Duodenal Complication After Open Heart Surgery: Report of Three cases.
- Author:
Jae Hak HEO
1
;
Ki Bong KIM
;
Hyuk AHN
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National Univeristy Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Postoperative complication;
Ulcer
- MeSH:
Antacids;
Cardiopulmonary Bypass;
Diagnosis;
Dizziness;
Duodenal Ulcer;
Early Diagnosis;
Emergencies;
Heart*;
Hemorrhage;
Humans;
Hypotension;
Laparotomy;
Melena;
Oliguria;
Paracentesis;
Postoperative Complications;
Tachycardia;
Thoracic Surgery*;
Ulcer
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(12):1251-1253
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastrointestinal complications, especially duodenal complication after cardiopulmonary bypass are rare, but often fatal. We experienced 1 case of duodenal ulcer bleeding and 2 cases of duodenal ulcer perforation developing after cardiopulmonary bypass from August 1994 to April 1996. In the case of duodenal ulcer bleeding, palpitation, dizziness, tachycardia and melena were the clues leading to diagnosis, and in the cases of perforation, abdominal distension with pain, tachycardia, hypotension, oliguria were the clues. Duodenal perforations were diagnosed by abdominal paracentesis. The patient with duodenal bleeding was treated by H-2 receptor antagonist, antacids and transfusion. And emergency laparotomy was required for the patients with duodenal perforation. In addition to ulcer prophylaxis including H-2 receptor antagonist and antacids, a high index of suspicion and timely surgery are necessary for early diagnosis and appropriate treatment of duodenal complication developing after cardiopulmonary bypass.
