Korean J Thorac Cardiovasc Surg.  1997 Dec;30(12):1251-1253.

Duodenal Complication After Open Heart Surgery: Report of Three cases

• Heo JH
• Kim KB
• Ahn H

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.

Keyword

Postoperative complication; Ulcer

MeSH Terms

Antacids
Cardiopulmonary Bypass
Diagnosis
Dizziness
Duodenal Ulcer
Early Diagnosis
Emergencies
Heart*
Hemorrhage
Humans
Hypotension
Laparotomy
Melena
Oliguria
Paracentesis
Postoperative Complications
Tachycardia
Thoracic Surgery*
Ulcer
Antacids