Acta Scientific Gastrointestinal Disorders (ISSN: 2582-1091)

Editorial Volume 3 Issue 5

Hepatic and Gastro-Intestinal Manifestations of Volumetric Overload Shocks (VOS) Causing ARDS

Ahmed Ghanem*

Retired Consultant Urologist Surgeon, Faculty of Medicine, Mansoura University, Egypt

*Corresponding Author: Ahmed Ghanem, Retired Consultant Urologist Surgeon, Faculty of Medicine, Mansoura University, Egypt.

Received: March 22, 2020; Published: April 01, 2020

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  Substantial physics and physiological evidence with clinical relevance and significance currently exists that affirms Starling's law is wrong (Figure 1) [1-3]. Evidence that volumetric overload shocks (VOS) [4-7] cause the acute respiratory distress syndrome (ARDS) is also available [8]. These VOS are complications of fluid therapy in surgical patients due to many errors and misconceptions on fluid therapy [8] that mislead physicians into giving too much fluids during the resuscitation of shock and prolonged major surgery [9]. The clinical manifestations of VOS causing ARDS is shown in table 1, among the multiple system and vital organ dysfunctions are the hepatic and gastro-intestinal (GIT) manifestations [10-14]. These include hepatic dysfunction with elevated bilirubin, alkaline phosphates and liver enzymes of SGOT [10,11] and delayed recovery of intestinal function or paralytic ileus with nausea and vomiting [12,13].

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References

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Citation

Citation: Ahmed Ghanem. “Hepatic and Gastro-Intestinal Manifestations of Volumetric Overload Shocks (VOS) Causing ARDS”. Acta Scientific Gastrointestinal Disorders 3.5 (2020): 01-05.



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