The Operative management in Bariatric Acute abdomen (OBA) Survey: long-term complications of bariatric surgery and the emergency surgeon's point of view
Por:
De Simone, B, Ansaloni, L, Sartelli, M, Kluger, Y, Abu-Zidan, F, Biffl, W, Heyer, A, Coccolini, F, Baiocchi, G, Catena, F, Campanile, F, Mario, D, Raziel, A, Zaccaroni, A, Tarasconi, A, Dazzi, A, Lasithiotakisi, K, Maccatrozzo, S, Ioannidis, O, Pata, F, Waledziak, M, Dogjani, A, Ariffin, A, Khokha, V, Kho, L, Kessel, B, Negoi, I, Lostoridis, E, Conti, L, Ponchietti, L, Papadia, F, Ghilardi, G, Calu, V, Bilecik, T, Alemu, B, Reichert, M, Hutan, M, Seretis, C, Radu, M, Gomes, C, Karateke, F, da Fonseca, V, Isik, A, Nikolopoulos, I, Fomin, A, Ghnnam, W, Sydorchuk, R, Paolillo, C, Sagnotta, A, Solaini, L, Sawyer, R, Spain, D, McFarlane, M, Arvieux, C, Litvin, A, Pereira, B, Maurel, T, Barberis, A, Gachabayov, M, O'Connor, D, Cruz, D, Colak, E, Mesina, C, Manzano-Nunez, R, Abdelkarim, Pintar, T, Koshy, R, Triantos, G, Gautam, S, Guner, A, Ordonez, C, Manatakis, D, Chiarugi, M, Buonomo, L, Major, P, Andreas, H, Roberts, D, Cherry-Bukowiec, J, Das, K, Costanzi, A, van Goor, H, Kok, K, Martinez-Perez, A, Villa, R, Fattori, L, Nita, G, Damaskos, D, Yuan, K, Lizarazu, A, Kelly, M, Di Carlo, I, Ceresoli, M, Galleano, R, Herzog, Chatzakis, C, Bala, M, Piscioneri, F, Bonilauri, S, Lohse, H, Demetrashvili, Z, Smirnov, D, Kim, D, Martina, F, Bruni, G, Campanelli, G, Cavalli, M, Kong, V, Michalopoulos, N, Cui, Y, Diana, M and OBA Trial Supporters
Publicada:
6 ene 2020
Resumen:
Background The number of bariatric procedures is increasing worldwide. No consensus or guidelines about the emergency management of long-term complications following bariatric surgery are currently available. The aim of this study is to investigate by a web survey how an emergency surgeon approaches this unique group of patients in an emergency medical scenario and to report their personal experience. Method An international web survey was sent to 197 emergency surgeons with the aim to collect data about emergency surgeons' experience in the management of patients admitted in the emergency department for acute abdominal pain after bariatric surgery. The survey was conceived as a questionnaire composed by 26 (multiple choice and open) questions and approved by a steering committee. Results One hundred seventeen international emergency surgeons decided to join the project and answered to the web survey with a response rate of 59.39%. Conclusions The aim of this WSES web survey was to highlight the current management of patients previously submitted to bariatric surgical procedures by ES. Emergency surgeons must be mindful of postoperative bariatric surgery complications. CT scan with oral intestinal opacification may be useful in making a diagnosis if carefully interpreted by the radiologist and the surgeon. In case of inconclusive clinical and radiological findings, when symptoms fail to improve, surgical exploration for bariatric patients presenting acute abdominal pain, by laparoscopy if expertise is available, is mandatory in the first 12-24 h, to have good outcomes and decrease morbidity rate.
