Comparison of intestinal ischemia after on-pump versus off-pump coronary artery bypass grafting surgery

Lütfi SOYLU; Oğuz Uğur AYDIN; Mehmet YILDIZ; Hacer SERDAROĞLU; Murat KURTOĞLU; Sedat KARADEMİR

Makale detayları

Comparison of intestinal ischemia after on-pump versus off-pump coronary artery bypass grafting surgery

Yazarlar:

Lütfi SOYLU | Oğuz Uğur AYDIN | Mehmet YILDIZ | Hacer SERDAROĞLU | Murat KURTOĞLU | Sedat KARADEMİR

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.11-15

Belge Tipi:

Makale

Yayın Tarihi:

1/2019

Belge Dili:

Türkçe

Document ID (Org No.):

2000750250

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Acute mesenteric ischemia (AMI), one of the gastrointestinal system complications, which occurs following cardiac surgery, is challenged in the literature with a diminished incidence of AMI by heart surgery without cardiopulmonary bypass (CPB) or with pulsatile CPB. This study aims to compare the incidence and mortality rate of mesenteric ischemia in a series of consecutive patients undergoing coronary artery bypass grafting (CABG) through on-pump and off-pump techniques.Materials and methods: This study included patients who underwent CABG between 1 January 2010 and 31 June 2016. All patients were divided into two groups: Group 1 comprised 6396 CABG patients operated on with the off-pump technique. Group 2 included 1210 patients who received CABG with the on-pump technique. Preoperative data were collected on the studied variables. Postoperative data included the development of intestinal ischemia and in-hospital mortality.Results: Of 7606 consecutive CABG patients, a total of 31 (0.4%) developed intestinal ischemia. The incidence of postoperative mesenteric ischemia was 0.28% in Group 1 and 1.07% in Group 2 (P = 0.000). The survival rates after AMI were 61.1% in Group 1 (off-pump) and 7.7% in Group 2 (on-pump) (P = 0.003). Time from the first occurrence of nonspecific GI complaints to laparotomy was similar in the off-pump and on-pump groups and had no effect on mortality.Conclusions: With regard to the incidence of mesenteric ischemia and survival after laparotomy, off-pump CABG patients revealed significant improvement compared with those operated on with the on-pump technique.

Makale detayları

Comparison of intestinal ischemia after on-pump versus off-pump coronary artery bypass grafting surgery

Yazarlar: Lütfi SOYLU | Oğuz Uğur AYDIN | Mehmet YILDIZ | Hacer SERDAROĞLU | Murat KURTOĞLU | Sedat KARADEMİR

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.11-15

Belge Tipi: Makale

Yayın Tarihi: 1/2019

Belge Dili: Türkçe

Document ID (Org No.): 2000750250

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Lütfi SOYLU | Oğuz Uğur AYDIN | Mehmet YILDIZ | Hacer SERDAROĞLU | Murat KURTOĞLU | Sedat KARADEMİR

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.11-15

Belge Tipi:

Makale

Yayın Tarihi:

1/2019

Belge Dili:

Türkçe

Document ID (Org No.):

2000750250

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144