The Operative management in Bariatric Acute abdomen (OBA) Survey: long-term complications of bariatric surgery and the emergency surgeon's point of view.
Abdomen, Acute
/ diagnostic imaging
Adult
Bariatric Surgery
Contrast Media
Decision Making
Emergencies
Emergency Service, Hospital
Female
Humans
Male
Postoperative Complications
/ diagnostic imaging
Practice Patterns, Physicians'
/ statistics & numerical data
Surveys and Questionnaires
Time-to-Treatment
Tomography, X-Ray Computed
Abdominal pain after bariatric surgery
Acute abdomen
Complication bariatric surgery
Emergency surgery
Outcome bariatric surgery
Journal
World journal of emergency surgery : WJES
ISSN: 1749-7922
Titre abrégé: World J Emerg Surg
Pays: England
ID NLM: 101266603
Informations de publication
Date de publication:
06 01 2020
06 01 2020
Historique:
received:
30
08
2019
accepted:
16
12
2019
entrez:
2
2
2020
pubmed:
2
2
2020
medline:
9
3
2021
Statut:
epublish
Résumé
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. 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. One hundred seventeen international emergency surgeons decided to join the project and answered to the web survey with a response rate of 59.39%. 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.
Sections du résumé
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.
Identifiants
pubmed: 32005129
doi: 10.1186/s13017-019-0281-y
pii: 10.1186/s13017-019-0281-y
pmc: PMC6945511
doi:
Substances chimiques
Contrast Media
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2Investigateurs
Fabio Cesare Campanile
(FC)
Dente Mario
(D)
Asnat Raziel
(A)
Alberto Zaccaroni
(A)
Antonio Tarasconi
(A)
Alessandro Dazzi
(A)
Konstantinos Lasithiotakisi
(K)
Stefano Maccatrozzo
(S)
Orestis Ioannidis
(O)
Francesco Pata
(F)
Maciej Walędziak
(M)
Agron Dogjani
(A)
Affirul Chairil Ariffin
(AC)
Vladimir Khokha
(V)
Ling Kho
(L)
Boris Kessel
(B)
Ionut Negoi
(I)
Eftychios Lostoridis
(E)
Luigi Conti
(L)
Luca Ponchietti
(L)
Francesco Saverio Papadia
(FS)
Giorgio Ghilardi
(G)
Valentin Calu
(V)
Tuna Bilecik
(T)
Berhanu N Alemu
(BN)
Martin Reichert
(M)
Martin Hutan
(M)
Charalampos Seretis
(C)
Moldovanu Radu
(M)
Carlos Augusto Gomes
(CA)
Faruk Karateke
(F)
Vinicius Cordeiro da Fonseca
(VC)
Arda Isik
(A)
Ioannis Nikolopoulos
(I)
Anfrii Fomin
(A)
Wagih Ghnnam
(W)
Ruslan Sydorchuk
(R)
Ciro Paolillo
(C)
Andrea Sagnotta
(A)
Leonardo Solaini
(L)
Robert G Sawyer
(RG)
David A Spain
(DA)
Michael McFarlane
(M)
Catherine Arvieux
(C)
Andrey Litvin
(A)
Bruno M Pereira
(BM)
Teresa Giménez Maurel
(TG)
Andrea Barberis
(A)
Mahir Gachabayov
(M)
Donal B O'Connor
(DB)
Daniel Rios Cruz
(DR)
Elif Colak
(E)
Cristian Mesina
(C)
Ramiro Manzano-Nunez
(R)
Tadeja Pintar
(T)
Renol Koshy
(R)
Georgios Triantos
(G)
Subash Gautam
(S)
Ali Guner
(A)
Zaza Demetrashvili
(Z)
Carlos A Ordoñez
(CA)
Dimitrios K Manatakis
(DK)
Massimo Chiarugi
(M)
Luis Buonomo
(L)
Piotr Major
(P)
Hecker Andreas
(H)
Derek J Roberts
(DJ)
Jill R Cherry-Bukowiec
(JR)
Koray Das
(K)
Andrea Costanzi
(A)
Harry van Goor
(H)
Kenneth Y Y Kok
(KYY)
Aleix Martínez-Pérez
(A)
Roberta Villa
(R)
Luca Fattori
(L)
Gabriela Elisa Nita
(GE)
Dimitrios Damaskos
(D)
Kuo-Ching Yuan
(KC)
Aintzane Lizarazu
(A)
Michael Denis Kelly
(MD)
Isidoro Di Carlo
(ID)
Marco Ceresoli
(M)
Raffaele Galleano
(R)
Christos Chatzakis
(C)
Miklosh Bala
(M)
Frank Piscioneri
(F)
Stefano Bonilauri
(S)
Helmut Alfredo Segovia Lohse
(HAS)
Dmitry Smirnov
(D)
Dennis Kim
(D)
Francesca Martina
(F)
Giovanni Bruni
(G)
Giampiero Campanelli
(G)
Marta Cavalli
(M)
Victor Kong
(V)
Nickos Michalopoulos
(N)
Yunfeng Cui
(Y)
Michele Diana
(M)
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