Journal of Gastrointestinal Disorders and Liver function
Does Pre-Existent Gastroduodenal Ulcer Increase Gastrointestinal Bleeding after Cardiac Surgery?
Department of cardiovascular Surgery, Rabat Medical School, Mohammed 5 University, Morocco
Mahdi Aithoussa, Department of cardiovascular Surgery, Rabat Medical School, Mohammed 5 University, Morocco, E-mail: firstname.lastname@example.org
Aithoussa, M., et al. Does Pre-Existent Gastroduodenal Ulcer Increase Gastrointestinal Bleeding after Cardiac Surgery? (2016) J Gastrointest Disord Liver Func 2(1): 43- 46.
© 2016 Aithoussa, M. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
KeywordsGastro duodenal ulcer; Cardiac; Surgery; Upper gastro duodenal bleeding
Objective: Controversy persists about the role of pre-existent gastro duodenal ulcer as a risk factor of upper gastro intestinal bleeding after cardiac surgery. This study aims to verify this hypothesis.
Patients and methods: We retrospectively analyzed data of alla patients who underwent open heart surgery between 1994 and 2012. Patients with previous gastro duodenal ulcer (n = 87) (GDU) compared to those without GDU (n = 1986).
Results: Patients with GDU are older than control group (p = 0,000) and have more frequently cardiovascular risk factors than others. Coronary bypass grafting (CABG) was performed more in patients with a history of GDU (p = 0,039). Postoperative complications are frequently reported also. Additionally they have developed upper gastro intestinal bleeding (UGIB) more than control group (5,7% vs. 0,8% , p = 0,002).
Conclusion: Pre-existent gastro duodenal ulcer should be the risk factor of upper GIB and optimal management requiring endoscopic diagnosis and treatment before CPB should prevent digestive hemorrhage.