Abstract
Background: During the SARS-CoV-2 pandemic, in order to protect the patient and to save hospital beds, cancelation of elective surgeries has become a great challenge. Considering that obesity is a chronic disease and the possible effect imposed by quarantine on weight gain with worsening rates of obesity and metabolic comorbidities, the creation of a protocol for a safe return to bariatric surgery became essential.
Objective: The aim of this study was to identify the incidence of new-onset severe acute respiratory syndrome coronavirus (SARS-CoV-2) symptoms in patients who underwent bariatric procedures during the declining curve period.
Setting: Private practice METHODS: A prospective observational cohort study was conducted and included patients with indications for bariatric surgery during the decreasing curve period of the SARS-CoV-2 pandemic who underwent surgery under a hospital security protocol. Patients were asked to answer a questionnaire and had a swab PCR test for SARS-CoV-2 detection. The primary outcome measure was the presence of 14-day and 30-day postoperative symptoms associated with COVID-19. Mortality was also analyzed.
Results: Three hundred patients with negative RT-PCR were operated on from May to June 2020. Seventeen patients had their surgery postponed because of a positive RT-PCR test or close contact. None of the patients developed new-onset SARS-CoV-2 symptomatic infection after 30 days of observation. No deaths were reported. Eleven had complications not related to SARS-CoV-2.
Conclusions: Even though this population may have a poorer outcome when infected with SARS-CoV-2, this security protocol has shown that the procedure can be safely performed during the outbreak.
Keywords: Bariatric surgery; COVID-19; Obesity.
【저자키워드】 COVID-19, obesity, Bariatric surgery, 【초록키워드】 SARS-CoV-2, coronavirus, pandemic, protocol, quarantine, SARS-CoV-2 pandemic, obesity, hospital, Comorbidities, surgery, Symptom, outcome, RT-PCR, chronic disease, SARS-CoV-2 detection, outbreak, Patient, death, Complication, Swab, incidence, PCR test, questionnaire, symptomatic infection, positive RT-PCR, Bariatric surgery, close contact, Elective surgery, Safe, weight gain, observation, acute respiratory syndrome, creation, acute respiratory syndrome coronavirus, elective surgeries, indication, worsening, indications, primary outcome measure, negative RT-PCR, PROTECT, shown, analyzed, identify, performed, reported, the patient, conducted, postoperative, asked, declining, infected with SARS-CoV-2, Private, prospective observational cohort, the SARS-CoV-2, with COVID-19, 【제목키워드】 Prospective, security, metabolic, Elective,