Ahmed N Ghanem*
Retired Consultant Urologist Surgeon, Faculty of Medicine, Mansoura University, Egypt
*Corresponding Author: Ahmed N Ghanem, Retired Consultant Urologist Surgeon, Faculty of Medicine, Mansoura University, Egypt.
Received: March 22, 2020; Published: April 01, 2020
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 . These VOS are complications of fluid therapy in surgical patients due to many errors and misconceptions on fluid therapy  that mislead physicians into giving too much fluids during the resuscitation of shock and prolonged major surgery . 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].
Citation: Ahmed N Ghanem. “Hepatic and Gastro-Intestinal Manifestations of Volumetric Overload Shocks (VOS) Causing ARDS”. Acta Scientific Gastrointestinal Disorders 3.5 (2020): 01-05.
Copyright: © 2020 Ahmed N Ghanem. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.