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  1. Article ; Online: Retrocolic retrogastric ROUX-EN-Y gastric bypass: how I do it.

    Povoas, Heitor P / Vilas-Bôas, Marcos Leão

    Langenbeck's archives of surgery

    2021  Volume 406, Issue 6, Page(s) 2059–2065

    Abstract: Introduction: Technical variations of the laparoscopic Roux-en-Y gastric bypass may influence the incidence of complications such as fistulas, marginal ulcers, stenosis, and internal hernias.: Methods: We described the technical aspects of a ... ...

    Abstract Introduction: Technical variations of the laparoscopic Roux-en-Y gastric bypass may influence the incidence of complications such as fistulas, marginal ulcers, stenosis, and internal hernias.
    Methods: We described the technical aspects of a retrocolic, retrogastric, laparoscopic gastric bypass procedure with manual gastrojejunostomy and the closure technique for the three mesenteric defects generated by the Roux-en-Y limb reconstruction.
    Results: We summarized the data from 587 patients concerning complications directly related to the surgical technique. There were no internal hernias in patients followed, and in only 2 cases, small bowel obstruction related to defect closure occurred.
    Conclusions: The retrocolic, retrogastric gastric bypass performed with a meticulous closure of all three mesenteric defects reflects a low incidence of internal hernias and low complication rates related to the closure itself. The technique also allows less tension at the gastrojejunostomy.
    MeSH term(s) Anastomosis, Roux-en-Y ; Gastric Bypass/adverse effects ; Humans ; Laparoscopy ; Obesity, Morbid/surgery ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Retrospective Studies
    Language English
    Publishing date 2021-05-23
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1423681-3
    ISSN 1435-2451 ; 1435-2443
    ISSN (online) 1435-2451
    ISSN 1435-2443
    DOI 10.1007/s00423-021-02187-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The recommendations of the Brazilian College of Surgeons and the Brazilian Bariatric and Metabolic Surgery Societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of COVID-19 pandemic

    SILVA, LEONARDO EMILIO DA / COHEN, RICARDO VITOR / DE-ANDRADE, JAMES CAMARA / SZEGÖ, THOMAS / SANTO, MARCO AURÉLIO / RAMOS, ALMINO CARDOSO / VILAS-BOAS, MARCOS LEÃO / MORAES-ZENÓBIO, CRISTIANE MOULIN / ALENCAR-MENEGUESSO, ANNELISE MOTA / VON-BAHTEN, LUIZ CARLOS

    Revista do Colégio Brasileiro de Cirurgiões v.47 2020

    2020  

    Abstract: ABSTRACT Prioritizing surgical procedures aims at facilitating patient’s access according to the clinical needs, maximizing access equity, and minimizing the damage from delayed access. Previous categorization of elective bariatric surgery have been ... ...

    Abstract ABSTRACT Prioritizing surgical procedures aims at facilitating patient’s access according to the clinical needs, maximizing access equity, and minimizing the damage from delayed access. Previous categorization of elective bariatric surgery have been adapted to define an objective prioritizing system that reflects those principles for bariatric and metabolic operations. Given the factors that contribute to the morbidity and mortality of obese and type 2 diabetes patients, surgical prioritization should be based on clinical risk stratification. For patients with type 2 diabetes, we suggest that the operation may be prioritized for those with a higher risk of morbidity and mortality in a relatively short term. Likewise, it is necessary to guide the surgical team regarding the necessary care both in the pre, per and postoperative periods of bariatric and metabolic surgery. These recommendations aim to reduce the risk of in-hospital contamination of the surgical team among health professionals and between health professionals and patients. In summary, these recommendations have been shaped after a thorough analysis of the available literature and are extremely important to mitigate the harm related to the clinical complications of obesity and its comorbidities while keeping healthcare providers’ and patients’ safety.
    Keywords Bariatric Surgery ; Diabetes Mellitus ; Type 2 ; Obesity ; Comorbidity ; Coronavirus ; Pandemics ; covid19
    Subject code 610
    Language English
    Publishing date 2020-01-01
    Publisher Colégio Brasileiro de Cirurgiões
    Publishing country br
    Document type Article ; Online
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  3. Article ; Online: COVID-19: IFSO LAC Recommendations for the Resumption of Elective Bariatric Surgery.