Filiaciones:
De Simone, B:
Azienda Usl Reggio Emilia IRCCS, Dept Gen & Emergency Surg, Reggio Emilia, Italy
Ansaloni, L:
Bufalini Hosp, Dept Emergency & Trauma Surg, Cesena, Italy
Sartelli, M:
Macerata's Hosp, Dept Gen Surg, Macerata, Italy
Kluger, Y:
Rambam Hlth Campus, Dept Emergency & Trauma Surg, Haifa, Israel
Abu-Zidan, F:
UAE Univ, Coll Med & Hlth Sci, Dept Surg, Al Ain, U Arab Emirates
Biffl, W:
Scripps Mem Hosp, Dept Trauma & Acute Care Surg, La Jolla, CA USA
Heyer, A:
Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA USA
Coccolini, F:
Pisa Univ Hosp, Dept Surg, Pisa, Italy
Baiocchi, G:
Univ Brescia, Dept Surg, Brescia, Italy
Mario, D:
Clin Bonnefon, Ales, France
Zaccaroni, A:
Forli Hosp, Dept Endocrine & Gen Surg, Forli, Italy
Tarasconi, A:
Parma Univ Hosp, Emergency Surg Dept, Parma, Italy
Lasithiotakisi, K:
Univ Hosp Heraklion, Dept Surg, Iraklion, Greece
Maccatrozzo, S:
Ist Beato Matteo Vigevano, Pavia, Italy
Ioannidis, O:
Aristotle Univ Thessaloniki, Sch Med, Dept Surg 4, Thessaloniki, Greece
Pata, F:
SantAntonio Abate Hosp, Dept Surg, Gallarate, Italy
Waledziak, M:
Mil Inst Med, Dept Gen Oncol Metab & Thorac Surg, Warsaw, Poland
Dogjani, A:
Univ Hosp Trauma, Trauma, Albania
Ariffin, A:
Univ Sains Islam Malaysia, Nilai, Negeri Sembilan, Malaysia
Khokha, V:
Mozyr City Hosp, Mozyr, BELARUS
Kho, L:
Pennine Acute NHS Trust, Manchester, Lancs, England
Kessel, B:
Hillel Yaffe Med Ctr, Hadera, Israel
Negoi, I:
Carol Davila Univ Med & Pharm Bucharest, Emergency Hosp Bucharest, Dept Gen Surg, Bucharest, Romania
Lostoridis, E:
Kavala Gen Hosp, Dept Surg 1, Kavala, Greece
Conti, L:
Azienda Osped G Saliceto, Piacenza, Italy
:
Torrevieja Univ Hosp, Alicante, Spain
Papadia, F:
Osped Policlino San Martino, Genoa, Italy
Ghilardi, G:
Univ Studi Milano DiSS, Milan, Italy
Calu, V:
Univ Med & Pharm Carol Davila Bucharest, Elias Emergency Hosp, Bucharest, Romania
Bilecik, T:
Adana City Training & Res Hosp, Adana, Turkey
Reichert, M:
Univ Hosp Giessen, Dept Gen Visceral Thorac Transplant & Pediat Surg, Giessen, Germany
Hutan, M:
Landesklinikum Hainburg, Hainburg, Austria
Seretis, C:
George Eliot Hosp NHS Trust, Warwick, W Midlands, England
Radu, M:
Clin Ste Marie, Dept Surg, Cambrai, France
Gomes, C:
Hosp Terezinha Jesus Fac Ciencias Med & da Saude, Juiz De Fora, Brazil
Karateke, F:
Univ Hlth Sci, Adana City Hosp, Dept Gen Surg, Adana, Turkey
da Fonseca, V:
Hosp ViValle, Sao Jose Dos Campos, Brazil
Isik, A:
Univ Pittsburgh, Magee Womens Hosp, Pittsburgh, PA USA
Nikolopoulos, I:
Lewisham & Greenwich NHS Trust, London, England
Ghnnam, W:
Mansoura Fac Med, Dept Gen Surg, Mansoura, Egypt
Sydorchuk, R:
Bukovinian State Med Univ, Dept Gen Surg, Chernovtsy, Ukraine
Paolillo, C:
Spedali Civili Brescia, Emergency Dept, Brescia, Italy
Sagnotta, A:
Azienda Osped Santa Maria Terni, Santa Maria Terni, Italy
Solaini, L:
Morgagni Pierantoni Hosp, Gen & Oncol Surg, Forli, Italy
Sawyer, R:
Western Michigan Univ, Kalamazoo, MI 49008 USA
Spain, D:
Stanford Univ, Stanford, CA 94305 USA
McFarlane, M:
Univ West Indies, Dept Surg Radiol Anaesthesia & Intens Care, Jamaica, NY USA
