Surgical
Treatment of Gastrointestinal Complications After the Heart Transplantation
1Gürlich R., 1Oliverius M., 2Ryska M., 1Sixta B., 3Pirk J., 3Skalský I., 4Hosková L., 5Špičák J.
1Klinika transplantační chirurgie IKEM, Praha 2Chirurgická klinika 2. LF UK a ÚVN, Praha 3Klinika kardiovaskulární chirurgie IKEM, Praha 4Klinika kardiologie IKEM, Praha 5Klinika hepatogastroenterologie IKEM, Praha |
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Summary:
Background. Orthotopic heart transplantation (OHT) is standard treatment of patients with end-stage
heart failure. Long-term immunosuppressive therapy leads to the increased risk of the infection and
cancer.
Methods and Results. Our retrospective study was aimed to evaluate gastrointestinal surgery
procedures after OHT. The retrospective study was carried out at the Institute of clinical and
experimental medicine (IKEM), between January 1, 1996 and December 31, 2006. Our group of patients
includes 587 transplant recipients and 22 gastrointestinal surgery procedures.
Conclusions. Results from our department did not show statistical differences in the length of hospital
stay, morbidity and mortality in comparison with patients after OHT and control group.
Key words:
heart transplantation, surgical treatment, gastrointestinal complications
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