    Behrens, Estuardo / Poggi, Luis / Aparicio, Sergio / Martínez Duartez, Pedro / Rodríguez, Nelson / Zundel, Natan / Ramos Cardoso, Almino / Camacho, Diego / López-Corvalá, Juan Antonio / Vilas-Bôas, Marcos Leão / Laynez, Jorge

    Obesity surgery

    2020  Volume 30, Issue 11, Page(s) 4519–4528

    Abstract: Background: COVID-19 pandemic varies greatly and has different dynamics in every country, city, and hospital in Latin America. Obesity increases the risk of SARS-CoV-2 infection, and it is one of the independent risk factors for the most severe cases of ...

    Abstract Background: COVID-19 pandemic varies greatly and has different dynamics in every country, city, and hospital in Latin America. Obesity increases the risk of SARS-CoV-2 infection, and it is one of the independent risk factors for the most severe cases of COVID-19. Currently, the most effective treatment against obesity available is bariatric and metabolic surgery (BMS), which further resolves or improves other independent risk factors like diabetes and hypertension.
    Objective: Provide recommendations for the resumption of elective BMS during COVID-19 pandemic.
    Method: This document was created by the IFSO-LAC Executive Board and a task force. Based on data collected from a survey distributed to all IFSO-LAC members that obtained 540 responses, current evidence available, and consensus reached by other scientific societies.
    Results: The resumption of elective BMS must be a priority maybe similar to oncological surgery, when hospitals reach phase I or II, treating obesity patients in a NON-COVID area, avoiding inadvertent intrahospital contagion from healthcare provider, patients, and relatives. Same BMS indication and types of procedures as before the pandemic. Discard the presence of SARS-CoV-2 within 72 h prior to surgery. Continues laparoscopic approach. The entire team use N95 mask. Minimum hospital stays. Implement remote visits for the follow-up.
    Conclusion: Resumption of elective BMS is crucial because it is not only a weight loss operation but also resolves or improves comorbidities and appears to be an immune restorative procedure of obese patients in the medium term, offering them the same probability of contracting COVID-19 as the regular population.
    MeSH term(s) Bariatric Surgery ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Elective Surgical Procedures ; Humans ; Latin America ; Obesity, Morbid/surgery ; Pandemics ; Pneumonia, Viral ; Practice Guidelines as Topic ; SARS-CoV-2 ; Surveys and Questionnaires
    Keywords covid19
    Language English
    Publishing date 2020-08-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-020-04910-9
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  4. Article ; Online: The recommendations of the Brazilian College of Surgeons and the Brazilian Bariatric and Metabolic Surgery Societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of COVID-19 pandemic.

    Silva, Leonardo Emilio DA / Cohen, Ricardo Vitor / DE-Andrade, James Camara / SzegÖ, Thomas / Santo, Marco AurÉlio / Ramos, Almino Cardoso / Vilas-Boas, Marcos LeÃo / Moraes-ZenÓbio, Cristiane Moulin / Alencar-Meneguesso, Annelise Mota / VON-Bahten, Luiz Carlos

    Revista do Colegio Brasileiro de Cirurgioes

    2020  Volume 47, Page(s) e20202640

    Abstract: Prioritizing surgical procedures aims at facilitating patient's access according to the clinical needs, maximizing access equity, and minimizing the damage from delayed access. Previous categorization of elective bariatric surgery have been adapted to ... ...

