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 Bogotà-bag (21.9%). Mean OA days were 7.9 ± 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

Coccolini, F., Ceresoli, M., Kluger, Y., Kirkpatrick, A., Montori, G., Salvetti, F., et al. (2019). Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen (IROA). INJURY, 50(1), 160-166 [10.1016/j.injury.2018.09.040].

Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen (IROA)

Ceresoli, Marco
Secondo
;
Ansaloni, Luca;Gianotti, Luca
Membro del Collaboration Group
;
Fattori, Luca
Membro del Collaboration Group
;
2019

Abstract

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 Bogotà-bag (21.9%). Mean OA days were 7.9 ± 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
Si
Articolo in rivista - Articolo scientifico
Scientifica
Entero-atmospheric fistula; Fistula; IROA; Open abdomen
English
160
166
7
Coccolini, F., Ceresoli, M., Kluger, Y., Kirkpatrick, A., Montori, G., Salvetti, F., et al. (2019). Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen (IROA). INJURY, 50(1), 160-166 [10.1016/j.injury.2018.09.040].
Coccolini, F; Ceresoli, M; Kluger, Y; Kirkpatrick, A; Montori, G; Salvetti, F; Fugazzola, P; Tomasoni, M; Sartelli, M; Ansaloni, L; Catena, F; Negoi, I; Zese, M; Occhionorelli, S; Shlyapnikov, S; Galatioto, C; Chiarugi, M; Demetrashvili, Z; Dondossola, D; Ioannidis, O; Novelli, G; Nacoti, M; Khor, D; Inaba, K; Demetriades, D; Kaussen, T; Jusoh, A; Ghannam, W; Sakakushev, B; Guetta, O; Dogjani, A; Costa, S; Singh, S; Damaskos, D; Isik, A; Yuan, K; Trotta, F; Rausei, S; Martinez-Perez, A; Bellanova, G; Fonseca, V; Hernández, F; Marinis, A; Fernandes, W; Quiodettis, M; Bala, M; Vereczkei, A; Curado, R; Fraga, G; Pereira, B; Gachabayov, M; Chagerben, G; Arellano, M; Ozyazici, S; Costa, G; Tezcaner, T; Porta, M; Li, Y; Karateke, F; Manatakis, D; Mariani, F; Lora, F; Sahderov, I; Atanasov, B; Zegarra, S; Gianotti, L; Fattori, L; Ivatury, R
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/214955
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