Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 2001 , Vol 10 , Issue 3
ARETROSPECTIVE ANALYSIS OF GASTROINTESTINAL COMPLICATIONS FOLLONING TRANSPERITONEAL AORTIC SURGERY
Ufuk Alpagut1, Yusuf Kalka1, Enver Dayıoğlu1, Ertan Onursal1, Aydın Kargı1
1İ.Ü. İstanbul Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul A major gastrointestinal complication after transpe ritoneal aortic surgary is anusual but it may be disastrous. We determine risk factors,associated events and outcomes lor patients with gastrointestinal complications in this ret­ rospective study.We examined 750 patients who underwent transperitoneal aortic revascularization tor aneurysmal or occlusive dissease in ten years period.

Gastrointestinal complications developed in 65 patients (%8.6) following;paralyt ic ileus that required replacement of nasogastric tubes (35 patients),gastrointestinal bleeding(6patients) mechanical ileus (6 patients) ,aorto duodenal fis­ tula (3 patients),colon ischemia(2 patients),colitis and diarrhea(1O patients),acute cholecystitis (2 patients),ascites (one patient).

The mean stay in the intensive care unit was 15-60 days.5 deaths occured by caused multisystem organ failure.The­ se results show that gastrointestinal complications are coincidence in transperitoneal aortic surgery and are associ­ ated with severe morbidity rates and increased hpspital costs bacause of prolonged stay and increased mortality rates. Keywords : Abdominal aortic surgery, gastrointestinal complications