Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines (vol 17, 51, 2022)

被引：0

作者：

De Simone, Belinda ^{[1
]}

Chouillard, Elie ^{[1
]}

Ramos, Almino C. ^{[2
]}

Donatelli, Gianfranco ^{[3
]}

Pintar, Tadeja ^{[4
]}

Gupta, Rahul ^{[5
]}

Renzi, Federica ^{[6
]}

Mahawar, Kamal ^{[7
]}

Madhok, Brijesh ^{[8
]}

Maccatrozzo, Stefano ^{[9
]}

Abu-Zidan, Fikri M. ^{[10
]}

Moore, Ernest E. ^{[11
]}

Weber, Dieter G. ^{[12
]}

Coccolini, Federico ^{[13
]}

Di Saverio, Salomone ^{[14
]}

Kirkpatrick, Andrew ^{[15
]}

Shelat, Vishal G. ^{[16
]}

Amico, Francesco ^{[17
,18
]}

Pikoulis, Emmanouil ^{[19
]}

Ceresoli, Marco ^{[20
]}

Galante, Joseph M. ^{[21
]}

Wani, Imtiaz ^{[22
]}

De'Angelis, Nicola ^{[23
]}

Hecker, Andreas ^{[24
]}

Sganga, Gabriele ^{[25
]}

Tan, Edward ^{[26
]}

Balogh, Zsolt J. ^{[18
,27
]}

Bala, Miklosh ^{[28
]}

Coimbra, Raul ^{[29
]}

Damaskos, Dimitrios ^{[30
]}

Ansaloni, Luca ^{[31
]}

Sartelli, Massimo ^{[32
]}

Pararas, Nikolaos ^{[19
]}

Kluger, Yoram ^{[33
]}

Chahine, Elias ^{[1
]}

Agnoletti, Vanni ^{[34
]}

Fraga, Gustavo ^{[35
]}

Biffl, Walter L. ^{[36
]}

Catena, Fausto ^{[34
]}

机构：

[1] Poissy & St Germain Laye Hosp, Dept Emergency Digest & Metab Minimally Invas Sur, Poissy Ile De France, France

[2] GastroObesoCtr Inst Metab Optimizat, Sao Paulo, Brazil

[3] Hop Prive Peupliers, Intervent Endoscopy & Endoscop Surg, Paris, France

[4] Univ Ljubljana, Dept Abdominal Surg, Med Ctr, Ljubljana, Slovenia

[5] Beth Israel Deaconess Med Ctr, Div Minimally Invas Surg & Bariatr, Boston, MA USA

[6] ASST Niguarda, Gen Surg & Trauma Team, Piazza Osped Maggiore 3, I-20162 Milan, Italy

[7] South Tyneside & Sunderland NHS Fdn Trust, Sunderland, England

[8] Univ Hosp Derby & Burton NHS Trus, East Midlands Bariatr & Metab Inst, Derby, England

[9] Ist Cura Beato Matteo, Dept Bariatr Surg, Vigevano, Italy

[10] UAE Univ, Coll Med & Hlth Sci, Dept Surg, Al Ain, U Arab Emirates

[11] Denver Hlth Med Ctr, Denver Hlth Syst, Denver, CO USA

[12] Univ Western Australia, Royal Perth Hosp, Dept Gen Surg, Perth, Australia

[13] Pisa Univ Hosp, Dept Emergency & Trauma Surg, Pisa, Italy

[14] Madonna Soccorso Hosp, Dept Surg, San Benedetto Tronto, Italy

[15] Foothills Med Ctr, Dept Gen Acute Care Abdominal Wall Reconstruct &, Calgary, AB, Canada

[16] Tan Tock Seng Hosp, Dept Gen Surg, Singapore, Singapore

[17] John Hunter Hosp, Dept Surg, Newcastle, NSW, Australia

[18] Univ Newcastle, Newcastle, NSW, Australia

[19] Natl & Kapodistrian Univ Athens NKUA, Attikon Gen Hosp, Dept Surg 3, Athens, Greece

[20] Monza Univ Hosp, Gen Surg, Monza, Italy

[21] Univ Calif Davis, 2315 Stockton Blvd, Sacramento, CA 95817 USA

[22] Govt Gousia Hosp, Srinagar, Kashmir, India

[23] Hop Henri Mondor, Serv Chirurg Digest & Hepatobiliopancreat DMU CAR, Paris, France

[24] Univ Hosp Giessen, Dept Gen & Thorac Surg, Giessen, Germany

[25] Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Emergency Surg & Trauma, Rome, Italy

[26] Radboud Univ Nijmegen, Dept Emergency Med, Med Ctr, Nijmegen, Netherlands

[27] John Hunter Hosp, Dept Traumatol, Newcastle, NSW, Australia

[28] Hadassah Hebrew Univ, Trauma & Acute Care Surg Unit, Med Ctr, Jerusalem, Israel

[29] Loma Linda Univ, Riverside Univ Hlth Syst, Sch Med, Med Ctr, Riverside, CA USA

[30] Univ Edinburgh, Royal Infirm Edinburgh, Gen & Emergency Surg, Edinburgh, Scotland

[31] Pavia Univ Hosp, Dept Surg, Pavia, Italy

[32] Macerata Hosp, Dept Gen Surg, Macerata, Italy

[33] Rambam Hlth Care Campus, Div Gen Surg, Haifa, Israel

[34] Bufalini Hosp, Dept Emergency & Trauma Surg, Cesena, Italy

[35] Univ Campinas Unicamp, Sch Med Sci, Campinas, SP, Brazil

[36] Scripps Mem Hosp La Jolla, Dept Trauma & Acute Care Surg, San Diego, CA USA

来源：

WORLD JOURNAL OF EMERGENCY SURGERY | 2022年 / 17卷 / 01期

关键词：

Abdominal pain; Acute abdomen; Bariatric surgery; Bleeding; Emergency surgery; Gastric bypass; Long-term complication; Occlusion; Perforation; Peritonitis; Sleeve gastrectomy;

D O I：

10.1186/s13017-022-00460-w

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Patients presenting with acute abdominal pain that occurs after months or years following bariatric surgery may present for assessment and management in the local emergency units. Due to the large variety of surgical bariatric techniques, emergency surgeons have to be aware of the main functional outcomes and long-term surgical complications following the most performed bariatric surgical procedures. The purpose of these evidence-based guidelines is to present a consensus position from members of the WSES in collaboration with IFSO bariatric experienced surgeons, on the management of acute abdomen after bariatric surgery focusing on long-term complications in patients who have undergone laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. Method: A working group of experienced general, acute care, and bariatric surgeons was created to carry out a systematic review of the literature following the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) and to answer the PICO questions formulated after the Operative management in bariatric acute abdomen survey. The literature search was limited to late/long-term complications following laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. Conclusions: The acute abdomen after bariatric surgery is a common cause of admission in emergency departments. Knowledge of the most common late/long-term complications (> 4 weeks after surgical procedure) following sleeve gastrectomy and Roux-en-Y gastric bypass and their anatomy leads to a focused management in the emergency setting with good outcomes and decreased morbidity and mortality rates. A close collaboration between emergency surgeons, radiologists, endoscopists, and anesthesiologists is mandatory in the management of this group of patients in the emergency setting. © 2022, The Author(s).

引用

页数：2