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Start Over Author "Maccatrozzo, Stefano" Topic abdominal pain
3 results on '"Maccatrozzo, Stefano"'

1. Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines.

Author

De Simone, Belinda, Chouillard, Elie, Ramos, Almino, Donatelli, Gianfranco, Pintar, Tadeja, Gupta, Rahul, Renzi, Federica, Mahawar, Kamal, Madhok, Brijesh, Maccatrozzo, Stefano, Abu-Zidan, Fikri, E Moore, Ernest, Weber, Dieter, Coccolini, Federico, Di Saverio, Salomone, Kirkpatrick, Andrew, Shelat, Vishal, Amico, Francesco, Pikoulis, Emmanouil, Ceresoli, Marco, Wani, Imtiaz, De Angelis, Nicola, Hecker, Andreas, Sganga, Gabriele, Tan, Edward, Balogh, Zsolt, Bala, Miklosh, Coimbra, Raul, Damaskos, Dimitrios, Ansaloni, Luca, Sartelli, Massimo, Pararas, Nikolaos, Kluger, Yoram, Chahine, Elias, Agnoletti, Vanni, Fraga, Gustavo, Biffl, Walter, Catena, Fausto, and Galante, Joseph

Subjects
Abdominal pain, Acute abdomen, Bariatric surgery, Bleeding, Emergency surgery, Gastric bypass, Long-term complication, Occlusion, Perforation, Peritonitis, Sleeve gastrectomy, Abdomen, Acute, Bariatric Surgery, Humans, Meta-Analysis as Topic, Obesity, Morbid, Systematic Reviews as Topic, Weight Loss
Abstract

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.

Published
2022

2. The Operative management in Bariatric Acute abdomen (OBA) Survey: long-term complications of bariatric surgery and the emergency surgeon's point of view.

Author

De Simone, Belinda, Ansaloni, Luca, Sartelli, Massimo, Kluger, Yoram, Abu-Zidan, Fikri M., Biffl, Walter L., Heyer, Arianna, Coccolini, Federico, Baiocchi, Gian Luca, the OBA trial supporters, Campanile, Fabio Cesare, Mario, Dente, Raziel, Asnat, Zaccaroni, Alberto, Tarasconi, Antonio, Dazzi, Alessandro, Lasithiotakisi, Konstantinos, Maccatrozzo, Stefano, Ioannidis, Orestis, and Pata, Francesco

Subjects
ABDOMINAL pain, CLINICAL competence, EMERGENCY medical services, BARIATRIC surgery, QUESTIONNAIRES, SURGEONS, SURGICAL complications, PAIN management, PSYCHOSOCIAL factors
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. [ABSTRACT FROM AUTHOR]

Published
2020
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3. Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines

Author

Belinda De Simone, Elie Chouillard, Almino C. Ramos, Gianfranco Donatelli, Tadeja Pintar, Rahul Gupta, Federica Renzi, Kamal Mahawar, Brijesh Madhok, Stefano Maccatrozzo, Fikri M. Abu-Zidan, Ernest E. Moore, Dieter G. Weber, Federico Coccolini, Salomone Di Saverio, Andrew Kirkpatrick, Vishal G. Shelat, Francesco Amico, Emmanouil Pikoulis, Marco Ceresoli, Joseph M. Galante, Imtiaz Wani, Nicola De’ Angelis, Andreas Hecker, Gabriele Sganga, Edward Tan, Zsolt J. Balogh, Miklosh Bala, Raul Coimbra, Dimitrios Damaskos, Luca Ansaloni, Massimo Sartelli, Nikolaos Pararas, Yoram Kluger, Elias Chahine, Vanni Agnoletti, Gustavo Fraga, Walter L. Biffl, Fausto Catena, De Simone, B, Chouillard, E, Ramos, A, Donatelli, G, Pintar, T, Gupta, R, Renzi, F, Mahawar, K, Madhok, B, Maccatrozzo, S, Abu-Zidan, F, E. Moore, E, Weber, D, Coccolini, F, Di Saverio, S, Kirkpatrick, A, Shelat, V, Amico, F, Pikoulis, E, Ceresoli, M, Galante, J, Wani, I, De' Angelis, N, Hecker, A, Sganga, G, Tan, E, Balogh, Z, Bala, M, Coimbra, R, Damaskos, D, Ansaloni, L, Sartelli, M, Parasas, N, Kluger, Y, Chahine, E, Agnoletti, V, Fraga, G, Biffl, W, Catena, F, De Simone B., Chouillard E., Ramos A.C., Donatelli G., Pintar T., Gupta R., Renzi F., Mahawar K., Madhok B., Maccatrozzo S., Abu-Zidan F.M., E. Moore E., Weber D.G., Coccolini F., Di Saverio S., Kirkpatrick A., Shelat V.G., Amico F., Pikoulis E., Ceresoli M., Galante J.M., Wani I., De' Angelis N., Hecker A., Sganga G., Tan E., Balogh Z.J., Bala M., Coimbra R., Damaskos D., Ansaloni L., Sartelli M., Parasas N., Kluger Y., Chahine E., Agnoletti V., Fraga G., Biffl W.L., Catena F., De Simone, Belinda, Chouillard, Elie, Ramos, Almino C., Donatelli, Gianfranco, Pintar, Tadeja, Gupta, Rahul, Renzi, Federica, Mahawar, Kamal, Madhok, Brijesh, Maccatrozzo, Stefano, Abu-Zidan, Fikri M., E. Moore, Ernest, Weber, Dieter G., Coccolini, Federico, Di Saverio, Salomone, Kirkpatrick, Andrew, Shelat, Vishal G., Amico, Francesco, Pikoulis, Emmanouil, Ceresoli, Marco, Galante, Joseph M., Wani, Imtiaz, De’ Angelis, Nicola, Hecker, Andrea, Sganga, Gabriele, Tan, Edward, Balogh, Zsolt J., Bala, Miklosh, Coimbra, Raul, Damaskos, Dimitrio, Ansaloni, Luca, Sartelli, Massimo, Parasas, Nikolao, Kluger, Yoram, Chahine, Elia, Agnoletti, Vanni, Fraga, Gustavo, Biffl, Walter L., and Catena, Fausto

Subjects
Sleeve gastrectomy, Abdomen, Acute, Bariatric surgery, Abdominal pain, Perforation, Occlusion, Peritoniti, Bleeding, Obesity, Morbid, Acute abdomen, Meta-Analysis as Topic, Gastric bypa, Long-term complication, Weight Loss, Emergency surgery, Emergency Medicine, Humans, Surgery, Systematic Reviews as Topic
Abstract

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.

Published
2022

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