Surgical Critical Care: Gastrointestinal Complications

Surg Clin North Am. 2017 Dec;97(6):1425-1447. doi: 10.1016/j.suc.2017.08.002.

Abstract

Critical illness and injury affect the gastrointestinal tract almost uniformly. Complications include the sequelae of direct intestinal injury and repair, impaired motility, intra-abdominal hypertension, and ulceration, among others. Contemporary clinical practice has incorporated many advances in the prevention and treatment of gastrointestinal complications during critical illness. This article discusses the epidemiology, risk factors, means of diagnosis, treatment, and prevention of some of these compilations.

Keywords: Abdominal compartment syndrome; Enterocutaneous fistula; Intestinal ileus; Intra-abdominal hypertension; Intra-abdominal pressure; Olgilvie’s Syndrome; Pseudo-obstruction; Stress ulceration.

Publication types

  • Review

MeSH terms

  • Critical Care
  • Critical Illness
  • Gastrointestinal Diseases / etiology*
  • Humans
  • Intra-Abdominal Hypertension / diagnosis
  • Intra-Abdominal Hypertension / etiology
  • Intra-Abdominal Hypertension / therapy*
  • Peptic Ulcer / etiology
  • Peptic Ulcer / therapy
  • Risk Factors
  • Wounds and Injuries / complications*