{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:15Z","timestamp":1740126855487,"version":"3.37.3"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Concerns of gastrointestinal (GI) bleeding after cardiac surgery are increasing with increased use of antiplatelets and anticoagulants. We investigated the roles of preoperative screening for fecal occult blood by fecal immunochemical test (FIT) widely used to detect GI bleeding and cancer.<\/jats:p><jats:p>\n          Methods\u2003A retrospective review was done in 1,663 consecutive patients undergoing FIT before cardiac surgery between years 2012 and 2020. One or two rounds of FIT were performed 2 to 3 weeks before surgery, when antiplatelets and anticoagulants were not suspended yet.<\/jats:p><jats:p>\n          Results\u2003Positive FIT (&gt; 30\u2009\u03bcg of hemoglobin\/g of feces) was observed in 227 patients (13.7%). Preoperative risk factors for positive FIT included age\u2009&gt;\u200970 years, anticoagulants, and chronic kidney disease. Of those with positive FIT, 180 patients (79%) received preoperative endoscopy, including gastroscopy (n\u2009=\u2009139), colonoscopy (n\u2009=\u20099), and both (n\u2009=\u200932), with no findings of bleeding. The most common finding of gastroscopy was atrophic gastritis (36%) while early gastric cancer was detected in 2 patients. The most common finding of colonoscopy was colon polyps (42%) while colorectal cancer was detected in 5 patients. Of 180 FIT-positive patients receiving endoscopy, 8 (4.4%) underwent preoperative GI treatment, while postoperative GI events were documented in 28 (15.6%). Of 1,436 with negative FIT, 21 (1.5%) presented GI complications after surgery.<\/jats:p><jats:p>\n          Conclusion\u2003Preoperative FIT, which is influenced by anticoagulant use, has little impacts on identification of GI bleeding sites. However, it may be useful to detect GI malignant lesions, potentially impacting operative risks, surgical strategies, and postoperative management.<\/jats:p>","DOI":"10.1055\/a-2052-8912","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:16:37Z","timestamp":1678752997000},"page":"021-028","source":"Crossref","is-referenced-by-count":0,"title":["Fecal Occult Blood Screening before Cardiac Surgery"],"prefix":"10.1055","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4623-6233","authenticated-orcid":false,"given":"Yoshiyuki","family":"Takami","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsuo","family":"Maekawa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Yamana","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyotoshi","family":"Akita","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Amano","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Sakurai","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Takagi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,4,21]]},"reference":[{"issue":"09","key":"ref1","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1111\/ans.12134","article-title":"Gastrointestinal complications after cardiac surgery: 10-year experience of a single Australian centre","volume":"83","author":"F F Viana","year":"2013","journal-title":"ANZ J Surg"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.jtcvs.2017.02.012","article-title":"Duodenal ulcers are a major cause of gastrointestinal bleeding after cardiac surgery","volume":"154","author":"F Krawiec","year":"2017","journal-title":"J Thorac Cardiovasc 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