Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-02T20:13:23.802Z Has data issue: false hasContentIssue false

15 - Postoperative gastrointestinal complications

Published online by Cambridge University Press:  12 January 2010

Brian Behm
Affiliation:
East Bay Center for Digestive Health, Oakland, CA
Neil Stollman
Affiliation:
East Bay Center for Digestive Health, Oakland, CA
Michael F. Lubin
Affiliation:
Emory University, Atlanta
Robert B. Smith
Affiliation:
Emory University, Atlanta
Thomas F. Dodson
Affiliation:
Emory University, Atlanta
Nathan O. Spell
Affiliation:
Emory University, Atlanta
H. Kenneth Walker
Affiliation:
Emory University, Atlanta
Get access

Summary

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Chapter
Information
Medical Management of the Surgical Patient
A Textbook of Perioperative Medicine
, pp. 199 - 206
Publisher: Cambridge University Press
Print publication year: 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Egleston, C. V., Wood, A. E., Gorey, T. F., & McGovern, E. M.Gastrointestinal complications after cardiac surgery. Ann. R. Coll. Surg. Engl. 1993; 75: 52–56.Google ScholarPubMed
Byhahn, C., Strouhal, U., Martens, S.et al. Incidence of gastrointestinal complications in cardiopulmonary bypass patients. World J. Surg. 2001; 25: 1140–1144.CrossRefGoogle ScholarPubMed
Schiessel, R., Feil, W., & Wenzl, E.Mechanisms of stress ulceration and implications for treatment. Gastroenterol. Clin. N. Am. 1990; 90: 101–120.Google Scholar
Stremple, J. F., Mori, H., Lev, R.et al. The stress ulcer syndrome. Curr. Prob. Surg. April 1973; 1–64.CrossRefGoogle ScholarPubMed
Durham, R. M. & Shapiro, M. J.Stress gastritis revisited. Surg. Crit. Care 71: 791–810.
Levy, M. J., Seelig, C. B., Robinson, N. J., & Ranney, J. E.Comparison of omeprazole and ranitidine for stress ulcer prophylaxis. Dig. Dis. Sci. 1997; 42: 1255–1259.CrossRefGoogle ScholarPubMed
Cook, D. J., Fuller, H. D., Guyatt, G. H.et al. Risk factors for gastrointestinal bleeding in critically ill patients. N. Engl. J. Med. 1994; 330: 377–381.CrossRefGoogle ScholarPubMed
Shuman, R. B., Schuster, D. P., & Zuckerman, G. R.Prophylactic therapy for stress ulcer bleeding: a reappraisal. Ann. Intern. Med. 1987; 106; 562–567.CrossRefGoogle ScholarPubMed
Cook, D. J., Reeve, B. K., Guyatt, G. H.et al. Stress ulcer prophylaxis in critically ill patients. JAMA 1996; 275: 308–314.CrossRefGoogle ScholarPubMed
Cook, D. J., Witt, L. G., Cook, R. J., & Guyatt, G. H.Stress ulcer prophylaxis in the critically ill: a meta-analysis. Am. J. Med. 1991; 91: 519–527.CrossRefGoogle ScholarPubMed
Merki, H. S. & Wilder-Smith, C. H.Do continuous infusions of omeprazole and ranitidine retain their effect with prolonged dosing? Gastroenterology 1994; 106: 60–64.CrossRefGoogle ScholarPubMed
Ryan, P., Dawson, J., Teres, D.et al. Nosocomial pneumonia during stress ulcer prophylaxis with cimetidine and sucralfate. Arch. Surg. 1993; 128: 1353–1357.CrossRefGoogle ScholarPubMed
Fabian, T. C., Boucher, B. A., Croce, M. A.et al. Pneumonia and stress ulceration in severely injured patients. Arch. Surg. 1993; 128: 185–191.CrossRefGoogle ScholarPubMed
