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GI Complications in Patients Receiving Mechanical Ventilation^*

^* From the Section of Respiratory and Critical Care Medicine (Dr. G. Mutlu), University of Illinois at Chicago, Chicago; Division of Digestive Diseases and Hepatology (Dr. E. Mutlu), Rush-Presbyterian St. Luke’s Medical Center, Chicago; Division of Pulmonary and Critical Care Medicine (Dr. Factor), Evanston Northwestern Healthcare and Northwestern University Medical School, Evanston, IL.

Correspondence to: Phillip Factor, DO, FCCP, Pulmonary and Critical Care Medicine, Evanston Northwestern Healthcare, 2650 Ridge Ave, Evanston, IL 60201; e-mail: pfactor{at}northwestern.edu

Mechanical ventilation (MV) can be lifesaving by maintaining gas exchange until the underlying disorders are corrected, but it is associated with numerous organ-system complications, which can significantly affect the outcome of critically ill patients. Like other organ systems, GI complications may be directly attributable to MV, but most are a reflection of the severity of the underlying disease that required intensive care. The interactions of the underlying critical illness and MV with the GI tract are complex and can manifest in a variety of clinical pictures. Incorporated in this review are discussions of the most prevalent GI complications associated with MV, and current diagnosis and management of these problems.

Key Words: complications • GI • mechanical ventilation • review • stress ulcer

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