{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T02:55:12Z","timestamp":1776308112688,"version":"3.50.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2012,10,9]],"date-time":"2012-10-09T00:00:00Z","timestamp":1349740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To summarize the diagnostic and therapeutic experiences on the patients who suffered abdominal complications after cardiovascular surgery with cardiopulmonary bypass(CPB).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 2349 consecutive patients submitted to cardiovascular surgery with CPB in our hospital from Jan 2004 to Dec 2010 were involved. The clinical data of any abdominal complication, including its incidence, characters, relative risks, diagnostic measures, medical or surgical management and mortality, was retrospectively analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of all the patients, 33(1.4%) developed abdominal complications postoperatively, including 11(33.3%) cases of paralytic ileus, 9(27.3%) of gastrointestinal haemorrhage, 2(6.1%) of gastroduodenal ulcer perforation, 2(6.1%) of acute calculus cholecystitis, 3(9.1%) of acute acalculus cholecystitis, 4(12.1%) of hepatic dysfunction and 2(6.1%) of ischemia bowel diseases. Of the 33 patients, 26 (78.8%) accepted medical treatment and 7 (21.2%) underwent subsequent surgical intervention. There were 5(15.2%) deaths in this series, which was significantly higher than the overall mortality (2.7%). Positive history of peptic ulcer, advanced ages, bad heart function, preoperative IABP support, prolonged CPB time, low cardiac output and prolonged mechanical ventilation are the risk factors of abdominal complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Abdominal complications after cardiovascular surgery with CPB have a low incidence but a higher mortality. Early detection and prompt appropriate intervention are essential for the outcome of the patients.<\/jats:p><\/jats:sec>","DOI":"10.1186\/1749-8090-7-108","type":"journal-article","created":{"date-parts":[[2012,10,10]],"date-time":"2012-10-10T16:16:39Z","timestamp":1349885799000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Postoperative abdominal complications after cardiopulmonary bypass"],"prefix":"10.1186","volume":"7","author":[{"given":"Guohua","family":"Dong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Canhui","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biao","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua","family":"Jing","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Demin","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haiwei","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2012,10,9]]},"reference":[{"key":"619_CR1","doi-asserted-by":"publisher","first-page":"1796","DOI":"10.1016\/j.athoracsur.2006.05.093","volume":"82","author":"JH Khan","year":"2006","unstructured":"Khan JH, Lambert AM, Habib JH, Broce M, Emmett MS, Davis EA: Abdominal complications after heart surgery. Ann Thorac Surg. 2006, 82: 1796-1801. 10.1016\/j.athoracsur.2006.05.093.","journal-title":"Ann Thorac Surg"},{"key":"619_CR2","doi-asserted-by":"publisher","first-page":"1140","DOI":"10.1007\/BF03215861","volume":"25","author":"C Byhahn","year":"2001","unstructured":"Byhahn C, Strouhal U, Martens S, Mierdl S, Kessler P, Westphal K: Incidence of gastrointestinal complications in cardiopulmonary bypass patients. World J Surg. 2001, 25: 1140-1144. 10.1007\/BF03215861.","journal-title":"World J Surg"},{"key":"619_CR3","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1016\/S1010-7940(02)00015-5","volume":"21","author":"S Ghosh","year":"2002","unstructured":"Ghosh S, Roberts N, Firmin RK, Jameson J, Spyt TJ: Risk factors for intestinal ischaemia in cardiac surgical patients. Eur J Cardiothorac Surg. 2002, 21: 411-416. 10.1016\/S1010-7940(02)00015-5.","journal-title":"Eur J Cardiothorac Surg"},{"key":"619_CR4","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1177\/108925320400800306","volume":"8","author":"EA Hessel 2nd","year":"2004","unstructured":"Hessel EA: Abdominal organ injury after cardiac surgery. Semin Cardiothorac Vasc Anesth. 2004, 8: 243-263. 10.1177\/108925320400800306.","journal-title":"Semin Cardiothorac Vasc Anesth"},{"key":"619_CR5","first-page":"310","volume":"51","author":"UK Chowdhury","year":"2010","unstructured":"Chowdhury UK, Airan R, Malhotra P, Reddy SM, Singh R, Rizvi A, Malik V, Mittal C: Relationship of internal jugular venous oxygen saturation and perfusion flow rate in children and adults during normothermic and hypothermic cardiopulmonary bypass. Hellenic J Cardiol. 