Eddelston, J. M., Vohra, A., Scott, P.et al. A comparison of the frequency of stress ulceration and secondary pneumonia in sucralfate or ranitidine-treated intensive care unit patients. Crit. Care Med. 1991; 19: 1491–1496.CrossRefGoogle Scholar
Tryba, M.Prophylaxis of stress ulcer bleeding. A meta-analysis. J. Clin. Gastroenterol. 1991; 13(Suppl. 2): S44–S55.CrossRefGoogle ScholarPubMed
Cook, D. J., Guhyat, G., Marshall, J.et al. A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in patients requiring mechanical ventilation. N. Engl. J. Med. 1998; 338: 791–797.CrossRefGoogle ScholarPubMed
Phillips, J. O., Metzler, M. H., Palmieri, T. L.et al. A prospective study of simplified omeprazole suspension for the prophylaxis of stress-related mucosal damage. Crit. Care Med. 1996; 24: 1793–1800.CrossRefGoogle ScholarPubMed
Lasky, M. R., Metzler, M. H., & Phillips, J. O.A prospective study of omeprazole suspension to prevent clinically significant gastrointestinal bleeding from stress ulcers in mechanically ventilated trauma patients. J. Trauma 1998; 44: 527–533.CrossRefGoogle ScholarPubMed
Schupp, K. N., Schrand, L. M., & Mutnick, A. H.A cost-effectiveness analysis of stress ulcer prophylaxis. Ann. Pharmacother. 2003; 37: 631–635.CrossRefGoogle ScholarPubMed
Aranha, G. U., Pickleman, J., Piffare, R.et al. The reasons for gastrointestinal consultation after cardiac surgery. Am. Surg. 1984; 50: 301–304.Google ScholarPubMed
Christerson, J. T., Schmuziger, M., Maurice, J.et al. Postoperative visceral hypotension, the common cause for gastrointestinal complications after cardiac surgery. Thorac. Cardiovasc. Surg. 1994; 42: 152–157.CrossRefGoogle Scholar
Huddy, S. P. J., Joyce, W. P., & Pepper, J. R.Gastrointestinal complications in 4473 patients who underwent cardiopulmonary bypass surgery. Br. J. Surg. 1991; 78: 293–296.CrossRefGoogle ScholarPubMed
Ernst, C. B., Hagihara, P. F., Daugherty, M. E.et al. Ischemic colitis incidence following abdominal aortic reconstruction: a prospective study. Surgery 1976; 80: 417–421.Google ScholarPubMed
Hagihara, P. F., Ernst, C. B., & Griffen, W. O. Jr.Incidence of ischemic colitis following abdominal aortic reconstruction. Surg. Gynecol. Obstet. 1979; 149: 571–573.Google ScholarPubMed
Longo, W. E., Lee, T. C., Barnett, M. G.et al. Ischemic colitis complicating abdominal aortic aneurysm surgery in the U.S. veteran. J. Surg. Res. 1996; 60: 351–354.CrossRefGoogle ScholarPubMed
Schiedler, M. G., Cutler, B. S., & Fiddian-Green, R. G.Sigmoid intramural pH for prediction of ischemic colitis during aortic surgery. A comparison with risk factors and inferior mesenteric artery stump pressures. Arch. Surg. 1987; 122: 881–886.CrossRefGoogle Scholar
Ernst, C. B.Prevention of intestinal ischemia following abdominal aortic reconstruction. Surgery 1983; 93: 102–106.Google ScholarPubMed
Schroeder, T., Christoffersen, J. K., Andersen, J.et al. Ischemic colitis complicating reconstruction of the abdominal aorta. Surg. Gynecol. Obstet. 1985; 160: 299–303.Google ScholarPubMed
Boley, S. J.Colonic ischemia–25 years later. Am. J. Gastroenterol. 1990; 85: 931–934.Google ScholarPubMed
Price, A. B.Ischaemic colitis. Curr. Top. Pathol. 1990; 81: 229.CrossRefGoogle Scholar
