World Journal of Emergency Surgery (Aug 2021)
Acute abdomen in the immunocompromised patient: WSES, SIS-E, WSIS, AAST, and GAIS guidelines
- Federico Coccolini,
- Mario Improta,
- Massimo Sartelli,
- Kemal Rasa,
- Robert Sawyer,
- Raul Coimbra,
- Massimo Chiarugi,
- Andrey Litvin,
- Timothy Hardcastle,
- Francesco Forfori,
- Jean-Louis Vincent,
- Andreas Hecker,
- Richard Ten Broek,
- Luigi Bonavina,
- Mircea Chirica,
- Ugo Boggi,
- Emmanuil Pikoulis,
- Salomone Di Saverio,
- Philippe Montravers,
- Goran Augustin,
- Dario Tartaglia,
- Enrico Cicuttin,
- Camilla Cremonini,
- Bruno Viaggi,
- Belinda De Simone,
- Manu Malbrain,
- Vishal G. Shelat,
- Paola Fugazzola,
- Luca Ansaloni,
- Arda Isik,
- Ines Rubio,
- Itani Kamal,
- Francesco Corradi,
- Antonio Tarasconi,
- Stefano Gitto,
- Mauro Podda,
- Anastasia Pikoulis,
- Ari Leppaniemi,
- Marco Ceresoli,
- Oreste Romeo,
- Ernest E. Moore,
- Zaza Demetrashvili,
- Walter L. Biffl,
- Imitiaz Wani,
- Matti Tolonen,
- Therese Duane,
- Sameer Dhingra,
- Nicola DeAngelis,
- Edward Tan,
- Fikri Abu-Zidan,
- Carlos Ordonez,
- Yunfeng Cui,
- Francesco Labricciosa,
- Gennaro Perrone,
- Francesco Di Marzo,
- Andrew Peitzman,
- Boris Sakakushev,
- Michael Sugrue,
- Marja Boermeester,
- Ramiro Manzano Nunez,
- Carlos Augusto Gomes,
- Miklosh Bala,
- Yoram Kluger,
- Fausto Catena
Affiliations
- Federico Coccolini
- General, Emergency and Trauma Surgery Department, Pisa University Hospital
- Mario Improta
- Emergency Department, Pavia University Hospital
- Massimo Sartelli
- General and Emergency Macerata Hospital
- Kemal Rasa
- Department of Surgery, Anadolu Medical Center
- Robert Sawyer
- General Surgery Department, Western Michigan University
- Raul Coimbra
- Department of General Surgery, Riverside University Health System Medical Center
- Massimo Chiarugi
- General, Emergency and Trauma Surgery Department, Pisa University Hospital
- Andrey Litvin
- Department of Surgical Disciplines, Immanuel Kant Baltic Federal University
- Timothy Hardcastle
- Emergency and Trauma Surgery, Inkosi Albert Luthuli Central Hospital
- Francesco Forfori
- Intensive Care Unit, Pisa University Hospital
- Jean-Louis Vincent
- Departement of Intensive Care, Erasme Univ Hospital, Université Libre de Bruxelles
- Andreas Hecker
- Departementof General and Thoracic Surgery, University Hospital of Giessen
- Richard Ten Broek
- General Surgery, Radboud University Medical Center
- Luigi Bonavina
- General Surgery, San Donato Hospital
- Mircea Chirica
- General Surgery, CHUGA-CHU Grenoble Alpes UGA-Université Grenoble Alpes
- Ugo Boggi
- General Surgery, Pisa University Hospital
- Emmanuil Pikoulis
- 3rd Department of Surgery, Attiko Hospital, National & Kapodistrian University of Athens
- Salomone Di Saverio
- General Surgery, Varese University Hospital
- Philippe Montravers
- Département d’Anesthésie-Réanimation, CHU Bichat Claude Bernard
- Goran Augustin
- Department of Surgery, Zagreb University Hospital Centre and School of Medicine, University of Zagreb
- Dario Tartaglia
- General, Emergency and Trauma Surgery Department, Pisa University Hospital
- Enrico Cicuttin
- General, Emergency and Trauma Surgery Department, Pisa University Hospital
- Camilla Cremonini
- General, Emergency and Trauma Surgery Department, Pisa University Hospital
- Bruno Viaggi
- ICU Department, Careggi University Hospital
