ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Thomas M. Beaver
David A. Fullerton
David N. Campbell
Frederick L. Grover
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Beaver, T. M.
Right arrow Articles by Grover, F. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Beaver, T. M.
Right arrow Articles by Grover, F. L.

Ann Thorac Surg 1996;62:839-843
© 1996 The Society of Thoracic Surgeons

Original Articles: General Thoracic

Colon Perforation After Lung Transplantation

Thomas M. Beaver, MD, David A. Fullerton, MD, Martin R. Zamora, MD, David B. Badesch, MD, David Weill, MD, James M. Brown, MD, David N. Campbell, MD, Frederick L. Grover, MD

Divisions of General and Cardiothoracic Surgery and Pulmonary and Critical Care Medicine, University of Colorado Health Sciences Center, Denver, Colorado

Accepted for publication April 23, 1996.

Background. Colon perforation has been previously described after solid organ transplantation. Since the inception of the lung transplant program at the University of Colorado 60 isolated lung transplantations have been performed. Four of these patients have suffered spontaneous colonic perforation.

Methods. The case history of each lung transplant patient with a colon perforation and the literature were reviewed.

Results. An increased incidence of colon perforation in lung transplant patients was identified. Diverticulitis was found to be the predominant cause, and an association with steroids was noted. The two deaths in this series were in patients receiving high-dose steroids in whom invasive Aspergillus infections developed.

Conclusions.Careful screening of the gastrointestinal tract before transplantation is advocated. A steroid-sparing immunosuppressive regimen is recommended. All lung transplant patients with abdominal complaints require an aggressive work-up, and surgeons should have a low threshold for laparotomy. Conservative surgical principles, including resection of the perforated segment of colon and proximal end-colostomy rather than primary anastomosis, are necessary for the optimal outcome.




This article has been cited by other articles:


Home page
 Proc Am Thorac SocHome page
D. M. Lyu and M. R. Zamora
Medical Complications of Lung Transplantation
Proceedings of the ATS, January 15, 2009; 6(1): 101 - 107.
[Abstract] [Full Text] [PDF]

Home page
 Postgrad. Med. J.Home page
C R Morris, I M Harvey, W S L Stebbings, C T M Speakman, H J Kennedy, and A R Hart
Epidemiology of perforated colonic diverticular disease
Postgrad. Med. J., November 1, 2002; 78(925): 654 - 658.
[Abstract] [Full Text] [PDF]

Home page
 J Intensive Care MedHome page
M. M. Chakinala, M. H. Kollef, and E. P. Trulock
Critical Care Aspects of Lung Transplant Patients
J Intensive Care Med, January 1, 2002; 17(1): 8 - 33.
[Abstract] [PDF]

Home page
 Journal of Pharmacy PracticeHome page
R. E. Dupuis, D. J. Taber, A. L. Fann, and K. P. Lumbert
Medical Management Considerations for Patients With Lung Transplantation
Journal of Pharmacy Practice, August 1, 2001; 14(4): 258 - 276.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1996 by The Society of Thoracic Surgeons.