Thirlby, R. C.Postoperative recurrent ulcer. Gastroenterol. Clin. N. Am. 1994; 23: 295–311.Google ScholarPubMed
Schirmer, B. D., Meyers, W. C., Hanks, J. B.et al. Marginal ulcer – a difficult surgical problem. Ann. Surg. 1982; 195: 653–661.CrossRefGoogle ScholarPubMed
Wychulis, A. R., Priestley, J. T., & Foulk, W. T.A study of 360 patients with gastrojejunal ulceration. Surg. Gynecol. Obstet. 1966; 122: 89–99.Google ScholarPubMed
Kankaria, A. G. & Fleischer, D. E.The critical care management of nonvariceal upper gastrointestinal bleeding. Crit. Care Clin. 1995; 11: 347–368.CrossRefGoogle ScholarPubMed
Lin, H. J., Lo, W. C., Lee, F. Y., et al. A prospective randomized comparative trial showing that omeprazole prevents rebleeding in patients with bleeding peptic ulcer after successful endoscopic therapy. Arch. Intern. Med. 1998; 158: 54–58.CrossRefGoogle ScholarPubMed
Lau, J. Y. W., Sung, J. J. Y., Lee, K. K. C.et al. Effect of intravenous omeprazole on recurrent bleeding after endoscopic treatment of bleeding peptic ulcers. N. Engl. J. Med. 2000; 343: 310–316.CrossRefGoogle ScholarPubMed
Bustamante, M. & Stollman, N.The efficacy of proton-pump inhibitors in acute ulcer bleeding. J. Clin. Gastroenterol. 2000; 30: 7–13.CrossRefGoogle Scholar
Stage, J. G., Friis, J., & Nielsen, O. V.Ranitidine treatment of patients with postoperative recurrent ulcers. Scand. J. Gastroenterol. Suppl 1983; 86: 80.Google Scholar
Gugler, R., Lindstaedt, H., Miederer, S.et al. Cimetidine for anastomotic ulcers after partial gastrectomy: a randomized controlled trial. N. Engl. J. Med. 1979; 301: 1077–1080.CrossRefGoogle ScholarPubMed
Elliott, J. P., Smith, R. F., & Szilagyi, D. E.Aortoenteric and paraprosthetic-enteric fistulas. Arch. Surg. 1974; 108: 479–490.CrossRefGoogle ScholarPubMed
Pipinos, I. I., Carr, J. A., Haithcock, B. E.et al. Secondary aortoenteric fistula. Ann. Vasc. Surg. 2000; 14: 688–696.CrossRefGoogle ScholarPubMed
Peck, J. J. & Eidemiler, L. R.Aortoenteric fistulas. Arch. Surg. 1992; 127: 1191–1194.CrossRefGoogle ScholarPubMed
Kiernan, P. D., Pairolero, P. C., Hubert, J. P.et al. Aortic graft-enteric fistula. Mayo Clin. Proc. 1980; 55: 731–738.Google ScholarPubMed
Watcha, M. F. & White, P. F.Postoperative nausea and vomiting. Anesthesiology 1992; 77: 162–184.CrossRefGoogle ScholarPubMed
Donahue, P. E.Early postoperative and postgastrectomy syndromes. Gastroenterol. Clin. N. Am. 1994; 23: 215–226.Google ScholarPubMed
Knol, J. A.Management of the problem patient after bariatric surgery. Gastroenterol. Clin. N. Am. 1994; 23: 345–369.Google ScholarPubMed
Stefaniwsky, A. B., Tint, G. S., Speck, J.et al. Ursodeoxycholic acid treatment of bile reflux gastritis. Gastroenterology 1985; 89: 1000–1004.CrossRefGoogle ScholarPubMed
Ritchie, W. P. Jr.Alkaline reflux gastritis: late results of a controlled clinical trial. Ann. Surg. 1986; 203: 537–544.CrossRefGoogle Scholar
Ritchie, W. P. Jr.Alkaline reflux gastritis. Gastroenterol. Clin. N. Am. 1994; 23: 281–294.Google ScholarPubMed
Jex, R. K., Heerden, J. A., Wolff, B. G.et al. Gastrointestinal anastomoses: factors affecting early complications. Ann. Surg. 1987; 206: 138–141.CrossRefGoogle ScholarPubMed
Heimburger, D. C.Diarrhea with enteral feeding: will the real cause please stand up? Am. J. Med. 1990; 88: 89–90.CrossRefGoogle ScholarPubMed
