Original scientific articleIntraabdominal Complications after Lung Transplantation
Section snippets
Methods
This retrospective study included all patients receiving lung transplants between January 1997 and December 2004 at Loyola University Medical Center, Maywood, IL. Approval from the hospital Institutional Review Board for Protection of Human Subjects was obtained for reviewing patient charts and the lung transplantation database. The study group was comprised of patients requiring a general surgery consultation for experiencing of intraabdominal complications. The overall survival of lung
Results
Between January 1997 and December 2004, 232 lung transplantations were performed in 229 patients at Loyola University Medical Center. The patient population consisted of 134 women and 95 men, with a mean age of 48 years at the time of transplantation (range 15 to 65 years). Indications for transplantation (Fig. 1) were most commonly obstructive lung disease (COPD, n = 63) and alpha1 deficiency (n = 24), pulmonary fibrosis (n = 51), and cystic fibrosis (n = 41). Of the 232 procedures, 123 (53%) were
Discussion
Intraabdominal complications are not uncommon in lung transplant patients. We report a 21% complication rate in 229 consecutive lung transplantations. Smith and colleagues7 reported a similar rate in a smaller series of 75 patients, and Wekerle and associates8 reported a rate of 13% in 124 patients undergoing lung transplantation. In the former series, an omental wrap was used for bronchial anastomosis, an abdominal procedure was required during the lung transplantation. This may explain the
References (33)
- et al.
The Registry of the International Society for Heart and Lung Tranplantation: Introduction to the twentieth annual reports–2003
J Heart Lung Transplant
(2003) - et al.
The Registry of the International Society for Heart and Lung Tranplantation: twentieth official adult lung and heart-lung transplant report–2003
J Heart Lung Transplant
(2003) - et al.
Gastrointestinal complications after human transplantation and mechanical heart replacement
Am J Surg
(1989) - et al.
Gastroinestinal manifestations of cystic fibrosis: a review
Gastroenterology
(1981) - et al.
Intestinal obstruction after lung transplantation in children with cystic fibrosis
J Pediatr Surg
(1999) - et al.
Management of biliary tract disease in heart and lung transplant patients
Surgery
(2000) - et al.
Gastroesophageal reflux as a reversible cause of allograft dysfunction after lung transplant
Chest
(2000) - et al.
Lung transplantation exacerbates gastroesophageal reflux
Chest
(2003) - et al.
Improved lung allograft function after fundoplication in patients with gastroesophageal reflux disease undergoing lung transplantation
J Thorac Cardiovasc Surg
(2003) - et al.
Lung homotransplantation in man
JAMA
(1963)
Gastrointestinal complications in lung transplant survivors that require surgical intervention
Br J Surg
Gastrointestinal complications after orthotopic lung transplantation
Am J Gastroenterol
Abdominal operations after lung transplantationIndications and outcome
Arch Surg
Abdominal complications after lung transplantation
J Heart Lung Transplant
Incidence and outcome of major non-pulmonary surgical procedures in lung transplant recipients
Eur J Cardiothorac Surg
Gastrointestinal complications in heart and heart-lung transplant patients
J Heart Lung Transplant
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Competing Interests Declared: None.
- 1
Drs Garrity and Vigneswaran are currently at the University of Chicago, Chicago, IL.