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04.09.2021 | COVID-19 | Original Contributions Zur Zeit gratis

Safety of Bariatric Surgery During the Opening Phase After the First Wave of the COVID-19 Pandemic: Experience at an Academic Center

verfasst von: Fernando Crovari, Martin Inzunza, María J. Irarrázaval, Cecilia Romero, Pablo Achurra, Nicolás Quezada, Mauricio Gabrielli, Rodrigo Muñoz

Erschienen in: Obesity Surgery | Ausgabe 12/2021

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Abstract

Introduction

Increased morbimortality in patients with COVID-19 infection who had undergone surgery has raised concerns about bariatric surgery safety during the current COVID-19 pandemic. Currently, there is scarce literature on safety outcomes after bariatric surgery during the COVID-19 pandemic.

Objectives

To determine the risk of symptomatic COVID-19 infection and associated complications during the first 30 days after bariatric surgery.

Materials and Methods

Prospective observational cohort study including all patients who consecutively underwent primary bariatric surgery between August and December 2020.

Results

A total of 189 patients were included. Median age and BMI were 36 (17–70) years and 38 (35–41) kg/m², respectively. Forty percent of patients were women (n = 76), 59.3% (n = 112) underwent sleeve gastrectomy (SG), and 40.7% (n = 77) underwent Roux-en-Y gastric bypass (RYGB). All surgeries were performed laparoscopically. The median length of postoperative stay was 2 (0–5) days. Postoperative COVID-19 infection was detected in two patients (1.1%): one patient was readmitted without the need of intermediate or ICU care, and the other was managed as an outpatient. Major complications occurred in three patients (1.6%); none of them was COVID-19 related. Two patients required an unplanned reoperation. No patient required intermediate or ICU care, no severe COVID-19 complications were observed, and no mortality was reported.

Conclusion

Bariatric surgery can be safely performed during the ongoing pandemic, albeit a low risk of COVID-19 symptomatic infection. Rigorous perioperative COVID-19 institutional protocols are required to perform bariatric surgery safely during the current pandemic.

Graphical abstract

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Titel: Safety of Bariatric Surgery During the Opening Phase After the First Wave of the COVID-19 Pandemic: Experience at an Academic Center
verfasst von: Fernando Crovari
Martin Inzunza
María J. Irarrázaval
Cecilia Romero
Pablo Achurra
Nicolás Quezada
Mauricio Gabrielli
Rodrigo Muñoz
Publikationsdatum: 04.09.2021
Verlag: Springer US
Schlagwort: COVID-19
Erschienen in: Obesity Surgery / Ausgabe 12/2021
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-021-05695-1

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