关键词: acute dilated colon colonoscopic decomression coronary artery bypass grafting(cabg) ogilvie's syndrome transverse colon

来  源:   DOI:10.7759/cureus.46372   PDF(Pubmed)

Abstract:
Coronary artery bypass graft (CABG) surgery has a major role in the management of obstructive coronary artery disease, especially in patients with diabetes or multiple vessel disease. Currently, in the USA, the annual incidence rate of CABG has been reported to be approximately 400,000. Overall, gastrointestinal (GI) complications occur in less than 2% of patients undergoing open-heart surgery. Acute colonic pseudo-obstruction, also known as Ogilvie\'s syndrome, is a disorder characterized by dilatation of the colon in the absence of an anatomic lesion that obstructs the flow of intestinal contents. This condition occurs in 0.06% of patients following cardiac surgery, and in CABG patients, the reported incidence is approximately 0.046%. In this report, we discuss a case of a patient who developed Ogilvie\'s syndrome after undergoing CABG.
摘要:
冠状动脉旁路移植术(CABG)在治疗阻塞性冠状动脉疾病中起着重要作用,尤其是糖尿病或多血管疾病患者。目前,在美国,据报道,CABG的年发病率约为40万。总的来说,胃肠道(GI)并发症发生在接受心脏直视手术的患者中不到2%。急性结肠假性梗阻,也被称为奥格尔维综合征,是一种以结肠扩张为特征的疾病,其不存在阻碍肠内容物流动的解剖损伤。这种情况发生在心脏手术后的0.06%的患者中,在CABG患者中,报告的发病率约为0.046%.在这份报告中,我们讨论了一例接受CABG后出现Ogilvie综合征的患者。
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