Bariatric Surgery Closure During COVID-19 Lockdown in Italy: The Perspective of Waiting List Candidates

Bianciardi, Emanuela; Imperatori, Claudio; Niolu, Cinzia; Campanelli, Michela; Franceschilli, Marzia; Petagna, Lorenzo; Zerbin, Francesca; Siracusano, Alberto; Gentileschi, Paolo

doi:10.3389/fpubh.2020.582699

Cited by 10 publications

(8 citation statements)

References 18 publications

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“…The risk of emotional distress and psychological disorders, including maladaptive eating habits among patients awaiting bariatric surgery was emphasized in a study by Bianciardi et al They included 116 obese patients waiting for bariatric surgery, out of whom 40% felt anxiety about their health due to COVID-19 pandemic and 61.1% were worried because of closure of the bariatric unit. Moreover, 52.2% of the Italian group felt more vulnerable to COVID infection, compared to 66.3% of patients with no weight gain and 70.1% of patients with weight gain in our study [ 14 ].…”

Section: Discussioncontrasting

confidence: 48%

Influence of COVID-19 Pandemic Lockdown on Patients from the Bariatric Surgery Waiting List

et al. 2021

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Background and Objectives: Social isolation and lockdown due to the COVID-19 pandemic have influenced dietary habits and physical activity of all the population, but the obese population is the most vulnerable to weight gain. Material and Methods: A group of 189 patients (166 female and 23 male) from the bariatric surgery waiting list filled in a survey about the influence of COVID-19 pandemic lockdown on their dietary habits, physical activity, and the possibility of contact with their bariatric care center. Results: The majority of patients with weight gain declared a decrease in physical activity, compared to half of the patients without weight gain (50.5% vs. 74.5%, p < 0.05). The continuation of bariatric care and the possibility of contact with a bariatric surgeon, dietician, and psychologist had each significant influence on reducing the risk of patients’ weight gain (p < 0.05). Conclusions: Maintaining physical activity and contact with bariatric care specialists are important factors in allowing to avoid weight gain in patients waiting for bariatric surgery.

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Section: Discussioncontrasting

confidence: 48%

Influence of COVID-19 Pandemic Lockdown on Patients from the Bariatric Surgery Waiting List

et al. 2021

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“…Although numerous articles tried to investigate the impact of COVID-19 and telehealth on bariatric surgery, they generally did not include its effect on the obesity team's decision [5][6][7][8]. Preoperative multidisciplinary evaluation is highly recommended in clinical practice guidelines, such as clinical nutrition and psychosocial-behavioral evaluation [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Bariatric Tele-screening During the COVID-19 Pandemic: Holding Back for Direct Approval?

Lodewijks

Nienhuijs

2022

OBES SURG

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Purpose Many bariatric centers were restricted from providing routine care for outpatients. Telehealth visits allowed the continued care for outpatients and thus the preoperative screening for bariatric candidates. The objective of this study was to evaluate the effect of tele-screening on the multidisciplinary obesity team's decision (MDD) for bariatric surgery: disapproval, direct approval, or a recommendation for a prehabilitation program. Materials and Methods Hospital data were collected from patients who underwent face-to-face or tele-screening for bariatric surgery between April and December 2020. The tele-screening cohort was then compared with a propensity-matched cohort of patients with face-to-face consultations. A chi-square and multinomial logistic regression analyses were performed. Results After propensity matching, 396 patients remained for analysis. The majority received preoperative prehabilitation advice in both the tele-screening and face-to-face group (51% versus 50%). Although not significant, there were more direct approvals and fewer denials in the face-to-face group (p = 0.691). The multinomial logistic regression analysis showed no significant impact of tele-screening on the MDD result. Conclusion Tele-screening in bariatric centers is feasible; the multidisciplinary team's decision was not significantly different between tele-screening and face-to-face screening which encourages the use of tele-screening in the future. An insignificant amount of fewer direct approvals and more denials were observed in the tele-screening group, which should be taken into account in future and larger case studies.

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“…Indeed, deferring the treatment of obesity, especially under lockdown conditions which entail lifestyle adjustments, mobility restrictions and sleep disruption, may have caused further weight gain and the worsening of obesity complications [ 11 , 12 ]. In our experience, the lockdown had a negative impact on patients’ psychological well-being and eating habits [ 13 ]. Most patients and caregivers reported anxiety, depression and poor quality of life, which deteriorated with increasing wait time, especially in women and in those of younger age and lower socio-economic status [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Bariatric surgery for metabolic unhealthy obesity (MUO) during the COVID era: short-term results of a high-volume center

et al. 2022

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Purpose During the coronavirus disease 19 (COVID-19) outbreak, most public hospitals worldwide have been forced to postpone a major part of bariatric surgery (BS) operations with unfavorable consequences for weight and obesity complications. The aim of this study was to evaluate the effectiveness and safety of laparoscopic BS on subjects with metabolically unhealthy obesity (MUO) during COVID-19 pandemic in a high-volume Italian center. Methods Between March 2020 and January 2021, all patients with MUO submitted to laparoscopic BS (sleeve gastrectomy [SG], one anastomosis gastric bypass [OAGB] and Roux-en-Y gastric bypass [RYGB]) were enrolled according to the ATP III Guidelines, with a minimum follow-up of 3 months. Results In the study period, 210 patients with MUO underwent laparoscopic BS (77 RYGB, 85 SG and 48 OAGB) in our obesity referral center. Postoperative major complications occurred in 4 patients (1.9%) with zero mortality. At 9-month follow-up, a total weight loss (TWL) of 28.2 ± 18.4, 26.1 ± 23.1 and 24.5 ± 11.3% (p = 0.042) was observed in RYGB, OAGB and SG groups, respectively. The rate of comorbidity resolution was very similar for all type of surgeries (p = 0.871). Only two cases of postoperative SARS-CoV-2 infection were registered (0.9%) and both cases resolved with medical therapy and observation. Conclusion Among the patients studied, all surgical techniques were safe and effective for MUO during the COVID era. This group of patients is at high risk for general and SARS-CoV-2-related mortality and therefore should be prioritized for BS. Level of evidence Level III, single-center retrospective cohort study.

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Bariatric Surgery Closure During COVID-19 Lockdown in Italy: The Perspective of Waiting List Candidates

Cited by 10 publications

References 18 publications

Influence of COVID-19 Pandemic Lockdown on Patients from the Bariatric Surgery Waiting List

Influence of COVID-19 Pandemic Lockdown on Patients from the Bariatric Surgery Waiting List

Bariatric Tele-screening During the COVID-19 Pandemic: Holding Back for Direct Approval?

Bariatric surgery for metabolic unhealthy obesity (MUO) during the COVID era: short-term results of a high-volume center

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