Gastrointestinal and renal complications in burned patients

✍ Scribed by M. Haberal; A. Ozdemir; U. Bayraktar; Z. Oner; N. Bilgin

• Publisher: Springer
• Year: 1993
• Tongue: English
• Weight: 481 KB
• Volume: 16
• Category: Article
• ISSN: 1435-0130
• DOI: 10.1007/bf00192700

✦ Synopsis

All patients were treated with the Parkland formula. During the treatment of these burn patients, 24 (2.6%) encountered gastrointestinal complications (GI), with 22 of them having upper GI complications. Vagotomy + pyloroplasty or vagotomy + gastrojejunostomy, along with oversewing, was performed in four patients with massive bleeding, terminating the bleeding. Eighteen of the 22 patients with upper GI bleeding died. Four of these deaths were due to massive bleeding, and the remaining were due to septic complications. Nineteen (2%) of the 915 burn patients admitted to our center during this time were major burn patients, requiring dialysis treatment due to acute renal failure. The burn injuries in these patients varied statistically (P-0.01). Reasons for acute tubular necrosis (ATN) in the renal failure patients was either multiple organ failure (MOF) or sepsis. The mortality rate in patients requiring dialysis was 78.9% in acute renal failure patients; 100% in flame burned patients and 60% in electrically burned patients.