    Abstract Prioritizing surgical procedures aims at facilitating patient's access according to the clinical needs, maximizing access equity, and minimizing the damage from delayed access. Previous categorization of elective bariatric surgery have been adapted to define an objective prioritizing system that reflects those principles for bariatric and metabolic operations. Given the factors that contribute to the morbidity and mortality of obese and type 2 diabetes patients, surgical prioritization should be based on clinical risk stratification. For patients with type 2 diabetes, we suggest that the operation may be prioritized for those with a higher risk of morbidity and mortality in a relatively short term. Likewise, it is necessary to guide the surgical team regarding the necessary care both in the pre, per and postoperative periods of bariatric and metabolic surgery. These recommendations aim to reduce the risk of in-hospital contamination of the surgical team among health professionals and between health professionals and patients. In summary, these recommendations have been shaped after a thorough analysis of the available literature and are extremely important to mitigate the harm related to the clinical complications of obesity and its comorbidities while keeping healthcare providers' and patients' safety.
    MeSH term(s) Bariatric Surgery/standards ; Betacoronavirus ; Brazil ; COVID-19 ; Coronavirus Infections/prevention & control ; Diabetes Mellitus, Type 2/complications ; Elective Surgical Procedures/standards ; Guidelines as Topic ; Health Priorities ; Humans ; Obesity, Morbid/complications ; Obesity, Morbid/surgery ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; SARS-CoV-2
    Language Portuguese
    Publishing date 2020-06-12
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2223714-8
    ISSN 1809-4546 ; 0100-6991
    ISSN (online) 1809-4546
    ISSN 0100-6991
    DOI 10.1590/0100-6991e-20202640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: COVID-19: IFSO LAC Recommendations for the Resumption of Elective Bariatric Surgery

    Behrens, Estuardo / Poggi, Luis / Aparicio, Sergio / Martínez Duartez, Pedro / Rodríguez, Nelson / Zundel, Natan / Ramos Cardoso, Almino / Camacho, Diego / López-Corvalá, Juan Antonio / Vilas-Bôas, Marcos Leão / Laynez, Jorge

    Obes Surg

    Abstract: BACKGROUND: COVID-19 pandemic varies greatly and has different dynamics in every country, city, and hospital in Latin America. Obesity increases the risk of SARS-CoV-2 infection, and it is one of the independent risk factors for the most severe cases of ... ...

    Abstract BACKGROUND: COVID-19 pandemic varies greatly and has different dynamics in every country, city, and hospital in Latin America. Obesity increases the risk of SARS-CoV-2 infection, and it is one of the independent risk factors for the most severe cases of COVID-19. Currently, the most effective treatment against obesity available is bariatric and metabolic surgery (BMS), which further resolves or improves other independent risk factors like diabetes and hypertension. OBJECTIVE: Provide recommendations for the resumption of elective BMS during COVID-19 pandemic. METHOD: This document was created by the IFSO-LAC Executive Board and a task force. Based on data collected from a survey distributed to all IFSO-LAC members that obtained 540 responses, current evidence available, and consensus reached by other scientific societies. RESULTS: The resumption of elective BMS must be a priority maybe similar to oncological surgery, when hospitals reach phase I or II, treating obesity patients in a NON-COVID area, avoiding inadvertent intrahospital contagion from healthcare provider, patients, and relatives. Same BMS indication and types of procedures as before the pandemic. Discard the presence of SARS-CoV-2 within 72 h prior to surgery. Continues laparoscopic approach. The entire team use N95 mask. Minimum hospital stays. Implement remote visits for the follow-up. CONCLUSION: Resumption of elective BMS is crucial because it is not only a weight loss operation but also resolves or improves comorbidities and appears to be an immune restorative procedure of obese patients in the medium term, offering them the same probability of contracting COVID-19 as the regular population.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #724038
    Database COVID19

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  6. Article ; Online: COVID-19

    Behrens, Estuardo / Poggi, Luis / Aparicio, Sergio / Martínez Duartez, Pedro / Rodríguez, Nelson / Zundel, Natan / Ramos Cardoso, Almino / Camacho, Diego / López-Corvalá, Juan Antonio / Vilas-Bôas, Marcos Leão / Laynez, Jorge

    Obesity Surgery

    IFSO LAC Recommendations for the Resumption of Elective Bariatric Surgery

    2020  Volume 30, Issue 11, Page(s) 4519–4528

    Keywords Surgery ; Nutrition and Dietetics ; Endocrinology, Diabetes and Metabolism ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-020-04910-9
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  7. Article: Staplerless laparoscopic gastric bypass: not so fast.

