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22.08.2020 | COVID-19 | Review Zur Zeit gratis

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

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

Erschienen in: Obesity Surgery | Ausgabe 11/2020

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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.

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Titel: COVID-19: IFSO LAC Recommendations for the Resumption of Elective Bariatric Surgery
verfasst von: Estuardo Behrens
Luis Poggi
Sergio Aparicio
Pedro Martínez Duartez
Nelson Rodríguez
Natan Zundel
Almino Ramos Cardoso
Diego Camacho
Juan Antonio López-Corvalá
Marcos Leão Vilas-Bôas
Jorge Laynez
Publikationsdatum: 22.08.2020
Verlag: Springer US
Schlagwort: COVID-19
Erschienen in: Obesity Surgery / Ausgabe 11/2020
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-020-04910-9

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Abstract

Background

Objective

Method

Results

Conclusion

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