فهرست مطالب کریم آق آرکاکلی

Gastrointestinal complications after open heart surgery are rare, but can lead to re-surgery in the postoperative period. The purpose of this study is to report a rare case of intestinal dilatation due to bezouar after CABG.                                                                    

Case report:

 A 76-year-old female patient came to the emergency department of the hospital with complaints of chest pain, shortness of breath and sweating. During the angiography report, the heart vessels were blocked. CABG was performed for him. After the operation,  the patient suffered from nausea and vomiting and lost the ability to swallow. Following the continuation of the patient's condition, after CT SCAN, intestinal obstruction was diagnosed as a cause. After open abdominal surgery, the mass was removed and the patient was discharged from the hospital with recovery.  

Based on the findings of a case report of bezoar after open heart surgery, the treatment staff should consider the possibility of gastrointestinal complications, especially intestinal obstruction in patients who have nausea, frequent vomiting and inability to swallow. Therefore, after heart surgeries, to ensure early diagnosis and appropriate treatment to prevent further complications and adverse outcomes, pay attention to the importance of the event.

Irritable bowel syndrome (IBS) is a disturbance of colonic function characterized by abdominal pain or discomfort, bloating and abnormal bowel function, resulting in episodes of chronic diarrhea, chronic constipation, or both in alternation. It affects approximately 3 to 20 percent of the population. The aim of this study was to investigate the prevalence of Irritable bowel syndrome among the high school pupile in Gorgan, in North of Iran.

In this descriptive-analytical cross sectional study, data was collected by clustering, quota and randomized sampling. 1080, 15-19 years old male and female high school pupiles, residing in Gorgan participated in the survey during 2007. The data collection tool was a demographic questionnaire and standard Rome-II criteria.

1063 pupiles completed the questionnaire. The Irritable bowel syndrome prevalence according to Rome-II was 5.7%. The relation between ethnicity and Irritable bowel syndrome was significant (P<0.05). The rate of Irritable bowel syndrome was higher among the Turkmen students. There was no significant relation between Irritable bowel syndrome prevalence with gender, age and family income.

This study showed that irritable bowel syndrome prevalence in this area is nearly similar to that reported in national studies in western Iran as well as with Asian countries.