    Póvoas, Heitor Portella / Vilas-Bôas, Marcos Leão

    Obesity surgery

    2006  Volume 16, Issue 8, Page(s) 1115; author reply 1116

    MeSH term(s) Adult ; Electrocoagulation ; Female ; Gastric Bypass/methods ; Hemostasis, Surgical/instrumentation ; Humans ; Laparoscopy ; Postoperative Complications ; Surgical Stapling
    Language English
    Publishing date 2006-08
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1381/096089206778026299
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  8. Article ; Online: 30-Day Morbidity and Mortality of Bariatric Surgery During the COVID-19 Pandemic: a Multinational Cohort Study of 7704 Patients from 42 Countries.

    Singhal, Rishi / Ludwig, Christian / Rudge, Gavin / Gkoutos, Georgios V / Tahrani, Abd / Mahawar, Kamal / Pędziwiatr, Michał / Major, Piotr / Zarzycki, Piotr / Pantelis, Athanasios / Lapatsanis, Dimitris P / Stravodimos, Georgios / Matthys, Chris / Focquet, Marc / Vleeschouwers, Wouter / Spaventa, Antonio G / Zerrweck, Carlos / Vitiello, Antonio / Berardi, Giovanna /
    Musella, Mario / Sanchez-Meza, Alberto / Cantu, Felipe J / Mora, Fernando / Cantu, Marco A / Katakwar, Abhishek / Reddy, D Nageshwar / Elmaleh, Haitham / Hassan, Mohammad / Elghandour, Abdelrahman / Elbanna, Mohey / Osman, Ahmed / Khan, Athar / Layani, Laurent / Kiran, Nalini / Velikorechin, Andrey / Solovyeva, Maria / Melali, Hamid / Shahabi, Shahab / Agrawal, Ashish / Shrivastava, Apoorv / Sharma, Ankur / Narwaria, Bhavya / Narwaria, Mahendra / Raziel, Asnat / Sakran, Nasser / Susmallian, Sergio / Karagöz, Levent / Akbaba, Murat / Pişkin, Salih Zeki / Balta, Ahmet Ziya / Senol, Zafer / Manno, Emilio / Iovino, Michele Giuseppe / Qassem, Mohamed / Arana-Garza, Sebastián / Povoas, Heitor P / Vilas-Boas, Marcos Leão / Naumann, David / Super, Jonathan / Li, Alan / Ammori, Basil J / Balamoun, Hany / Salman, Mohammed / Nasta, Amrit Manik / Goel, Ramen / Sánchez-Aguilar, Hugo / Herrera, Miguel F / Abou-Mrad, Adel / Cloix, Lucie / Mazzini, Guilherme Silva / Kristem, Leonardo / Lazaro, Andre / Campos, Jose / Bernardo, Joaquín / González, Jesús / Trindade, Carlos / Viveiros, Octávio / Ribeiro, Rui / Goitein, David / Hazzan, David / Segev, Lior / Beck, Tamar / Reyes, Hernán / Monterrubio, Jerónimo / García, Paulina / Benois, Marine / Kassir, Radwan / Contine, Alessandro / Elshafei, Moustafa / Aktas, Sueleyman / Weiner, Sylvia / Heidsieck, Till / Level, Luis / Pinango, Silvia / Ortega, Patricia Martinez / Moncada, Rafael / Valenti, Victor / Vlahović, Ivan / Boras, Zdenko / Liagre, Arnaud / Martini, Francesco / Juglard, Gildas / Motwani, Manish / Saggu, Sukhvinder Singh / Al Moman, Hazem / López, Luis Adolfo Aceves / Cortez, María Angelina Contreras / Zavala, Rodrigo Aceves / D'Haese, Christine / Kempeneers, Ivo / Himpens, Jacques / Lazzati, Andrea / Paolino, Luca / Bathaei, Sarah / Bedirli, Abdulkadir / Yavuz, Aydın / Büyükkasap, Çağrı / Özaydın, Safa / Kwiatkowski, Andrzej / Bartosiak, Katarzyna / Walędziak, Maciej / Santonicola, Antonella / Angrisani, Luigi / Iovino, Paola / Palma, Rossella / Iossa, Angelo / Boru, Cristian Eugeniu / De Angelis, Francesco / Silecchia, Gianfranco / Hussain, Abdulzahra / Balchandra, Srivinasan / Coltell, Izaskun Balciscueta / Pérez, Javier Lorenzo / Bohra, Ashok / Awan, Altaf K / Madhok, Brijesh / Leeder, Paul C / Awad, Sherif / Al-Khyatt, Waleed / Shoma, Ashraf / Elghadban, Hosam / Ghareeb, Sameh / Mathews, Bryan / Kurian, Marina / Larentzakis, Andreas / Vrakopoulou, Gavriella Zoi / Albanopoulos, Konstantinos / Bozdag, Ahemt / Lale, Azmi / Kirkil, Cuneyt / Dincer, Mursid / Bashir, Ahmad / Haddad, Ashraf / Hijleh, Leen Abu / Zilberstein, Bruno / de Marchi, Danilo Dallago / Souza, Willy Petrini / Brodén, Carl Magnus / Gislason, Hjörtur / Shah, Kamran / Ambrosi, Antonio / Pavone, Giovanna / Tartaglia, Nicola / Kona, S Lakshmi Kumari / Kalyan, K / Perez, Cesar Ernesto Guevara / Botero, Miguel Alberto Forero / Covic, Adrian / Timofte, Daniel / Maxim, Madalina / Faraj, Dashti / Tseng, Larissa / Liem, Ronald / Ören, Gürdal / Dilektasli, Evren / Yalcin, Ilker / AlMukhtar, Hudhaifa / Al Hadad, Mohammed / Mohan, Rasmi / Arora, Naresh / Bedi, Digvijaysingh / Rives-Lange, Claire / Chevallier, Jean-Marc / Poghosyan, Tigran / Sebbag, Hugues / Zinaï, Lamia / Khaldi, Saadi / Mauchien, Charles / Mazza, Davide / Dinescu, Georgiana / Rea, Bernardo / Pérez-Galaz, Fernando / Zavala, Luis / Besa, Anais / Curell, Anna / Balibrea, Jose M / Vaz, Carlos / Galindo, Luis / Silva, Nelson / Caballero, José Luis Estrada / Sebastian, Sergio Ortiz / Marchesini, João Caetano Dallegrave / da Fonseca Pereira, Ricardo Arcanjo / Sobottka, Wagner Herbert / Fiolo, Felipe Eduardo / Turchi, Matias / Coelho, Antonio Claudio Jamel / Zacaron, Andre Luis / Barbosa, André / Quinino, Reynaldo / Menaldi, Gabriel / Paleari, Nicolás / Martinez-Duartez, Pedro / de Aragon Ramírez de Esparza, Gabriel Martínez / Esteban, Valentin Sierra / Torres, Antonio / Garcia-Galocha, Jose Luis / Josa, Miguel / Pacheco-Garcia, Jose Manuel / Mayo-Ossorio, Maria Angeles / Chowbey, Pradeep / Soni, Vandana / de Vasconcelos Cunha, Hercio Azevedo / Castilho, Michel Victor / Ferreira, Rafael Meneguzzi Alves / Barreiro, Thiago Alvim / Charalabopoulos, Alexandros / Sdralis, Elias / Davakis, Spyridon / Bomans, Benoit / Dapri, Giovanni / Van Belle, Koenraad / Takieddine, Mazen / Vaneukem, Pol / Karaca, Esma Seda Akalın / Karaca, Fatih Can / Sumer, Aziz / Peksen, Caghan / Savas, Osman Anil / Chousleb, Elias / Elmokayed, Fahad / Fakhereldin, Islam / Aboshanab, Hany Mohamed / Swelium, Talal / Gudal, Ahmad / Gamloo, Lamees / Ugale, Ayushka / Ugale, Surendra / Boeker, Clara / Reetz, Christian / Hakami, Ibrahim Ali / Mall, Julian / Alexandrou, Andreas / Baili, Efstratia / Bodnar, Zsolt / Maleckas, Almantas / Gudaityte, Rita / Guldogan, Cem Emir / Gundogdu, Emre / Ozmen, Mehmet Mahir / Thakkar, Deepti / Dukkipati, Nandakishore / Shah, Poonam Shashank / Shah, Shashank Subhashchandra / Shah, Simran Shashank / Adil, Md Tanveer / Jambulingam, Periyathambi / Mamidanna, Ravikrishna / Whitelaw, Douglas / Jain, Vigyan / Veetil, Deepa Kizhakke / Wadhawan, Randeep / Torres, Max / Tinoco, Tabata / Leclercq, Wouter / Romeijn, Marleen / van de Pas, Kelly / Alkhazraji, Ali K / Taha, Safwan A / Ustun, Murat / Yigit, Taner / Inam, Aatif / Burhanulhaq, Muhammad / Pazouki, Abdolreza / Eghbali, Foolad / Kermansaravi, Mohammad / Jazi, Amir Hosein Davarpanah / Mahmoudieh, Mohsen / Mogharehabed, Neda / Tsiotos, Gregory / Stamou, Konstantinos / Barrera Rodriguez, Francisco J / Rojas Navarro, Marco A / Torres, Omar MOhamed / Martinez, Sergio Lopez / Tamez, Elda Rocio Maltos / Millan Cornejo, Gustavo A / Flores, Jose Eduardo Garcia / Mohammed, Diya Aldeen / Elfawal, Mohamad Hayssam / Shabbir, Asim / Guowei, Kim / So, Jimmy By / Kaplan, Elif Tuğçe / Kaplan, Mehmet / Kaplan, Tuğba / Pham, DangTuan / Rana, Gurteshwar / Kappus, Mojdeh / Gadani, Riddish / Kahitan, Manish / Pokharel, Koshish / Osborne, Alan / Pournaras, Dimitri / Hewes, James / Napolitano, Errichetta / Chiappetta, Sonja / Bottino, Vincenzo / Dorado, Evelyn / Schoettler, Axel / Gaertner, Daniel / Fedtke, Katharina / Aguilar-Espinosa, Francisco / Aceves-Lozano, Saul / Balani, Alessandro / Nagliati, Carlo / Pennisi, Damiano / Rizzi, Andrea / Frattini, Francesco / Foschi, Diego / Benuzzi, Laura / Parikh, Chirag / Shah, Harshil / Pinotti, Enrico / Montuori, Mauro / Borrelli, Vincenzo / Dargent, Jerome / Copaescu, Catalin A / Hutopila, Ionut / Smeu, Bogdan / Witteman, Bart / Hazebroek, Eric / Deden, Laura / Heusschen, Laura / Okkema, Sietske / Aufenacker, Theo / den Hengst, Willem / Vening, Wouter / van der Burgh, Yonta / Ghazal, Ahmad / Ibrahim, Hamza / Niazi, Mourad / Alkhaffaf, Bilal / Altarawni, Mohammad / Cesana, Giovanni Carlo / Anselmino, Marco / Uccelli, Matteo / Olmi, Stefano / Stier, Christine / Akmanlar, Tahsin / Sonnenberg, Thomas / Schieferbein, Uwe / Marcolini, Alejandro / Awruch, Diego / Vicentin, Marco / de Souza Bastos, Eduardo Lemos / Gregorio, Samuel Azenha / Ahuja, Anmol / Mittal, Tarun / Bolckmans, Roel / Wiggins, Tom / Baratte, Clément / Wisnewsky, Judith Aron / Genser, Laurent / Chong, Lynn / Taylor, Lillian / Ward, Salena / Hi, Michael W / Heneghan, Helen / Fearon, Naomi / Plamper, Andreas / Rheinwalt, Karl / Geoghegan, Justin / Ng, Kin Cheung / Kaseja, Krzysztof / Kotowski, Maciej / Samarkandy, Tarig A / Leyva-Alvizo, Adolfo / Corzo-Culebro, Lourdes / Wang, Cunchuan / Yang, Wah / Dong, Zhiyong / Riera, Manel / Jain, Rajesh / Hamed, Hosam / Said, Mohammed / Zarzar, Katia / Garcia, Manuel / Türkçapar, Ahmet Gökhan / Şen, Ozan / Baldini, Edoardo / Conti, Luigi / Wietzycoski, Cacio / Lopes, Eduardo / Pintar, Tadeja / Salobir, Jure / Aydin, Cengiz / Atici, Semra Demirli / Ergin, Anıl / Ciyiltepe, Huseyin / Bozkurt, Mehmet Abdussamet / Kizilkaya, Mehmet Celal / Onalan, Nezihe Berrin Dodur / Zuber, Mariana Nabila Binti Ahmad / Wong, Wei Jin / Garcia, Amador / Vidal, Laura / Beisani, Marc / Pasquier, Jorge / Vilallonga, Ramon / Sharma, Sharad / Parmar, Chetan / Lee, Lyndcie / Sufi, Pratik / Sinan, Hüseyin / Saydam, Mehmet

