TITLE:
Stress gastric ulcer after cardiac surgery: Pathogenesis risk factors and medical management
AUTHORS:
Mahdi Ait Houssa, Noureddine Atmani, Fouad Nya, Abdessamad Abdou, Younes Moutakiallah, Mehdi Bamous, Mohamed Drissi, Abdelatif Boulahya
KEYWORDS:
Stress Gastric Ulcer; Upper Gastrointestinal Bleeding; Cardiac Surgery
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.3 No.3,
June
20,
2013
ABSTRACT: Stress ulcer lesions of upper
gastrointestinal tract are well recognized in patients undergoing open cardiac surgery.
Gastrointestinal bleeding following cardiac surgery is infrequent with significant
morbidity and mortality. The pathogenesis of mucosal lesions and subsequent haemorrhage
is complex and multifactorial. The diagnosis as well as the treatment of this
complication remains a challenge for surgeons. Identifying the source of bleeding
can be difficult. Despite of the successful control of haemorrhage using various
combinations of endoscopic and pharmacological therapies, the mortality rate remains
unchanged. Benefit of routine stress ulcer prophylaxis remains controversial.