2010, 51: 310-322.","journal-title":"Hellenic J Cardiol"},{"key":"619_CR6","doi-asserted-by":"publisher","first-page":"3166","DOI":"10.3748\/wjg.15.3166","volume":"15","author":"GH Dong","year":"2009","unstructured":"Dong GH, Wang CT, Li Y, Xu B, Qian JJ, Wu HW, Jing H: Cardiopulmonary bypass induced microcirculatory injury of the small bowel in rats. World J Gastroenterol. 2009, 15: 3166-3172. 10.3748\/wjg.15.3166.","journal-title":"World J Gastroenterol"},{"key":"619_CR7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/00024382-200115010-00001","volume":"15","author":"HT Hassoun","year":"2001","unstructured":"Hassoun HT, Kone BC, Mercer DW, Moody FG, Weisbrodt NW, Moore FA: Post-injury multiple organ failure: the role of the gut. Shock. 2001, 15: 1-10.","journal-title":"Shock"},{"key":"619_CR8","doi-asserted-by":"publisher","first-page":"1396","DOI":"10.1016\/j.athoracsur.2009.07.002","volume":"88","author":"D De Backer","year":"2009","unstructured":"De Backer D, Dubois MJ, Schmartz D, Koch M, Ducart A, Barvais L, Vincent JL: Microcirculatory alterations in cardiac surgery: effects of cardiopulmonary bypass and anesthesia. Ann Thorac Surg. 2009, 88: 1396-1403. 10.1016\/j.athoracsur.2009.07.002.","journal-title":"Ann Thorac Surg"},{"key":"619_CR9","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1053\/j.jvca.2008.08.007","volume":"23","author":"OJ Warren","year":"2009","unstructured":"Warren OJ, Smith AJ, Alexiou C, Rogers PL, Jawad N, Vincent C, Darzi AW, Athanasiou T: The inflammatory response to cardiopulmonary bypass: part 1\u2013mechanisms of pathogenesis. J Cardiothorac Vasc Anesth. 2009, 23: 223-231. 10.1053\/j.jvca.2008.08.007.","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"619_CR10","doi-asserted-by":"publisher","first-page":"S715","DOI":"10.1016\/S0003-4975(02)04701-X","volume":"75","author":"JH Levy","year":"2003","unstructured":"Levy JH, Tanaka KA: Inflammatory response to cardiopulmonary bypass. Ann Thorac Surg. 2003, 75: S715-S720. 10.1016\/S0003-4975(02)04701-X.","journal-title":"Ann Thorac Surg"},{"key":"619_CR11","first-page":"280","volume":"30","author":"G D'Ancona","year":"2003","unstructured":"D'Ancona G, Baillot R, Poirier B, Dagenais F, de Ibarra JI, Bauset R, Mathieu P, Doyle D: Determinants of gastrointestinal complications in cardiac surgery. Tex Heart Inst J. 2003, 30: 280-285.","journal-title":"Tex Heart Inst J"},{"key":"619_CR12","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1097\/01.shk.0000156668.81757.0c","volume":"23","author":"TB Andrasi","year":"2005","unstructured":"Andrasi TB, Bielik H, Blazovics A, Zima E, Vago H, Szabo G, Juhasz-Nagy A: Mesenteric vascular dysfunction after cardiopulmonary bypass with cardiac arrest is aggravated by coexistent heart failure. Shock. 2005, 23: 324-329. 10.1097\/01.shk.0000156668.81757.0c.","journal-title":"Shock"},{"key":"619_CR13","first-page":"455","volume":"43","author":"M Garofalo","year":"2002","unstructured":"Garofalo M, Borioni R, Nardi P, Turani F, Bertoldo F, Forlani S, Pellegrino A, Chiariello L: Early diagnosis of acute mesenteric ischemia after cardiopulmonary bypass. J Cardiovasc Surg (Torino). 2002, 43: 455-459.","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"619_CR14","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1002\/bjs.4823","volume":"92","author":"B Andersson","year":"2005","unstructured":"Andersson B, Nilsson J, Brandt J, Hoglund P, Andersson R: Gastrointestinal complications after cardiac surgery. Br J Surg. 2005, 92: 326-333. 10.1002\/bjs.4823.","journal-title":"Br J Surg"},{"key":"619_CR15","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1177\/000313480106700402","volume":"67","author":"G Theodoropoulos","year":"2001","unstructured":"Theodoropoulos G, Lloyd LR, Cousins G, Pieper D: Intraoperative and early postoperative gastric intramucosal pH predicts morbidity and mortality after major abdominal surgery. Am Surg. 2001, 67: 303-308.","journal-title":"Am Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1749-8090-7-108.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1749-8090-7-108\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1749-8090-7-108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1749-8090-7-108.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T05:05:19Z","timestamp":1687755919000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/1749-8090-7-108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,9]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["619"],"URL":"https:\/\/doi.org\/10.1186\/1749-8090-7-108","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10,9]]},"assertion":[{"value":"1 March 2012","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 September 2012","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 October 2012","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"108"}}