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dc.contributor.authorGuney, Lutfi Hakan
dc.contributor.authorAraz, Coskun
dc.contributor.authorBeyazpinar, Deniz Sarp
dc.contributor.authorArda, Irfan Serdar
dc.contributor.authorArslan, Esra Elif
dc.contributor.authorHicsonmez, Akgun
dc.date.accessioned2019-11-27T11:28:18Z
dc.date.available2019-11-27T11:28:18Z
dc.date.issued2015
dc.identifier.issn2146-3123
dc.identifier.urihttp://www.balkanmedicaljournal.org/uploads/pdf/pdf_BMJ_201.pdf
dc.identifier.urihttp://hdl.handle.net/11727/4258
dc.description.abstractBackground: Congenital cardiovascular abnormality is an important cause of morbidity and mortality in childhood. Both the type of congenital cardiovascular abnormality and cardiopulmonary bypass are responsible for gastrointestinal system problems. Aims: Intra-abdominal problems, such as paralytic ileus, necrotizing enterocolitis, and intestinal perforation, are common in patients who have been operated or who are being followed for congenital cardiovascular abnormalities. Besides the primary congenital cardiovascular abnormalities, ischemia secondary to cardiac catheterization or surgery contributes to the incidence of these problems. Study Design: Cross-sectional study. Methods: In this study, we aimed to screen the intra-abdominal problems seen in patients with congenital cardiovascular abnormalities who had undergone surgical or angiographical intervention(s). Patients with congenital cardiovascular abnormalities who had been treated medically or surgically between 2000 and 2014 were analyzed retrospectively in terms of intra-abdominal problems. The patients' demographic data, type of congenital cardiovascular abnormalities, the intervention applied (surgical, angiographic), the incidence of intra-abdominal problem(s), the interventions applied for the intra-abdominal problems, and the results were evaluated. Results: Fourteen (Group I) of the 76 patients with congenital cardiovascular abnormalities diagnosis were operated due to intra-abdominal problems, and 62 (Group II) were followed-up clinically for intra-abdominal problems. In Group I (10 boys and 4 girls), 11 patients were aged between 0 and 12 months, and three patients were older than 12 months. Group II included 52 patients aged between 0 and 12 months and 10 patients older than 12 months. Cardiovascular surgical interventions had been applied to six patients in Group I and 40 patients in Group II. The most frequent intra-abdominal problems were necrotizing enterocolitis and intestinal perforation in Group I, and paralytic ileus in Group II. Seven of the Group I patients and 22 of the Group II patients died. The patients who died in both groups had more than three congenital cardiovascular abnormalities in the same patient, and 80% of these patients had been operated for congenital cardiovascular abnormalities. Conclusion: The gastrointestinal system is involved in important complications experienced by patients with congenital cardiovascular abnormalities. The mortality rate was higher in operated patients due to gastrointestinal complications. Gastrointestinal complications are more frequent in patients with cyanotic anomalies. The presence of more than one congenital cardiovascular abnormality in a patient increased the mortality rate.en_US
dc.language.isoengen_US
dc.relation.isversionof10.5152/balkanmedj.2015.151045en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAbdominal surgeryen_US
dc.subjectcardiopulmonaryen_US
dc.subjectcongenitalen_US
dc.subjectcardiovascular abnormalitiesen_US
dc.subjectintestinal ischemiaen_US
dc.titleAbdominal Problems in Children with Congenital Cardiovascular Abnormalitiesen_US
dc.typearticleen_US
dc.relation.journalBALKAN MEDICAL JOURNALen_US
dc.identifier.volume32en_US
dc.identifier.issue3en_US
dc.identifier.startpage285en_US
dc.identifier.endpage290en_US
dc.identifier.wos000357330600008en_US
dc.identifier.scopus2-s2.0-84936770853en_US
dc.contributor.pubmedID26185717en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US


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