Evidence map›Paper›PMID 32005129›Full record

ArticleWorld journal of emergency surgery : WJES2020

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

Belinda De Simone, Luca Ansaloni, Massimo Sartelli, Yoram Kluger, Fikri M Abu-Zidan, Walter L Biffl, Arianna Heyer, Federico Coccolini, Gian Luca Baiocchi, OBA trial supporters and 1 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of emergency surgery : WJES, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 4 countries.

Belinda De SimoneDepartment of General and Emergency Surgery, Azienda Usl Reggio Emilia IRCCS, Reggio Emilia, Italy. desimone.belinda@gmail.com.
Luca AnsaloniDepartment of Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy.
Massimo SartelliDepartment of General Surgery, Macerata's Hospital, Macerata, Italy.
Yoram KlugerDepartment of Emergency and Trauma Surgery, Rambam Health Campus, Haifa, Israel.
Fikri M Abu-ZidanDepartment of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Walter L BifflDepartment of Trauma and Acute Care Surgery, Scripps Memorial Hospital, La Jolla, California, USA.
Arianna HeyerSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Federico CoccoliniDepartment of Surgery, Pisa University Hospital, Pisa, Italy.
Gian Luca BaiocchiDepartment of Surgery, University of Brescia, Brescia, Italy.
OBA trial supporters
Fausto CatenaDepartment of Emergency and Trauma Surgery, Parma University Hospital, Parma, Italy.
Azienda Sanitaria Unità Locale di Reggio Emilia · ITThomas Jefferson University · USUnited Arab Emirates University · AEUniversity of Parma · ITAzienda Ospedaliera Universitaria Pisana · ITOspedale “M. Bufalini” di Cesena · ITRambam Health Care Campus · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodAn 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.

resultsOne hundred seventeen international emergency surgeons decided to join the project and answered to the web survey with a response rate of 59.39%.

conclusionsThe 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.

Indexed as

Bariatric SurgeryAbdomen, AcuteAdultContrast MediaDecision MakingEmergenciesEmergency Service, HospitalFemaleHumansMalePostoperative ComplicationsPractice Patterns, Physicians'Surveys and QuestionnairesTime-to-TreatmentTomography, X-Ray ComputedContrast MediaAbdominal pain after bariatric surgeryAcute abdomenComplication bariatric surgeryEmergency surgeryOutcome bariatric surgery

Identifiers

PMID32005129
PMCPMC6945511
OpenAlexW3002118712

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.