Powell, D. W. Approach to the patient with diarrhea. In Yamada, T., ed. Gastroenterology, 3rd edn. Philadelphia: Lippincott, Williams & Wilkins, 1999: 858–909.Google Scholar
Carvajal, S. H. & Mulvihill, S. J.Postgastrectomy syndromes: dumping and diarrhea. Gastroenterol. Clin. N. Am. 1994; 23: 261–279.Google ScholarPubMed
Jordan, G. L. J., Overton, R. C., & DeBakey, M. E.The postgastrectomy syndrome: studies on pathogenesis. Ann. Surg. 1957; 145: 471–478.CrossRefGoogle ScholarPubMed
Miholic, J., Reilmann, L., Meyer, H. J.et al. Extracellular space, blood volume, and the early dumping syndrome after total gastrectomy. Gastroenterology 1990; 99: 923–929.CrossRefGoogle ScholarPubMed
Blackburn, A. M., Christofides, N. D., Ghatei, M. A.et al. Elevation of plasma neurotensin in the dumping syndrome. Clin. Sci. 1980; 59: 237–243.CrossRefGoogle ScholarPubMed
Mackie, C. R., Jenkins, S. A., & Hartley, M. N.Treatment of severe postvagotomy/postgastrectomy symptoms with the somatostatin analogue octreotide. Br. J. Surg. 1991; 78: 1338–1343.CrossRefGoogle ScholarPubMed
Geer, R. J., Richards, W. O., O'Dorisio, T. M.et al. Efficacy of octreotide acetate in treatment of severe postgastrectomy dumping syndrome. Ann. Surg. 1990; 212: 678–687.CrossRefGoogle ScholarPubMed
Dragstedt, L. R., Harper, P. V. J., Tovee, E. B.et al. Section of the vagus nerves to the stomach in the treatment of peptic ulcer: complications and end results after four years. Ann. Surg. 1947; 126: 687–699.CrossRefGoogle ScholarPubMed
Allan, J. G. & Russell, R. I.Proceedings: double-blind controlled trial of cholestyramine in the treatment of post-vagotomy diarrhoea. Gut 1975; 16: 830.Google ScholarPubMed
Sawyers, J. L. & Herrington, J. Jr.Superiority of antiperistaltic jejunal segments in management of severe dumping syndrome. Ann. Surg. 1973; 178: 311–319.CrossRefGoogle ScholarPubMed
Tilson, D. M.Pathophysiology and treatment of short bowel syndrome. Surg. Clin. N. Am. 1980; 60: 1273–1284.CrossRefGoogle ScholarPubMed
Thompson, J. S.Management of the short bowel syndrome. Gastroenterol. Clin. N. Am. 1994; 23: 403–420.Google ScholarPubMed
Westergaard, H. Short bowel syndrome. In Sleisenger, M. H., Fordtran, J. S., eds. Gastrointestinal Disease, 6th edn. Philadelphia: W. B. Saunders; 1998: 1548–1556.Google Scholar
Gionchetti, P., Rizzello, F., Venturi, A.et al. Oral bacteriotherapy as maintenance treatment in patients with chronic pouchitis: a double-blind, placebo-controlled trial. Gastroenterology 2000; 119: 305–309.CrossRefGoogle ScholarPubMed
Giochetii, P., Rizzello, F., Helwig, U.et al. Prophylaxis of pouchitis onset with probiotic therapy: a double-blind, placebo-controlled trial. Gastroenterology 2003; 124: 1202–1209.CrossRefGoogle Scholar
Hardison, W. G. M. & Rosenberg, I. H.Bile-salt deficiency in the steatorrhea following resection of the ileum and proximal colon. N. Engl. J. Med. 1967; 277: 337–342.CrossRefGoogle ScholarPubMed
Arlow, F. L., Dekovich, A. A., Priest, R. J., & Beher, W. T.Bile acid-mediated postcholecystectomy diarrhea. Arch. Intern. Med. 1987; 147: 1327–1329.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×