Acute abdomen in the immunocompromised patient: WSES, SIS-E, WSIS, AAST, and GAIS guidelines

World Journal of Emergency Surgery

Emmanuil Pikoulis¹  Matti Tolonen²  Ari Leppaniemi²  Ramiro Manzano Nunez³  Jean-Louis Vincent⁴  Andreas Hecker⁵  Belinda De Simone⁶  Ines Rubio⁷  Raul Coimbra⁸  Marja Boermeester⁹  Kemal Rasa^1,10  Carlos Augusto Gomes^1,11  Yunfeng Cui^1,12  Oreste Romeo^1,13  Goran Augustin^1,14  Andrey Litvin^1,15  Carlos Ordonez^1,16  Philippe Montravers^1,17  Mario Improta^1,18  Edward Tan^1,19  Timothy Hardcastle^2,20  Walter L. Biffl^2,21  Therese Duane^2,22  Manu Malbrain^2,23  Boris Sakakushev^2,24  Stefano Gitto^2,25  Yoram Kluger^2,26  Nicola DeAngelis^2,27  Robert Sawyer^2,28  Mircea Chirica^2,29  Imitiaz Wani^3,30  Miklosh Bala^3,31  Michael Sugrue^3,32  Marco Ceresoli^3,33  Gennaro Perrone^3,34  Antonio Tarasconi^3,34  Fausto Catena^3,34  Ugo Boggi^3,35  Richard Ten Broek^3,36  Luigi Bonavina^3,37  Arda Isik^3,38  Zaza Demetrashvili^3,39  Fikri Abu-Zidan^4,40  Andrew Peitzman^4,41  Itani Kamal^4,42  Francesco Di Marzo^4,43  Salomone Di Saverio^4,44  Massimo Sartelli^4,45  Mauro Podda^4,46  Luca Ansaloni^4,47  Paola Fugazzola^4,47  Vishal G. Shelat^4,48  Massimo Chiarugi^4,49  Dario Tartaglia^4,49  Camilla Cremonini^4,49  Federico Coccolini^4,49  Enrico Cicuttin^4,49  Francesco Labricciosa^5,50  Bruno Viaggi^5,51  Francesco Corradi^5,52  Francesco Forfori^5,52  Anastasia Pikoulis^5,53  Sameer Dhingra^5,54  Ernest E. Moore^5,55 

[1]3rd Department of Surgery, Attiko Hospital, National & Kapodistrian University of Athens, Athens, Greece

[2]Abdominal Center, Helsinki University and Helsinki University Hospital, Helsinki, Finland

[3]Clinical Research Center, Fundacion Valle del Lili, Cali, Colombia

[4]Departement of Intensive Care, Erasme Univ Hospital, Université Libre de Bruxelles, Bruxelles, Belgium

[5]Departementof General and Thoracic Surgery, University Hospital of Giessen, Giessen, Germany

[6]Department of Digestive, Metabolic and Emergency Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy/Saint Germain en Laye, Saint Germain en Laye, France

[7]Department of General Surgery, La Paz University Hospital, Madrid, Spain

[8]Department of General Surgery, Riverside University Health System Medical Center, Moreno Valley, CA, USA

[9]Department of Surgery, Academic Medical Center, Amsterdam, Netherlands

[10]Department of Surgery, Anadolu Medical Center, Kocaali, Turkey

[11]Department of Surgery, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Hospital Universitário Terezinha de Jesus, Juiz de Fora, Brazil

[12]Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China

[13]Department of Surgery, Western Michigan University School of Medicine, Kalamazoo, MI, USA

[14]Department of Surgery, Zagreb University Hospital Centre and School of Medicine, University of Zagreb, Zagreb, Croatia

[15]Department of Surgical Disciplines, Immanuel Kant Baltic Federal University, Kaliningrad, Russia

[16]Division of Trauma and Acute Care Surgery, Department of Surgery, Fundación Valle del Lili, Universidad del Valle, Cali, Colombia

[17]Département d’Anesthésie-Réanimation, CHU Bichat Claude Bernard, Paris, France

[18]Emergency Department, Pavia University Hospital, Pavia, Italy

[19]Emergency Medicine, Radboud University Medical Center, Nijmegen, The Netherlands

