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Out of 429 patients 41 (9\u00b75 per cent) developed abdominal complications within the first 30 days, and 20 of the 41 required surgery. The complications included pancreatitis (10), peptic ulceration (8), and pseudo-obstruction (8), in addition to colonic perforation and small bowel obstruction. When laparotomy was performed it was well tolerated. This paper supports the view that successful management of abdominal complications following transplantation requires prompt diagnosis and treatment. Where doubt exists in the presence of an acute abdomen, laparotomy is the appropriate way to establish a definitive diagnosis.<\/jats:p>","DOI":"10.1002\/bjs.1800780622","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T16:05:15Z","timestamp":1172937915000},"page":"699-704","source":"Crossref","is-referenced-by-count":33,"title":["Early abdominal complications following heart and heart\u2013lung transplantation"],"prefix":"10.1093","volume":"78","author":[{"given":"C J E","family":"Watson","sequence":"first","affiliation":[{"name":"Department of Surgery, Addenbrooke's Hospital , Hills Road, Cambridge,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N V","family":"Jamieson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Addenbrooke's Hospital , Hills Road, Cambridge,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P S","family":"Johnston","sequence":"additional","affiliation":[{"name":"Department of Surgery, Addenbrooke's Hospital , Hills Road, Cambridge,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Wreghitt","sequence":"additional","affiliation":[{"name":"Clinical Microbiology and Public Health Laboratory, Addenbrooke's Hospital , Cambridge,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Large","sequence":"additional","affiliation":[{"name":"Surgical Unit, Papworth Hospital , Papworth Everard, Cambridge,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Wallwork","sequence":"additional","affiliation":[{"name":"Surgical Unit, Papworth Hospital , Papworth Everard, Cambridge,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T A H","family":"English","sequence":"additional","affiliation":[{"name":"Surgical Unit, Papworth Hospital , Papworth Everard, Cambridge,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1991,6,1]]},"reference":[{"key":"2024092809473522500_bib1","first-page":"739","article-title":"General surgical complications in heart and heart-lung transplantation","volume":"98","author":"Steed","year":"1985","journal-title":"Surgery"},{"key":"2024092809473522500_bib2","first-page":"259","article-title":"Management of general surgical problems after cardiac transplantation","volume":"31","author":"Jones","year":"1988","journal-title":"Can J Surg"},{"key":"2024092809473522500_bib3","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1001\/archsurg.1989.01410080019002","article-title":"Major abdominal complications following cardiac transplantation","volume":"124","author":"Merrell","year":"1989","journal-title":"Arch Surg"},{"key":"2024092809473522500_bib4","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1001\/archsurg.1989.01410050029004","article-title":"Management of general surgical complications following cardiac transplantation","volume":"124","author":"DiSesa","year":"1989","journal-title":"Arch Surg"},{"key":"2024092809473522500_bib5","first-page":"1","article-title":"Abdominal complications following cardiopulmonary bypass in open-heart surgery","volume":"21","author":"Heikkinen","year":"1987","journal-title":"Scand J Thor Cardiovasc Surg"},{"key":"2024092809473522500_bib6","first-page":"394","article-title":"Gastro-intestinal complications after cardiopulmonary bypass surgery","volume":"92","author":"Hanks","year":"1982","journal-title":"Surgery"},{"key":"2024092809473522500_bib7","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/0002-9610(76)90178-1","article-title":"Pancreatitis after cardiac surgery. 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