- Belinda De Simone
- Department of Digestive, Metabolic and Emergency Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy/Saint Germain en Laye
- Manu Malbrain
- Faculty of Engineering, Department of Electronics and Informatics, Vrije Universiteit Brussel
- Vishal G. Shelat
- General and Emergency Surgery, Tan Tock Seng Hospital
- Paola Fugazzola
- General and Emergency Surgery, Pavia University Hospital
- Luca Ansaloni
- General and Emergency Surgery, Pavia University Hospital
- Arda Isik
- General Surgery, School of Medicine, Istanbul Medeniyet University
- Ines Rubio
- Department of General Surgery, La Paz University Hospital
- Itani Kamal
- General Surgery, VA Boston Health Care System, Boston University, Harvard Medical School
- Francesco Corradi
- Intensive Care Unit, Pisa University Hospital
- Antonio Tarasconi
- General Surgery, Parma University Hospital
- Stefano Gitto
- Gastroenterology and Transplant Unit, Firenze University Hospital
- Mauro Podda
- General and Emergency Surgery, Cagliari University Hospital
- Anastasia Pikoulis
- Medical Department, National & Kapodistrian University of Athens
- Ari Leppaniemi
- Abdominal Center, Helsinki University and Helsinki University Hospital
- Marco Ceresoli
- General Surgery, Monza University Hospital
- Oreste Romeo
- Department of Surgery, Western Michigan University School of Medicine
- Ernest E. Moore
- Trauma Surgery, Denver Health
- Zaza Demetrashvili
- General Surgery, Tbilisi State Medical University
- Walter L. Biffl
- Emergency and Trauma Surgery, Scripps Memorial Hospital La Jolla
- Imitiaz Wani
- General Surgery, Government Gousia Hospital
- Matti Tolonen
- Abdominal Center, Helsinki University and Helsinki University Hospital
- Therese Duane
- Envision Healthcare
- Sameer Dhingra
- National Institute of Pharmaceutical Education and Research, Hajipur (NIPER-H)
- Nicola DeAngelis
- General Surgery Department, Henry Mondor University Hospital
- Edward Tan
- Emergency Medicine, Radboud University Medical Center
- Fikri Abu-Zidan
- General Surgery, UAE University Hospital
- Carlos Ordonez
- Division of Trauma and Acute Care Surgery, Department of Surgery, Fundación Valle del Lili, Universidad del Valle
- Yunfeng Cui
- Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University
- Francesco Labricciosa
- Global Alliance for Infections in Surgery
- Gennaro Perrone
- General Surgery, Parma University Hospital
- Francesco Di Marzo
- General Surgery, Valtiberina Hospital
- Andrew Peitzman
- General Surgery, University of Pittsburgh School of Medicine
- Boris Sakakushev
- First Clinic of General Surgery, University Hospital St George Plovdiv
- Michael Sugrue
- General Surgery, Letterkenny Hospital
- Marja Boermeester
- Department of Surgery, Academic Medical Center
- Ramiro Manzano Nunez
- Clinical Research Center, Fundacion Valle del Lili
- Carlos Augusto Gomes
- Department of Surgery, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Hospital Universitário Terezinha de Jesus
- Miklosh Bala
- General Surgery, Hadassah Hospital
- Yoram Kluger
- General Sugery, Ramabam Medical Centre
- Fausto Catena
- General Surgery, Parma University Hospital
- DOI
- https://doi.org/10.1186/s13017-021-00380-1
- Journal volume & issue
-
Vol. 16,
no. 1
pp. 1 – 21
Abstract
Abstract 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.
Keywords
