30-Day morbidity and mortality of bariatric metabolic surgery in adolescence during the COVID-19 pandemic – The GENEVA study
Articolo
Data di Pubblicazione:
2021
Abstract:
Background: Metabolic and bariatric surgery (MBS) is an effective treatment for adolescents with severe obesity. Objectives: This study examined the safety of MBS in adolescents during the coronavirus disease 2019 (COVID-19) pandemic. Methods: This was a global, multicentre and observational cohort study of MBS performed between May 01, 2020, and October 10,2020, in 68 centres from 24 countries. Data collection included in-hospital and 30-day COVID-19 and surgery-specific morbidity/mortality. Results: One hundred and seventy adolescent patients (mean age: 17.75 ± 1.30 years), mostly females (n = 122, 71.8%), underwent MBS during the study period. The mean pre-operative weight and body mass index were 122.16 ± 15.92 kg and 43.7 ± 7.11 kg/m2, respectively. Although majority of patients had pre-operative testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (n = 146; 85.9%), only 42.4% (n = 72) of the patients were asked to self-isolate pre-operatively. Two patients developed symptomatic SARS-CoV-2 infection post-operatively (1.2%). The overall complication rate was 5.3% (n = 9). There was no mortality in this cohort. Conclusions: MBS in adolescents with obesity is safe during the COVID-19 pandemic when performed within the context of local precautionary procedures (such as pre-operative testing). The 30-day morbidity rates were similar to those reported pre-pandemic. These data will help facilitate the safe re-introduction of MBS services for this group of patients.
Tipologia CRIS:
1.1 Articolo in rivista
Keywords:
bariatric surgery; COVID-19; pandemic; SARS-CoV-2; Adolescent; Bariatric Surgery; Female; Humans; Male; Morbidity; Obesity, Morbid; Pandemics; SARS-CoV-2; Treatment Outcome; COVID-19
Elenco autori:
Singhal, R.; Wiggins, T.; Super, J.; Alqahtani, A.; Nadler, E. P.; Ludwig, C.; Tahrani, A.; Mahawar, K.; Pedziwiatr, M.; Major, P.; Zarzycki, P.; Pantelis, A.; Lapatsanis, D. P.; Stravodimos, G.; Matthys, C.; Focquet, M.; Vleeschouwers, W.; Spaventa, A. G.; Zerrweck, C.; Vitiello, A.; Berardi, G.; Musella, M.; Sanchez-Meza, A.; Cantu, F. J.; Mora, F.; Cantu, M. A.; Katakwar, A.; Reddy, D. N.; Elmaleh, H.; Hassan, M.; Elghandour, A.; Elbanna, M.; Osman, A.; Khan, A.; Layani, L.; Kiran, N.; Velikorechin, A.; Solovyeva, M.; Melali, H.; Shahabi, S.; Agrawal, A.; Shrivastava, A.; Sharma, A.; Narwaria, B.; Narwaria, M.; Raziel, A.; Sakran, N.; Susmallian, S.; Karagoz, L.; Akbaba, M.; Piskin, S. Z.; Ziya, A.; Senol, Z.; Manno, E.; Iovino, M. G.; Osman, A.; Qassem, M.; Arana-Garza, S.; Povoas, H. P.; Vilas-Boas, M. L.; Naumann, D.; Li, A.; Ammori, B. J.; Balamoun, H.; Salman, M.; Nasta, A. M.; Goel, R.; Sanchez-Aguilar, H.; Herrera, M. F.; Abou-Mrad, A.; Cloix, L.; Mazzini, G. S.; Kristem, L.; Lazaro, A.; Campos, J.; Bernardo, J.; Gonzalez, J.; Trindade, C.; Viveiros, O.; Ribeiro, R.; Goitein, D.; Hazzan, D.; Segev, L.; Beck, T.; Reyes, H.; Monterrubio, J.; Garcia, P.; Benois, M.; Kassir, R.; Contine, A.; Elshafei, M.; Aktas, S.; Weiner, S.; Heidsieck, T.; Level, L.; Pinango, S.; Ortega, P. M.; Moncada, R.; Valenti, V.; Vlahovic, I.; Boras, Z.; Liagre, A.; Martini, F.; Juglard, G.; Motwani, M.; Saggu, S. S.; Al