Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception

Beisani, Marc; Vilallonga, Ramón; Petrola, Carlos; Acosta, Asunción; Pérez, José Antonio Casimiro; Gordejuela, Amador García Ruiz de; Quesada, C; González, O.; Tudela, Arturo Cirera de; Caubet, Enric; Armengol, Manel; Fort, José Manuel

doi:10.1007/s00423-020-02040-5

Cited by 14 publications

(15 citation statements)

References 31 publications

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“…The majority of patients have struggled for many years with noninvasive measures like diet, exercise, and pharmacotherapy before surgery. The current COVID-19 pandemic, with its high morbidity and mortality, has led to the cancellation of millions of surgeries, including all bariatric surgery procedures [ 10 , 11 ]. Many centers were afraid to resume activity due to the risk of contamination for patients with morbid obesity or additional deterioration of their pulmonary function.…”

Section: Discussionmentioning

confidence: 99%

Bariatric surgery in patients with previous COVID-19 infection

Nedelcu

Marx²,

Lutfi³

et al. 2021

Surgery for Obesity and Related Diseases

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Background The process of reintroducing bariatric surgery to our communities in a COVID-19 environment was particular to each country. Furthermore, no clear recommendation was made for patients with a previous COVID-19 infection and a favorable outcome who were seeking bariatric surgery. Objectives To analyze the risks of specific complications for patients with previous COVID-19 infection who were admitted for bariatric surgery. Setting Eight high-volume private centers from 5 countries. Methods All patients with morbid obesity and previous COVID-19 infection admitted for bariatric surgery were included in the current study. Patients were enrolled from 8 centers and 5 countries, and their electronic health data were reviewed retrospectively. The primary outcome was to identify early (<30 d) specific complications related to COVID-19 infection following bariatric surgery, and the secondary outcome was to analyze additional factors from work-ups that could prevent complications. Results Thirty-five patients with a mean age of 40 years (range, 21–68 yr) and a mean body mass index of 44.3 kg/m 2 (±7.4 kg/m 2 ) with previous COVID-19 infection underwent different bariatric procedures: 23 cases of sleeve (65.7 %), 7 cases of bypass, and 5 other cases. The symptomatology of the previous COVID-19 infection varied: 15 patients had no symptoms, 12 had fever and respiratory signs, 5 had only fever, 2 had digestive symptoms, and 1 had isolated respiratory signs. Only 5 patients (14.2 %) were hospitalized for COVID-19 infection, for a mean period of 8.8 days (range, 6–15 d). One patient was admitted to an intensive care unit and needed invasive mechanical ventilation. The mean interval time from COVID-19 infection to bariatric surgery was 11.3 weeks (3–34 wk). The mean hospital stay was 1.7 days (±1 d), and all patients were clinically evaluated 1 month following the bariatric procedure. There were 2 readmissions and 1 case of complication: that case was of a gastric leak treated with laparoscopic drainage and a repeated pigtail drain, with a favorable outcome. No cases of other specific complications or mortality were recorded. Conclusion Minor and moderate COVID-19 infections, especially the forms not complicated with invasive mechanical ventilation, should not preclude the indication for bariatric surgery. In our experience, a prior COVID-19 infection does not induce additional specific complications following bariatric surgery.

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Section: Discussionmentioning

confidence: 99%

Bariatric surgery in patients with previous COVID-19 infection

Nedelcu

Marx²,

Lutfi³

et al. 2021

Surgery for Obesity and Related Diseases

Self Cite

View full text Add to dashboard Cite

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“…The researchers found a mild increase in patients’ BMI before and after the lockdown period (42.7 vs. 43.2). In our study, there was no statistically significant difference in the mean BMI before and after the period of social isolation (43.2 vs. 43.3) [ 7 ].…”

Section: Discussionmentioning

confidence: 79%

“…Additionally, it was also observed in the study that social distancing resulted in a reduction of fear of confronting and being negatively judged by others [ 6 ]. An effect of a mild increase in BMI (42.7 vs. 43.2) after 2 months of lockdown was observed in a Spanish study including 51 patients from the bariatric surgery waiting list [ 7 ]. Reliable data on the influence of COVID-19 pandemic lockdown on bariatric patients during qualification for surgical treatment in east-central Europe is lacking.…”

Section: Introductionmentioning

confidence: 99%

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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“…Furthermore, these studies revealed that throughout the confinement period, the symptoms of some diseases, such as Alzheimer's [29], diabetes [30] or chronic obstructive pulmonary disease (COPD) [31], were exacerbated. It is well known that health care can be affected during health emergencies and pandemics as a result of resources being diverted towards more urgent areas [32][33][34].…”

Section: Covid-19 Impact On People With Chronic Diseasesmentioning

confidence: 99%

Impact of COVID-19 on the Health of the General and More Vulnerable Population and Its Determinants: Health Care and Social Survey–ESSOC, Study Protocol

Sánchez-Cantalejo

Rueda

Sáez

et al. 2021

IJERPH

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This manuscript describes the rationale and protocol of a real-world data (RWD) study entitled Health Care and Social Survey (ESSOC, Encuesta Sanitaria y Social). The study’s objective is to determine the magnitude, characteristics, and evolution of the COVID-19 impact on overall health as well as the socioeconomic, psychosocial, behavioural, occupational, environmental, and clinical determinants of both the general and more vulnerable population. The study integrates observational data collected through a survey using a probabilistic, overlapping panel design, and data from clinical, epidemiological, demographic, and environmental registries. The data will be analysed using advanced statistical, sampling, and machine learning techniques. The study is based on several measurements obtained from three random samples of the Andalusian (Spain) population: general population aged 16 years and over, residents in disadvantaged areas, and people over the age of 55. Given the current characteristics of this pandemic and its future repercussions, this project will generate relevant information on a regular basis, commencing from the beginning of the State of Alarm. It will also establish institutional alliances of great social value, explore and apply powerful and novel methodologies, and produce large, integrated, high-quality and open-access databases. The information described here will be vital for health systems in order to design tailor-made interventions aimed at improving the health care, health, and quality of life of the populations most affected by the COVID-19 pandemic.

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Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception

Cited by 14 publications

References 31 publications

Bariatric surgery in patients with previous COVID-19 infection

Bariatric surgery in patients with previous COVID-19 infection

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

Impact of COVID-19 on the Health of the General and More Vulnerable Population and Its Determinants: Health Care and Social Survey–ESSOC, Study Protocol

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