS
  Abdominal complications after cardiac surgery, especially intestinal ischaemia, are life-threatening. Prediction of abdominal complications is impossible. We have to concentrate on an early diagnosis and therapeutic intervention to lower mortality. A close cooperation between cardiac and general surgeons is mandatory for a successful treatment of life-threatening abdominal complications such as intestinal ischemia.
authors.affiliation: Abt. für Herzchirurgie, Allgemeines Krankenhaus St. George, Hamburg.
authors.forename: O
authors.initials: O
authors.lastname: Simic
authors.forename: S
authors.initials: S
authors.lastname: Strathausen
authors.forename: S
authors.initials: S
authors.lastname: Geidel
authors.forename: W
authors.initials: W
authors.lastname: Hess
authors.forename: F
authors.initials: F
authors.lastname: Mörl
authors.forename: J
authors.initials: J
authors.lastname: Ostermeyer
mesh_terms: D000328:Adult; D000368:Aged; D001026:Coronary Artery Bypass; D005260:Female; D005767:Gastrointestinal Diseases / Q000209:etiology* / Q000401:mortality; D006331:Heart Diseases / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D012307:Risk Factors