Momani, H.; Lopez, L. A. A.; Cortez, M. A. C.; Zavala, R. A.; D'Haese, C.; Kempeneers, I.; Himpens, J.; Lazzati, A.; Paolino, L.; Bathaei, S.; Bedirli, A.; Yavuz, A.; Buyukkasap, C.; Ozaydin, S.; Kwiatkowski, A.; Bartosiak, K.; Waledziak, M.; Santonicola, A.; Angrisani, L.; Iovino, P.; Palma, R.; Iossa, A.; Boru, C. E.; De Angelis, F.; Silecchia, G.; Hussain, A.; Balchandra, S.; Coltell, I. B.; Perez, J. L.; Bohra, A.; Awan, A. K.; Madhok, B.; Leeder, P. C.; Awad, S.; Al-Khyatt, W.; Shoma, A.; Elghadban, H.; Ghareeb, S.; Mathews, B.; Kurian, M.; Larentzakis, A.; Vrakopoulou, G. Z.; Albanopoulos, K.; Bozdag, A.; Lale, A.; Kirkil, C.; Dincer, M.; Bashir, A.; Haddad, A.; Hijleh, L. A.; Zilberstein, B.; de Marchi, D. D.; Souza, W. P.; Broden, C. M.; Gislason, H.; Shah, K.; Ambrosi, A.; Pavone, G.; Tartaglia, N.; Kona, S. L. K.; Kalyan, K.; Perez, C. E. G.; Botero, M. A. F.; Covic, A.; Timofte, D.; Maxim, M.; Faraj, D.; Tseng, L.; Liem, R.; Oren, G.; Dilektasli, E.; Yalcin, I.; Almukhtar, H.; Al Hadad, M.; Mohan, R.; Arora, N.; Bedi, D.; Rives-Lange, C.; Chevallier, J. -M.; Poghosyan, T.; Sebbag, H.; Zinai, L.; Khaldi, S.; Mauchien, C.; Mazza, D.; Dinescu, G.; Rea, B.; Perez-Galaz, F.; Zavala, L.; Besa, A.; Curell, A.; Balibrea, J. M.; Vaz, C.; Galindo, L.; Silva, N.; Caballero, J. L. E.; Sebastian, S. O.; Marchesini, J. C. D.; da Fonseca Pereira, R. A.; Sobottka, W. H.; Fiolo, F. E.; Turchi, M.; Coelho, A. C. J.; Zacaron, A. L.; Barbosa, A.; Quinino, R.; Menaldi, G.; Paleari, N.; Martinez-Duartez, P.; Aragon Ramirez de Esparza, D. G. M.; Esteban, V. S.; Torres, A.; Garcia-Galocha, J. L.; Josa, M. I.; Pacheco-Garcia, J. M.; Mayo-Ossorio, M. A.; Chowbey, P.; Soni, V.; de Vasconcelos Cunha, H. A.; Castilho, M. V.; Ferreira, R. M. A.; Barreiro, T. A.; Charalabopoulos, A.; Sdralis, E.; Davakis, S.; Bomans, B.; Dapri, G.; Van Belle, K.; Mazentakieddine, ; Vaneukem, P.; Karaca, E. S. A.; Karaca, F. C.; Sumer, A.; Peksen, C.; Savas, O. A.; Chousleb, E.; Elmokayed, F.; Fakhereldin, I.; Aboshanab, H. M.; Swelium, T.; Gudal, A.; Gamloo, L.; Ugale, A.; Ugale, S.; Boeker, C.; Reetz, C.; Hakami, I. A.; Mall, J.; Alexandrou, A.; Baili, E.; Bodnar, Z.; Maleckas, A.; Gudaityte, R.; Guldogan, C. E.; Gundogdu, E.; Ozmen, M. M.; Thakkar, D.; Dukkipati, N.; Shah, P. S.; Shah, S. S.; Shah, S. S.; Adil, M. T.; Jambulingam, P.; Mamidanna, R.; Whitelaw, D.; Adil, M. T.; Jain, V.; Veetil, D. K.; Wadhawan, R.; Torres, A.; Torres, M.; Tinoco, T.; Leclercq, W.; Romeijn, M.; van de Pas, K.; Alkhazraji, A. K.; Taha, S. A.; Ustun, M.; Yigit, T.; Inam, A.; Burhanu
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