Department of General and Emergency Surgery, Azienda Usl Reggio Emilia IRCCS, Reggio Emilia, Italy.
Department of Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy.
World J Emerg Surg. 2020 Jan 6;15(1):2. doi: 10.1186/s13017-019-0281-y.
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.
全球范围内的减重手术数量正在增加。目前，对于减重手术后长期并发症的紧急处理，尚无共识或指南。本研究旨在通过网络调查，了解急诊外科医生在紧急医疗情况下如何处理这一独特的患者群体，并报告他们的个人经验。
我们向 197 名急诊外科医生发送了一项国际网络调查，旨在收集关于急诊外科医生在处理因减重手术后急性腹痛而入住急诊部的患者方面的经验数据。该调查采用了由 26 个（多项选择和开放式）问题组成的问卷形式，并经过指导委员会的批准。
共有 117 名国际急诊外科医生决定参加该项目，并以 59.39%的回复率回答了网络调查。
本 WSES 网络调查旨在强调 ES 目前对先前接受过减重手术的患者的管理。急诊外科医生必须注意术后减重手术并发症。如果放射科医生和外科医生仔细解读，口服肠道造影的 CT 扫描可能有助于做出诊断。如果临床和影像学检查结果不确定，症状没有改善，对于出现急性腹痛的减重患者，在最初的 12-24 小时内，如有腹腔镜手术专业知识，必须进行手术探查，以获得良好的结果并降低发病率。
