Belinda De Simone1, Luca Ansaloni2, Massimo Sartelli3, Yoram Kluger4, Fikri M Abu-Zidan5, Walter L Biffl6, Arianna Heyer7, Federico Coccolini8, Gian Luca Baiocchi9. 1. Department of General and Emergency Surgery, Azienda Usl Reggio Emilia IRCCS, Reggio Emilia, Italy. 2. 2Department of Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy. 3. Department of General Surgery, Macerata's Hospital, Macerata, Italy. 4. 4Department of Emergency and Trauma Surgery, Rambam Health Campus, Haifa, Israel. 5. 5Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates. 6. 6Department of Trauma and Acute Care Surgery, Scripps Memorial Hospital, La Jolla, California USA. 7. 7Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania USA. 8. 8Department of Surgery, Pisa University Hospital, Pisa, Italy. 9. 9Department of Surgery, University of Brescia, Brescia, Italy.
Abstract
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.
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.
Authors: John Saunders; Garth H Ballantyne; Scott Belsley; Daniel J Stephens; Amit Trivedi; Douglas R Ewing; Vincent A Iannace; Rafael F Capella; Annette Wasileweski; Steven Moran; Hans J Schmidt Journal: Obes Surg Date: 2008-05-02 Impact factor: 4.129
Authors: Jennwood Chen; Justin Mackenzie; Yan Zhai; James O'Loughlin; Rebecca Kholer; Ellen Morrow; Robert Glasgow; Eric Volckmann; Anna Ibele Journal: Obes Surg Date: 2017-08 Impact factor: 4.129