Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen ({IROA})
| Title: | Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen ({IROA}) |
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| Authors: | Federico Coccolini 1; Marco Ceresoli 2; Yoram Kluger 3; Andrew Kirkpatrick 4; Giulia Montori 5; Fracensco Salvetti 6; Paola Fugazzola 7; Matteo Tomasoni 8; Massimo Sartelli 9; Luca Ansaloni 10; Fausto Catena; Ionut Negoi 12; Monica Zese 13; Savino Occhionorelli 13; Sergei Shlyapnikov 14; Christian Galatioto 15; Massimo Chiarugi 15; Zaza Demetrashvili 16; Daniele Dondossola 17; Orestis Ioannidis 18; Giuseppe Novelli 19; Mirco Nacoti 20; Desmond Khor 21; Kenji Inaba 21; Demetrios Demetriades 21; Torsten Kaussen 22; Asri Che Jusoh 23; Wagih Ghannam 24; Boris Sakakushev 25; Ohad Guetta 26; Agron Dogjani 27; Stefano Costa 28; Sandeep Singh 29; Dimitrios Damaskos 30; Arda Isik 31; Kuo-Ching Yuan 32; Francesco Trotta 33; Stefano Rausei 34; Aleix Martinez-Perez 35; Giovanni Bellanova 36; ViniciusCordeiro Fonseca 37; Fernando Hernández 38; Athanasios Marinis 39; Wellington Fernandes 40; Martha Quiodettis 41; Miklosh Bala 42; Andras Vereczkei 43; Rafael Curado 44; Gustavo Pereira Fraga 44; Bruno M Pereira 44; Mahir Gachabayov 45; Guillermo Perez Chagerben 46; Miguel Leon Arellano 47; Sefa Ozyazici 48; Gianluca Costa 49; Tugan Tezcaner 50; Matteo Porta 51; Yousheng Li 52; Faruk Karateke 53; Dimitrios Manatakis 54; Federico Mariani 55; Federic Lora 56; Ivan Sahderov 57; Boyko Atanasov 58; Sergio Zegarra 59; Luca Gianotti 60; Luca Fattori 60; Rao Ivatury 61 |
| Contributors: | 1, Federico Coccolini; 2, Marco Ceresoli; 3, Yoram Kluger; 4, Andrew Kirkpatrick; 5, Giulia Montori; 6, Fracensco Salvetti; 7, Paola Fugazzola; 8, Matteo Tomasoni; 9, Massimo Sartelli; Ansaloni 10, Luca; Catena, Fausto; Negoi 12, Ionut; Zese 13, Monica; Occhionorelli 13, Savino; Shlyapnikov 14, Sergei; Galatioto 15, Christian; Chiarugi 15, Massimo; Demetrashvili 16, Zaza; Dondossola 17, Daniele; Ioannidis 18, Oresti; Novelli 19, Giuseppe; Nacoti 20, Mirco; Khor 21, Desmond; Inaba 21, Kenji; Demetriades 21, Demetrio; Kaussen 22, Torsten; Che Jusoh 23, Asri; Ghannam 24, Wagih; Sakakushev 25, Bori; Guetta 26, Ohad; Dogjani 27, Agron; Costa 28, Stefano; Singh 29, Sandeep; Damaskos 30, Dimitrio; Isik 31, Arda; Yuan 32, Kuo-Ching; Trotta 33, Francesco; Rausei 34, Stefano; Martinez-Perez 35, Aleix; Bellanova 36, Giovanni; Fonseca 37, Viniciuscordeiro; Hernández 38, Fernando; Marinis 39, Athanasio; Fernandes 40, Wellington; Quiodettis 41, Martha; Bala 42, Miklosh; Vereczkei 43, Andra; Curado 44, Rafael; Pereira Fraga 44, Gustavo; M Pereira 44, Bruno; Gachabayov 45, Mahir; Perez Chagerben 46, Guillermo; Leon Arellano 47, Miguel; Ozyazici 48, Sefa; Costa 49, Gianluca; Tezcaner 50, Tugan; Porta 51, Matteo; Li 52, Yousheng; Karateke 53, Faruk; Manatakis 54, Dimitrio; Mariani 55, Federico; Lora 56, Federic; Sahderov 57, Ivan; Atanasov 58, Boyko; Zegarra 59, Sergio; Gianotti 60, Luca; Fattori 60, Luca; Ivatury 61, Rao |
| Publication Year: | 2019 |
| Collection: | IRIS Università degli Studi di Bologna (CRIS - Current Research Information System) |
| Subject Terms: | Entero-atmospheric fistula; Fistula; IROA; Open abdomen |
| Description: | INTRODUCTION: No definitive data describing associations between cases of Open Abdomen (OA) and Entero-atmospheric fistulae (EAF) exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) thus analyzed the International Register of Open Abdomen (IROA) to assess this question. MATERIAL AND METHODS: A prospective analysis of adult patients enrolled in the IROA. RESULTS: Among 649 adult patients with OA 58 (8.9\%) developed EAF. Indications for OA were peritonitis (51.2\%) and traumatic-injury (16.8\%). The most frequently utilized temporary abdominal closure techniques were Commercial-NPWT (46.8\%) and Bogot{\`a}-bag (21.9\%). Mean OA days were 7.9 $\pm$ 18.22. Overall mortality rate was 29.7\%, with EAF having no impact on mortality. Multivariate analysis associated cancer (p = 0.018), days of OA (p = 0.003) and time to provision-of-nutrition (p = 0.016) with EAF occurrence. CONCLUSION: Entero-atmospheric fistulas are influenced by the duration of open abdomen treatment and by the nutritional status of the patient. Peritonitis, intestinal anastomosis, negative pressure and oral or enteral nutrition were not risk factors for EAF during OA treatment. |
| Document Type: | article in journal/newspaper |
| File Description: | STAMPA |
| Language: | English |
| Relation: | volume:50; issue:1; firstpage:160; lastpage:166; numberofpages:7; journal:INJURY; https://hdl.handle.net/11585/1008753 |
| Availability: | https://hdl.handle.net/11585/1008753 |
| Accession Number: | edsbas.A9F4A76F |
| Database: | BASE |