Gastrointestinal complications
Conditions
Interventions
Experimental groups1:None
Control groups1:None
Experimental groups 2:None
Control groups2:None
Experimental groups 3:None
Control groups 3:None
Sponsors
Shanghai Changhai Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Patients with severe gastrointestinal complications, enrollment conditions: (1) Fecal occult blood to two or more consecutive times after cardiac surgery, and transfusion of blood products due to gastrointestinal bleeding, and/or bleeding affecting circulation; (2) Patients with gastrointestinal bleeding and abdominal pain, diarrhea and abdominal distension after cardiac surgery; (3) Patients with abdominal distension and diarrhea after cardiac surgery, combined with fecal occult blood (or above) for more than 3 days, and patients who are not relieved by drug treatment; (4) Patients with mild abdominal distension or fecal occult blood after cardiac surgery, but sudden abdominal pain and intestinal necrosis/perforation diagnosed by imaging examination; 2. Enrollment conditions for general gastrointestinal complications: postoperative cardiac surgery patients with abdominal distension for 3-5 days but rapid improvement after treatment; Control group of gastrointestinal complications after aortic type A dissection: patients with type A dissection who did not have serious gastrointestinal complications during the time period (2017 to 2021) were selected.
Exclusion criteria
Exclusion criteria: 1. Patients with small gastrointestinal bleeding (/, no transfusion of blood products due to gastrointestinal bleeding) and rapid improvement after conservative drug treatment; 2. Patients whose abdominal distension improves rapidly after treatment; 3. Patients with gastrointestinal complications (non-gastrointestinal factors) who have been hospitalized again or more after surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Risk factors for non occlusive mesenteric ischemia (NOMI); | — |
Secondary
| Measure | Time frame |
|---|---|
| Whether there is A difference in NOMI between postoperative and elective postoperative acute type A aortic dissection, and the treatment methods.;Diagnosis and treatment of NOMI: The diagnostic methods of NOMI are different abroad. The diagnosis of NOMI in our center is based on clinical manifestations, and different examination methods, mainly gastrointestinal endoscopy, are used.; | — |
Countries
China
Contacts
Public ContactCheng Hao
Shanghai Changhai Hospital
Outcome results
None listed