ARETROSPECTIVE ANALYSIS OF GASTROINTESTINAL COMPLICATIONS FOLLONING TRANSPERITONEAL AORTIC SURGERY

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.