    Obesity surgery

    2021  Volume 31, Issue 10, Page(s) 4272–4288

    Abstract: Background: There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives ... ...

    Abstract Background: There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives of this study were to examine the safety of bariatric surgery (BS) during the coronavirus disease 2019 (COVID-19) pandemic and to determine the efficacy of perioperative COVID-19 protective strategies on postoperative symptomatic COVID-19 rates.
    Methods: We conducted an international cohort study to determine all-cause and COVID-19-specific 30-day morbidity and mortality of BS performed between 01/05/2020 and 31/10/2020.
    Results: Four hundred ninety-nine surgeons from 185 centres in 42 countries provided data on 7704 patients. Elective primary BS (n = 7084) was associated with a 30-day morbidity of 6.76% (n = 479) and a 30-day mortality of 0.14% (n = 10). Emergency BS, revisional BS, insulin-treated type 2 diabetes, and untreated obstructive sleep apnoea were associated with increased complications on multivariable analysis. Forty-three patients developed symptomatic COVID-19 postoperatively, with a higher risk in non-whites. Preoperative self-isolation, preoperative testing for SARS-CoV-2, and surgery in institutions not concurrently treating COVID-19 patients did not reduce the incidence of postoperative COVID-19. Postoperative symptomatic COVID-19 was more likely if the surgery was performed during a COVID-19 peak in that country.
    Conclusions: BS can be performed safely during the COVID-19 pandemic with appropriate perioperative protocols. There was no relationship between preoperative testing for COVID-19 and self-isolation with symptomatic postoperative COVID-19. The risk of postoperative COVID-19 risk was greater in non-whites or if BS was performed during a local peak.
    MeSH term(s) Bariatric Surgery ; COVID-19 ; COVID-19 Testing ; Cohort Studies ; Diabetes Mellitus, Type 2 ; Humans ; Incidence ; Obesity, Morbid/surgery ; Pandemics ; Postoperative Complications/epidemiology ; SARS-CoV-2
    Language English
    Publishing date 2021-07-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-021-05493-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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