[SOFFCO-MM guidelines for the resumption of bariatric and metabolic surgery during and after the Covid-19 pandemic].
Identifieur interne : 000100 ( Main/Exploration ); précédent : 000099; suivant : 000101[SOFFCO-MM guidelines for the resumption of bariatric and metabolic surgery during and after the Covid-19 pandemic].
Auteurs : R. Kassir [France] ; L. Rebibo [France] ; L. Genser [France] ; A. Sterkers [France] ; M-C Blanchet [France] ; F. Pattou [France] ; S. Msika [France]Source :
- Journal de chirurgie viscerale [ 1878-786X ] ; 2020.
Abstract
Bariatric/metabolic surgery was paused during the Covid-19 pandemic. The impact of social confinement and the interruption of this surgery on the population with obesity has been underestimated, with weight gain and worsened comorbidities. Some candidates for this surgery are exposed to a high risk of mortality linked to the pandemic. Obesity and diabetes are two major risk factors for severe forms of Covid-19. The only currently effective treatment for obesity is metabolic surgery, which confers prompt, lasting benefits. It is thus necessary to resume such surgery. To ensure that this resumption is both gradual and well-founded, we have devised a priority ranking plan. The flow charts we propose will help centres to identify priority patients according to a benefit/risk assessment. Diabetes holds a central place in the decision tree. Resumption patterns will vary from one centre to another according to human, physical and medical resources, and will need adjustment as the epidemic unfolds. Specific informed consent will be required. Screening of patients with obesity should be considered, based on available knowledge. If Covid-19 is suspected, surgery must be postponed. Emphasis must be placed on infection control measures to protect patients and healthcare professionals. Confinement is strongly advocated for patients for the first month post-operatively. Patient follow-up should preferably be by teleconsultation.
DOI: 10.1016/j.jchirv.2020.05.002
PubMed: 32834886
PubMed Central: PMC7274597
Affiliations:
- France
- Auvergne-Rhône-Alpes, Hauts-de-France, Nord-Pas-de-Calais, Rhône-Alpes, Île-de-France
- Lille, Lyon, Paris
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Kassir</name><affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie digestive et bariatrique, hôpital Felix-Guyon, CHU de la Réunion, La Réunion, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie digestive et bariatrique, hôpital Felix-Guyon, CHU de la Réunion, La Réunion</wicri:regionArea><wicri:noRegion>La Réunion</wicri:noRegion><wicri:noRegion>La Réunion</wicri:noRegion></affiliation></author><author><name sortKey="Rebibo, L" sort="Rebibo, L" uniqKey="Rebibo L" first="L" last="Rebibo">L. 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Sterkers</name><affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie digestive et hépatobiliaire, centre hospitalier Privé Saint-Grégoire, Saint-Grégoire, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie digestive et hépatobiliaire, centre hospitalier Privé Saint-Grégoire, Saint-Grégoire</wicri:regionArea><wicri:noRegion>Saint-Grégoire</wicri:noRegion><wicri:noRegion>Saint-Grégoire</wicri:noRegion></affiliation></author><author><name sortKey="Blanchet, M C" sort="Blanchet, M C" uniqKey="Blanchet M" first="M-C" last="Blanchet">M-C Blanchet</name><affiliation wicri:level="3"><nlm:affiliation>Centre Lyonnais de chirurgie digestive, CSO Sauvegarde Lyon, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre Lyonnais de chirurgie digestive, CSO Sauvegarde Lyon, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Pattou, F" sort="Pattou, F" uniqKey="Pattou F" first="F" last="Pattou">F. Pattou</name><affiliation wicri:level="3"><nlm:affiliation>Service de chirurgie générale et endocrinienne, CHU de Lille, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie générale et endocrinienne, CHU de Lille, Lille</wicri:regionArea><placeName><region type="region">Hauts-de-France</region><region type="old region">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Inserm, Lille Pasteur Institute, EGID, U1190, université Lille, CHU Lille, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm, Lille Pasteur Institute, EGID, U1190, université Lille, CHU Lille, Lille</wicri:regionArea><placeName><region type="region">Hauts-de-France</region><region type="old region">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Msika, S" sort="Msika, S" uniqKey="Msika S" first="S" last="Msika">S. Msika</name><affiliation wicri:level="3"><nlm:affiliation>Service de chirurgie digestive œsogastrique et bariatique, hôpital Bichat - Claude-Bernard, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie digestive œsogastrique et bariatique, hôpital Bichat - Claude-Bernard, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Inserm UMR 1149, université de Paris, 75018 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm UMR 1149, université de Paris, 75018 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal de chirurgie viscerale</title><idno type="ISSN">1878-786X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Bariatric/metabolic surgery was paused during the Covid-19 pandemic. The impact of social confinement and the interruption of this surgery on the population with obesity has been underestimated, with weight gain and worsened comorbidities. Some candidates for this surgery are exposed to a high risk of mortality linked to the pandemic. Obesity and diabetes are two major risk factors for severe forms of Covid-19. The only currently effective treatment for obesity is metabolic surgery, which confers prompt, lasting benefits. It is thus necessary to resume such surgery. To ensure that this resumption is both gradual and well-founded, we have devised a priority ranking plan. The flow charts we propose will help centres to identify priority patients according to a benefit/risk assessment. Diabetes holds a central place in the decision tree. Resumption patterns will vary from one centre to another according to human, physical and medical resources, and will need adjustment as the epidemic unfolds. Specific informed consent will be required. Screening of patients with obesity should be considered, based on available knowledge. If Covid-19 is suspected, surgery must be postponed. Emphasis must be placed on infection control measures to protect patients and healthcare professionals. Confinement is strongly advocated for patients for the first month post-operatively. Patient follow-up should preferably be by teleconsultation.