Relevance of certain risk factors in the development of stress lesions of the gastrointestinal tract in cardiac surgery patients in the early postoperative period

Abstract

The role of certain risk factors in the development of stress lesions of the gastrointestinal tract, and the efficacy of current preventive measures for patients before complex surgery were evaluated. The most damaging risk factors were identified: artificial ventilation and artificial circulation during a long period of time, postoperative sepsis and DIC syndrome. The most important anamnestic factors are recurrent peptic ulcer disease and chronic erosive gastroduodenitis. The main methods of prevention and treatment of gastrointestinal complications are antisecretory therapy aimed at maintaining pH above 3.5 (up to 6.0), and gastroprotective therapy which increases resistance of the mucosal barrier.

Keywords

• стрессовые повреждения желудочнокишечного тракта
• факторы риска синдрома острого повреждения желудка
• профилактика осложнений
• stress lesions of the gastrointestinal tract
• risk factors for the syndrome of acute gastric damage
• prevention of complications