Stress gastric ulcer after cardiac surgery: Pathogenesis risk factors and medical management

作     者：Mahdi Ait Houssa Noureddine Atmani Fouad Nya Abdessamad Abdou Younes Moutakiallah Mehdi Bamous Mohamed Drissi Abdelatif Boulahya 

作者机构：Cardiac Surgery Department Military Hospital Institute Rabat Morocco 

出 版 物：《World Journal of Cardiovascular Diseases》 (心血管病（英文）)

年 卷 期：2013年第3卷第3期

页      面：312-316页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Stress Gastric Ulcer Upper Gastrointestinal Bleeding Cardiac Surgery 

摘      要：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.