Abstract

INTRODUCTION

Due to high mortality rates, small bowel transplantation is an attempt which is applied rarely. In this study, we aimed to search the effects of perioperative hemodynamic data, electrolyte balance and blood gas parameters on early period mortality of the patients who underwent small bowel transplantation.

METHODS

The data of 23 patients, who underwent small bowel transplantation in our clinic between 2004 and 2016, were examined retrospectively. All the patients’ demographic data, small bowel syndrome causes, preoperative hemodynamic data, electrolyte and blood gas values, blood transfusion and postoperative 48 hours early period mortality rates were recorded. Statistical analysis was used to identify the parameters that effected early mortality.

RESULTS

The mean age of the patients was 34,54±15,2 years and there were 13 women and 10 men. Early period mortality was identified in four patients. When comparing demographic and clinic data with mortality, no significant difference was found statistically. There was a significant difference in pH, HCO3, BE values before and after reperfusion. No significant difference was found between electrolyte, blood gas values and early period mortality.

DISCUSSION AND CONCLUSION

There are many variables on mortality in small bowel transplantation patients. We think that hemodynamic and metabolic changes should be monitored carefully in perioperative period to avoid early period mortality.