Incidence and Risk Factors of Abdominal Complications After Lung Transplantation

Abstract

GI complications after lung transplantation are common. Outcome was rather encouraging in the setting of our transplant center.

Rare causes of hyperbilirubinemia after lung transplantation: our experience at a single center

“…Lung transplantation has become an established treatment option for patients with end-stage lung disease, and the number of lung transplantations has steadily increased (5). As lung transplantation has become more widespread, several complications after lung transplantation have been reported (6,7). Hyperbilirubinemia after organ transplantation has been reported (8-10), and we have encountered rare causes of hyperbilirubinemia after lung transplantation at our center.…”

Prevalence of gastrointestinal dysmotility and complications detected by abdominal plain films after lung transplantation: a single-centre cohort study

“…Most studies report an incidence of around 40% regarding colitis and diverticulitis after LT 8. The high proportion of patients with lower GI dysmotility detected in our study can be attributed to mostly minor medical complications like coprostasis not being assessed in most other studies and the low threshold for diagnostic tests in the setting of abdominal symptoms at our centre.…”

“…13–15 A recent retrospective study over 17 years reported 10.7% of patients suffering from gastroparesis after LT using a clinical definition 8. In our study population, 17.7% of patients showed evidence of GR on APF reflecting the larger proportion of patients with CF and diabetes in our cohort.…”

Early postoperative complications after lung transplantation

“…Частота ранних гастроинтестинальных осложнений, по данным литературы, составляет 7-48,6%. К наиболее частым относятся парез кишечника, гастростаз, острый холецистит, перфорация кишки [89]. Частота экстренных оперативных вмешательств на органах брюшной полости после трансплантации легких в некоторых сообщениях превышает 8-10%.…”

“…Гастроэзофагеальный рефлюкс наблюдался среди гастроинтестинальных осложнений в 22,9% случаев. Воспалительные и инфекционные заболевания толстой кишки возникали в 20,5%, гастропарез -в 10,7% [89]. Costa et al, анализируя группу из 274 пациентов, приводят данные о 33 случаях (12%) ранних (до 30 дней) абдоминальных осложнений с 67% смертностью.…”