Arvieux, C:
GRENOBL F AI PFS Univ Hosp, Clin Univ Chirurg Digest & Lurgence, Grenoble, France
Litvin, A:
Immanuel Kant Balt Fed Univ, Reg Clin Hosp, Kaliningrad, Russia
Pereira, B:
Vassouras Univ, Vassouras, Brazil
Maurel, T:
Hosp Univ Miguel Servet, Zaragoza, Spain
Barberis, A:
EO Osped Galliera, Genoa, Italy
Gachabayov, M:
Vladimir City Clin Hosp Emergency Med, Vladimir, Russia
O'Connor, D:
Tallaght Hosp, Trin Coll Dublin, Dublin, Ireland
Cruz, D:
Hosp Ctr Vista Hermosa, Cuernavaca, Morelos, Mexico
Colak, E:
Univ Hlth Sci, Samsun Training & Res Hosp, Samsun, Turkey
Mesina, C:
Emergency Cty Hosp Craiova, Craiova, Romania
Manzano-Nunez, R:
Fdn Valle Lili, Cali, Colombia
Abdelkarim:
Jordan Univ Sci & Technol, Irbid, Jordan
Pintar, T:
UMC, Ljubljana, Slovenia
Koshy, R:
UHCW, Coventry, W Midlands, England
Triantos, G:
Rhodes Gen Hosp, Dept Surg 1, Rhodes, Greece
Gautam, S:
Fujairah Hosp, Fujairah, U Arab Emirates
Guner, A:
Karadeniz Tech Univ, Trabzon, Turkey
Ordonez, C:
Fdn Valle Lili Colombia, Div Trauma & Acute Care Surg, Dept Surg, Cali, Colombia
Manatakis, D:
Athens Naval & Vet Hosp, Dept Surg, Athens, Greece
Chiarugi, M:
Univ Pisa Med Sch, Emergency Surg Unit, Pisa, Italy
Major, P:
Jagiellonian Univ Med Coll, Dept Gen Surg 2, Krakow, Poland
Andreas, H:
Univ Hosp Giessen, Dept Gen & Thorac Surg, Giessen, Germany
Roberts, D:
Univ Calgary, Calgary, AB T2N 1N4, Canada
Cherry-Bukowiec, J:
Univ Michigan, Ann Arbor, MI 48109 USA
Das, K:
Adana City Educ & Res Hosp, Adana, Turkey
Costanzi, A:
Osped Desio, Desio, Italy
van Goor, H:
Radboud Univ Nijmegen Med Ctr, Nijmegen, Netherlands
Kok, K:
Jerudong Pk Med Ctr, Jerudong, Brunei
:
Hosp Univ Doctor Peset, Dept Gen & Digest Surg, Valencia, Spain
Villa, R:
Policlin San Marco Italy, Venice, Italy
Fattori, L:
HS Gerardo, Monza, Italy
Nita, G:
Ausl Reggio Emilia, Reggio Emilia, Italy
Yuan, K:
Taipei Med Univ Hosp, Taipei, Taiwan
Kelly, M:
Albury Hosp, Albury, NSW, Australia
Di Carlo, I:
Univ Catania, Catania, Italy
Ceresoli, M:
Univ Milano Bicocca, Dept Gen Surg, Milan, Italy
Galleano, R:
SC Chirurg Gen Osped Santa Corona Pietra Ligure A, Savonese, Italy
Herzog:
Ruhr Univ Bochum, St Josef Hosp Bochum, Bochum, Germany
Chatzakis, C:
Univ Thessaloniki, Surg Dept Aristotle 4, Thessaloniki, Greece
Bala, M:
Hadassah Hebrew Univ Med Ctr, Jerusalem, Israel
Piscioneri, F:
Canberra Hosp, Canberra, ACT, Australia
Bonilauri, S:
Ausl Reggio Emilia, Reggio Emilia, Italy
Lohse, H:
Hosp Clin, Asuncion, Paraguay
Demetrashvili, Z:
Tbilisi State Med Univ, Dept Surg, Tbilisi, Georgia
Smirnov, D:
South Ural State Med Univ, Chelyabinsk, Russia
Kim, D:
Harbor UCLA Med Ctr, Torrance, CA 90509 USA
Kong, V:
Univ KwaZulu Natal Durban South Africa, Dept Surg, Durban, South Africa
Michalopoulos, N:
Aristotle Univ Thessaloniki, Ahepa Univ Hosp, Dept Surg 3, Thessaloniki, Greece
Cui, Y:
Tianjin Med Univ, Tianjin Nankai Hosp, Tianjin, Peoples R China
Diana, M:
Inst Image Guided Surg, IHU Strasbourg, Strasbourg, France
Green Published, gold
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