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Bariatric Metabolic Surgery Might be More of a Benefit than a Risk During a Pandemic Outbreak.
- Source :
-
Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2024 Nov; Vol. 34 (11), pp. 993-999. Date of Electronic Publication: 2024 Aug 05. - Publication Year :
- 2024
-
Abstract
- Introduction: This report aimed to analyze the outcomes of patients with obesity who were on a bariatric program during the SARS-Cov-2 pandemic outbreak and compare those who received surgery with the ones who were not operated on. Methods: This was a retrospective study between 2020 and 2021. Patients were divided into two groups: those who underwent surgery (O) and those who were not operated (NO). The evolution of the risk factors identified for severe COVID infection and death was studied (ASMBS criteria). For this study, a follow-up period of 12 months was initiated. Results: In the O group, 83 patients were included and 99 were in the NO group. In the O group, patients with body mass index (BMI) > 35 Kg/m <superscript>2</superscript> before surgery resolved the condition in 73.5% (61) cases, and this was done in the first 30 days by 38 (45.7%). Type 2 diabetes mellitus remission was documented in 18 patients (85.7%) of the O group, and the mean time elapsed for remission was 102.2 days ( P < .01). Hypertension remitted in 66.7% (20) of the patients in group O in 82.4 days ( P < .01). The subgroup of patients with obesity and one high-risk associated condition (30.2%, 25) resolved both in 44% (11) cases and one in 48% (12) cases. In the group of patients with obesity and two high-risk associated conditions (15.6%, 13), 47% (6) patients resolved the three conditions, 38% (5) resolved two conditions, and 15% (2) resolved one condition. Among the NO group, no comorbidity resolutions were recorded ( P < .01). Admission because of COVID infection was necessary for 7.1% of NO and 1.2% of O ( P = .04). Conclusion: Bariatric metabolic surgery would not increase the risk of COVID infection or of suffering serious complications resulting from it. Patients undergoing bariatric metabolic surgery rapidly resolved high-risk comorbidities and had less need for hospitalization because of SARS-CoV-2 infection.
- Subjects :
- Humans
Retrospective Studies
Male
Female
Middle Aged
Adult
Risk Factors
Coronavirus Infections epidemiology
Coronavirus Infections complications
Diabetes Mellitus, Type 2 complications
Diabetes Mellitus, Type 2 epidemiology
Pneumonia, Viral epidemiology
Pneumonia, Viral complications
Risk Assessment
COVID-19 epidemiology
COVID-19 complications
Bariatric Surgery methods
Bariatric Surgery statistics & numerical data
Pandemics
SARS-CoV-2
Obesity complications
Obesity epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1557-9034
- Volume :
- 34
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Journal of laparoendoscopic & advanced surgical techniques. Part A
- Publication Type :
- Academic Journal
- Accession number :
- 39102641
- Full Text :
- https://doi.org/10.1089/lap.2023.0535