Does Pre-Existent Gastroduodenal Ulcer Increase Gastrointestinal Bleeding after Cardiac Surgery?
Ayou Abeti, Abdou Abdessamad, Younes Moutakiallah, Fouad Nya, Mohamed Drissi and Abdelatif Boulahya
Affiliation
Department of cardiovascular Surgery, Rabat Medical School, Mohammed 5 University, Morocco
Corresponding Author
Mahdi Aithoussa, Department of cardiovascular Surgery, Rabat Medical School, Mohammed 5 University, Morocco, E-mail: mahdiaithoussa@yahoo.fr
Citation
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.
Copy rights
© 2016 Aithoussa, M. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
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.
