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Gastrointestinal complications of cardiac surgery are infrequent (0.3-3%) (1-3), but condition the prognosis of the patient. Upper digestive bleeding (UDB) is the most frequent complication of this kind. UDB is regarded as the expression of diffuse aggression on the body in the context of a risk situation, representing 28-31% of all gastrointestinal complications (4). In this setting, ulceration is the most common manifestation. The underlying etiopathogenesis would involve splanchnic hypoperfusion produced by the release of endotoxins, with immune alterations of the gastric mucosa and an increased risk of bacterial translocation (5). We present the case of a patient with UDB in the postoperative period of aortocoronary bypass surgery.

revista española de enfermedades digestivas/revista española de enfermedades digestivas

Upper digestive bleeding due to Dieulafoy's lesion during the postoperative period of aortocoronary bypass surgery in a patient treated with clopidogrel