Improved outcomes following gastrointestinal surgery among people living with HIV in the HAART-era: A scoping review.
Am J Surg
; 235: 115710, 2024 Sep.
Article
em En
| MEDLINE
| ID: mdl-38599893
ABSTRACT
BACKGROUND:
This study aimed to review the varied 1-4 gastrointestinal (GI) system surgical outcomes among people living with Human Immunodeficiency Virus (PLWH) in the HAART-era.METHODS:
MEDLINE and EMBASE were searched for primary publications on GI surgery outcomes exclusively in HAART-treated HIV patients. NSQIP-reported complications (NRCs), all-cause complications (ACC) and HIV disease parameters were extracted.RESULTS:
12 studies met study inclusion criteria, examining bowel (4), bariatric (5), cholecystectomy (1), appendectomy (1), and other general abdominal operations (1). The NRC rate was 0%, ≥44.4% and 13.3% in bariatric, bowel and appendix surgeries, respectively. Over half of NRCs were infectious. HAART-treated patients had lower ACC, LOS, and sepsis versus untreated-HIV, and higher ACC, LOS and reoperation rates versus HIV-negative patients.CONCLUSION:
HAART use is associated with markedly improved NRC outcomes post GI surgery among PLWH; however, these remained inferior to those documented among HIV uninfected individuals.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Procedimentos Cirúrgicos do Sistema Digestório
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Infecções por HIV
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Terapia Antirretroviral de Alta Atividade
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article