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Gastrointestinal dysfunction following cardiac surgery

Record type: Article

Cardiac surgery is associated with a low incidence of GI complications, but with a disproportionate mortality. A number of risk factors have become established which identify patients at risk. CPB is associated with profound reductions in mucosal blood flow. Mesenteric perfusion is altered by primary endothelial dysfunction, which may further be exacerbated by the use of vasoconstrictors during CPB; inflammatory mediators can 'prime' the mesenteric vasculature. Cardiac surgery with or without CPB is associated with increased tissue oxygen demands, particularly by the splanchnic bed. The disparity in general and regional oxygen supply and demand results in the development of mucosal hypoxia and this cannot be attributed to CPB alone. This injury is measurable by reductions in both absorptive and barrier functions of the gut. Protection may be conferred by modulating the perfusion protocol during bypass and pharmacological interventions which modify the inflammatory response to surgery.

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Citation

Ohri, Sunil K. and Velissaris, Theo (2006) Gastrointestinal dysfunction following cardiac surgery Perfusion, 21, (4), pp. 215-223.

More information

Published date: 1 July 2006

Identifiers

Local EPrints ID: 61402
URI: http://eprints.soton.ac.uk/id/eprint/61402
ISSN: 0267-6591
PURE UUID: b196cb99-7964-4c43-9a72-daf8f6d4ea10

Catalogue record

Date deposited: 01 Apr 2009
Last modified: 17 Jul 2017 14:22

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Contributors

Author: Sunil K. Ohri
Author: Theo Velissaris

University divisions


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