Colorectal surgery obesity-related morbidity during COVID-19

被引：4
作者：
Montorfano, Lisandro [1 ]
Miret, Rafael [1 ]
Rahman, Asad Ur [2 ]
Alonso, Mileydis [1 ]
Maron, David J. [3 ]
Roy, Mayank [1 ]
Ferri, Francisco [1 ]
Bejarano, Pablo [4 ]
Wexner, Steven D. [3 ]
机构：
[1] Cleveland Clin Florida, Dept Gen Surg, Weston, FL 33331 USA
[2] Cleveland Clin Florida, Dept Gastroenterol, Weston, FL 33331 USA
[3] Cleveland Clin Florida, Dept Colorectal Surg, 2950 Cleveland Clin Blvd, Weston, FL 33331 USA
[4] Cleveland Clin Florida, Dept Lab Med, Weston, FL 33331 USA
来源：
SURGERY FOR OBESITY AND RELATED DISEASES | 2020年 / 16卷 / 09期
关键词：
COVID-19; SARS-CoV-2; coronavirus; Tocilizumab; IL-6; Corticosteroids; Bowel perforation; Colonic perforation; TOCILIZUMAB; RISK;
D O I：
10.1016/j.soard.2020.06.011
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Tocilizumab, a monoclonal antiinterluekin-6 receptor antibody, has been empirically used in the treatment of cytokine release syndrome associated with severe coronavirus disease 2019 infections. The efficacy and safety of these medications for these patients is unknown. The purpose of this report was to present a case of acute large bowel perforation in a morbidly obese patient with coronavirus disease 2019 pneumonia who received empiric Tocilizumab. This case report analyzes the risks of acute large bowel perforation after using this medication empirically and discusses the appropriate management of this adverse event. (C) 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码：1372 / 1375
页数：4
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