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32834886</PMID><DateRevised><Year>2020</Year><Month>08</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1878-786X</ISSN><JournalIssue CitedMedium="Print"><Volume>157</Volume><Issue>4</Issue><PubDate><Year>2020</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Journal de chirurgie viscerale</Title><ISOAbbreviation>J Chir Visc</ISOAbbreviation></Journal><ArticleTitle>[SOFFCO-MM guidelines for the resumption of bariatric and metabolic surgery during and after the Covid-19 pandemic].</ArticleTitle><Pagination><MedlinePgn>323-334</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jchirv.2020.05.002</ELocationID><Abstract><AbstractText>Bariatric/metabolic surgery was paused during the Covid-19 pandemic. The impact of social confinement and the interruption of this surgery on the population with obesity has been underestimated, with weight gain and worsened comorbidities. Some candidates for this surgery are exposed to a high risk of mortality linked to the pandemic. Obesity and diabetes are two major risk factors for severe forms of Covid-19. The only currently effective treatment for obesity is metabolic surgery, which confers prompt, lasting benefits. It is thus necessary to resume such surgery. To ensure that this resumption is both gradual and well-founded, we have devised a priority ranking plan. The flow charts we propose will help centres to identify priority patients according to a benefit/risk assessment. Diabetes holds a central place in the decision tree. Resumption patterns will vary from one centre to another according to human, physical and medical resources, and will need adjustment as the epidemic unfolds. Specific informed consent will be required. Screening of patients with obesity should be considered, based on available knowledge. If Covid-19 is suspected, surgery must be postponed. Emphasis must be placed on infection control measures to protect patients and healthcare professionals. Confinement is strongly advocated for patients for the first month post-operatively. Patient follow-up should preferably be by teleconsultation.</AbstractText><CopyrightInformation>© 2020 Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kassir</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Service de chirurgie digestive et bariatrique, hôpital Felix-Guyon, CHU de la Réunion, La Réunion, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rebibo</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Service de chirurgie digestive œsogastrique et bariatique, hôpital Bichat - Claude-Bernard, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Inserm UMR 1149, université de Paris, 75018 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Genser</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Service de chirurgie digestive hépato-bilio-pancréatique et transplantation hépatique, hôpital universitaire, Sorbonne université, Assistance publique-Hôpitaux de Paris, Pitié-Salpêtrière, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sterkers</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Service de chirurgie digestive et hépatobiliaire, centre hospitalier Privé Saint-Grégoire, Saint-Grégoire, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blanchet</LastName><ForeName>M-C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Centre Lyonnais de chirurgie digestive, CSO Sauvegarde Lyon, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pattou</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Service de chirurgie générale et endocrinienne, CHU de Lille, Lille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Inserm, Lille Pasteur Institute, EGID, U1190, université Lille, CHU Lille, Lille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Msika</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Service de chirurgie digestive œsogastrique et bariatique, hôpital Bichat - Claude-Bernard, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Inserm UMR 1149, université de Paris, 75018 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>Remerciement comité de lecture</CollectiveName></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Recommandations de la SOFFCO-MM en vue de la reprise de l’activité de chirurgie bariatrique et métabolique pendant et après la pandémie Covid-19.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>J Chir Visc</MedlineTA><NlmUniqueID>101530148</NlmUniqueID><ISSNLinking>1878-786X</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Bariatric surgery</Keyword><Keyword MajorTopicYN="N">Covid-19</Keyword><Keyword MajorTopicYN="N">Guidelines</Keyword><Keyword MajorTopicYN="N">Obesity</Keyword><Keyword MajorTopicYN="N">Pandemic</Keyword></KeywordList><InvestigatorList><Investigator ValidYN="Y"><LastName>Abittan</LastName><ForeName>R</ForeName><Initials>R</Initials></Investigator><Investigator ValidYN="Y"><LastName>Abou-Mrad</LastName><ForeName>A</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>Arnalsteen</LastName><ForeName>L</ForeName><Initials>L</Initials></Investigator><Investigator 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