[20]Emergency and Trauma Surgery, Inkosi Albert Luthuli Central Hospital, Mayville, South Africa

[21]Emergency and Trauma Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA

[22]Envision Healthcare, Dallas, TX, USA

[23]Faculty of Engineering, Department of Electronics and Informatics, Vrije Universiteit Brussel, Brussels, Belgium

[24]First Clinic of General Surgery, University Hospital St George Plovdiv, Plovdiv, Bulgaria

[25]Gastroenterology and Transplant Unit, Firenze University Hospital, Firenze, Italy

[26]General Sugery, Ramabam Medical Centre, Tel Aviv, Israel

[27]General Surgery Department, Henry Mondor University Hospital, Paris, France

[28]General Surgery Department, Western Michigan University, Kalamazoo, MI, USA

[29]General Surgery, CHUGA-CHU Grenoble Alpes UGA-Université Grenoble Alpes, Grenoble, France

[30]General Surgery, Government Gousia Hospital, Srinagar, Kashmir, India

[31]General Surgery, Hadassah Hospital, Jerusalem, Israel

[32]General Surgery, Letterkenny Hospital, Letterkenny, Ireland

[33]General Surgery, Monza University Hospital, Monza, Italy

[34]General Surgery, Parma University Hospital, Parma, Italy

[35]General Surgery, Pisa University Hospital, Pisa, Italy

[36]General Surgery, Radboud University Medical Center, Nijmegen, The Netherlands

[37]General Surgery, San Donato Hospital, Milano, Italy

[38]General Surgery, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey

[39]General Surgery, Tbilisi State Medical University, Tbilisi, Georgia

[40]General Surgery, UAE University Hospital, Sharjah, United Arab Emirates

[41]General Surgery, University of Pittsburgh School of Medicine, Pittsburgh, USA

[42]General Surgery, VA Boston Health Care System, Boston University, Harvard Medical School, Boston, MA, USA

[43]General Surgery, Valtiberina Hospital, Sansepolcro, Italy

[44]General Surgery, Varese University Hospital, Varese, Italy

[45]General and Emergency Macerata Hospital, Macerata, Italy

[46]General and Emergency Surgery, Cagliari University Hospital, Cagliari, Italy

[47]General and Emergency Surgery, Pavia University Hospital, Pavia, Italy

[48]General and Emergency Surgery, Tan Tock Seng Hospital, Kuala Lumpur, Malaysia

[49]General, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa, 2, 56124, Pisa, Italy

[50]Global Alliance for Infections in Surgery, Vila Nova de Gaia, Portugal

[51]ICU Department, Careggi University Hospital, Firenze, Italy

[52]Intensive Care Unit, Pisa University Hospital, Pisa, Italy

[53]Medical Department, National & Kapodistrian University of Athens, Athens, Greece

[54]National Institute of Pharmaceutical Education and Research, Hajipur (NIPER-H), Vaishali, Bihar, India

[55]Trauma Surgery, Denver Health, Denver, CL, USA

关键词: Infections;    Intra-abdominal;    Peritonitis;    Cholecystitis;    Appendicitis;    Diverticulitis;    Perforation;    Transplanted;    Oncologic;    Cancer;    Perioperative;    Anesthesia;    Hematologic;    Cytomegalovirus;    Tuberculosis;    Lymphoma;    Leukemia;    Immunosuppression;    Immunocompetence;    Immunocompromise;   

DOI  :  10.1186/s13017-021-00380-1

来源: Springer

【 摘 要 】

Immunocompromised patients are a heterogeneous and diffuse category frequently presenting to the emergency department with acute surgical diseases. Diagnosis and treatment in immunocompromised patients are often complex and must be multidisciplinary. Misdiagnosis of an acute surgical disease may be followed by increased morbidity and mortality. Delayed diagnosis and treatment of surgical disease occur; these patients may seek medical assistance late because their symptoms are often ambiguous. Also, they develop unique surgical problems that do not affect the general population. Management of this population must be multidisciplinary.This paper presents the World Society of Emergency Surgery (WSES), Surgical Infection Society Europe (SIS-E), World Surgical Infection Society (WSIS), American Association for the Surgery of Trauma (AAST), and Global Alliance for Infection in Surgery (GAIS) joined guidelines about the management of acute abdomen in immunocompromised patients.

【 授权许可】

CC BY