AYSUN ANKAY YILBAŞ, BAŞAK AKÇA, MERAL KANBAK

KONJENİTAL KALP CERRAHİSİ VE GASTROİNTESTİNAL SİSTEM ETKİLERİ

Kardiyak cerrahi sonrası görülen gastrointestinal komplikasyonlar morbiditeyi, mortaliteyi ve hastanede kalış süresini artıranönemli faktörlerdendir. Düşük kardiyak debiye bağlı splanknik hipoperfüzyon bu komplikasyonların oluşumundaki temel mekanizmadır.Beslenme zorluklarından, paralitik ileusa ve nekrotizan enterokolit ile perforasyona kadar gidebilecek pek çok komplikasyongörülebilir. Bu derlemenin amacı; konjenital kalp cerrahisi geçiren hastalarda perioperatif dönemde görülebilecek gastrointestinalkomplikasyonları, bu komplikasyonların patofizyolojisini ve risk faktörlerini tartışmaktır

CONGENITAL CARDIAC SURGERY AND GASTROINTESTINAL SYSTEM EFFECTS

Gastrointestinal complications are among the most important factors increasing morbidity, mortality and hospitalization timesfollowing cardiac surgery. Splanchnic hypoperfusion secondary to low cardiac output is the main mechanism responsible for thesecomplications. A wide spectrum of gastrointestinal problems including feeding difficulties, paralytic ileus, necrotizing enterocolitisand intestinal perforation can be seen. The aim of this review is to discuss the pathophysiology, risk factors and the type ofgastrointestinal complications that can be seen in the perioperative period of congenital cardiac surgery

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