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Risk factors of gastrointestinal bleeding after vascular surgery operations
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Abstract
Material and methods. Elective treatment was carried out on 741 patients. There were no statistical differences in the occurrence of the complication of gastrointestinal bleeding between the endovascular (173) and surgical procedures (568). The type of analysis was prospective and not randomized.
Results. We noticed 14 cases (1.89%) of gastrointestinal bleeding (GIB). We distinguished three independent risk factors that contributed towards the likelihood of GIB. These factors were kidney impairment (p < 0.005), leukocytosis (p < 0.005), and a past medical history of gastric ulcer (p < 0.005). Moreover, chronic diseases like angina, diabetes, circulatory insufficiency, and the final stages of chronic limb ischemia might increase the risk of gastrointestinal bleeding.
Conclusions. Past medical history of gastric ulcer disease, impairment of kidney function, and inflammation are related to an increased risk of gastrointestinal bleeding after surgical reconstruction of peripheral arteries.
Acta Angiol 2010; 16, 2: 67-77
Abstract
Material and methods. Elective treatment was carried out on 741 patients. There were no statistical differences in the occurrence of the complication of gastrointestinal bleeding between the endovascular (173) and surgical procedures (568). The type of analysis was prospective and not randomized.
Results. We noticed 14 cases (1.89%) of gastrointestinal bleeding (GIB). We distinguished three independent risk factors that contributed towards the likelihood of GIB. These factors were kidney impairment (p < 0.005), leukocytosis (p < 0.005), and a past medical history of gastric ulcer (p < 0.005). Moreover, chronic diseases like angina, diabetes, circulatory insufficiency, and the final stages of chronic limb ischemia might increase the risk of gastrointestinal bleeding.
Conclusions. Past medical history of gastric ulcer disease, impairment of kidney function, and inflammation are related to an increased risk of gastrointestinal bleeding after surgical reconstruction of peripheral arteries.
Acta Angiol 2010; 16, 2: 67-77
Keywords
gastrointestinal bleeding; risk factors; vascular surgery
About this articleTitle
Risk factors of gastrointestinal bleeding after vascular surgery operations
Journal
Issue
Article type
Research paper
Pages
67-77
Published online
2010-07-13
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855
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Bibliographic record
Acta Angiologica 2010;16(2):67-77.
Keywords
gastrointestinal bleeding
risk factors
vascular surgery
Authors
Arkadiusz Kazimierczak
Miłosław Cnotliwy
Piotr Gutowski
Marcin Śledź