Definitions of other UGI Complications

 

Anastomotic leak

 

Defined as a symptomatic (mediastinal abscess, mediastinitis, or bilious chest drainage) or asymptomatic (diagnosed by water-soluble contrast swallow or endoscopy) intrathoracic anastomosis disruption

 

 

Delayed gastric emptying

 

Defined as ongoing vomiting after nasogastric tube removal, despite prokinetic treatment, requiring nasogastric tube replacement

 

 

Major postoperative pulmonary complications

 

Postoperative Pneumonia

 

Mucus plug

Defined as a bronchial plug with atelectasis requiring bronchoscopy in absence of pyrexia and leucocytosis

 

Respiratory insufficiency

Defined as the inability of a patient to maintain a PaO2 more than 60 mmHg or PaCO2 less than 55 mmHg, requiring intubation and assisted ventilation

 

Acute Respiratory Distress Syndrome

Defined as severe hypoxia (PaO2/FiO2 less than 200), diffuse bilateral pulmonary infiltration and pulmonary wedge pressure less than 18mmHg

 

Acute lung injury

The presence of PaO2/FiO2 200-300 is considered ARDS

 

 

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