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Objective: Due to high mortality rates, small bowel transplantation is a rarely applied intervention. In this study, we aimed to investigate 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 had undergone small bowel transplantation in our clinic between 2004 and 2016, were examined retrospectively. All the patients’ demographic data, causes of small bowel syndrome, perioperative hemodynamic data, electrolyte and blood gas values, blood replacement and early postoperative mortality rates within 48 hours were recorded. Statistical analysis was used to identify the parameters that effected early mortality. Results: The mean age of the 23 patients (13 female, and 10 male) was 34.54±15.2 years. Early period mortality was identified in four patients. When comparing demographic and clinic data with mortality, no statistically significant difference was found. 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 in the comparison of the same data. Conclusion: Many variables effect 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.

i̇zmir tepecik eğitim hastanesi dergisi

The effect of perioperative electrolyte, acid-base balance, hemodynamic data and anesthetic management on early mortality of patients with small bowel transplantation