CovidFranceV1, Main, Exploration, bibRecord, 000656

SOFFCO-MM guidelines for the resumption of bariatric and metabolic surgery during and after the Covid-19 pandemic.

Identifieur interne : 000656 ( Main/Exploration ); précédent : 000655; suivant : 000657

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 of visceral surgery [ 1878-7886 ] ; 2020.

RBID : pubmed:32600823

Descripteurs français

KwdFr :
- Betacoronavirus (MeSH), Chirurgie bariatrique (méthodes), Chirurgie bariatrique (normes), Consentement libre et éclairé (normes), Humains (MeSH), Infections à coronavirus (complications), Infections à coronavirus (diagnostic), Infections à coronavirus (prévention et contrôle), Obésité (chirurgie), Obésité (complications), Pandémies (prévention et contrôle), Pneumopathie virale (complications), Pneumopathie virale (diagnostic), Pneumopathie virale (prévention et contrôle), Programme clinique (normes), Prévention des infections (méthodes), Prévention des infections (normes), Soins périopératoires (méthodes), Soins périopératoires (normes), Sélection de patients (MeSH).
MESH :
- chirurgie : Obésité.
- diagnostic : Infections à coronavirus, Pneumopathie virale.
- méthodes : Chirurgie bariatrique, Prévention des infections, Soins périopératoires.
- normes : Chirurgie bariatrique, Consentement libre et éclairé, Programme clinique, Prévention des infections, Soins périopératoires.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- complications : Betacoronavirus, Humains, Infections à coronavirus, Obésité, Pneumopathie virale, Sélection de patients.

English descriptors

KwdEn :
- Bariatric Surgery (methods), Bariatric Surgery (standards), Betacoronavirus (MeSH), Coronavirus Infections (complications), Coronavirus Infections (diagnosis), Coronavirus Infections (prevention & control), Critical Pathways (standards), Humans (MeSH), Infection Control (methods), Infection Control (standards), Informed Consent (standards), Obesity (complications), Obesity (surgery), Pandemics (prevention & control), Patient Selection (MeSH), Perioperative Care (methods), Perioperative Care (standards), Pneumonia, Viral (complications), Pneumonia, Viral (diagnosis), Pneumonia, Viral (prevention & control).
MESH :
- complications : Coronavirus Infections, Obesity, Pneumonia, Viral.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- methods : Bariatric Surgery, Infection Control, Perioperative Care.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- standards : Bariatric Surgery, Critical Pathways, Infection Control, Informed Consent, Perioperative Care.
- surgery : Obesity.
- Betacoronavirus, Humans, Patient Selection.

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.jviscsurg.2020.06.005
PubMed: 32600823
PubMed Central: PMC7274637

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000B68
to stream Main, to step Curation: 000B68

Le document en format XML

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<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Critical Pathways (standards)</term>
<term>Humans (MeSH)</term>
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<term>Consentement libre et éclairé (normes)</term>
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<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>
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<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>Copyright © 2020 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kassir</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
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</AffiliationInfo>
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<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; Inserm UMR 1149, université de Paris, 75018 Paris, France.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Genser</LastName>
<ForeName>L</ForeName>
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<Initials>R</Initials>
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<Initials>B</Initials>
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<Initials>JL</Initials>
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<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>CHU de Lille, Lille, France.</Affiliation>
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</Investigator>
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<Initials>JM</Initials>
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<AffiliationInfo><Affiliation>Service de chirurgie bariatrique, polyclinique Lyon Nord, Rillieux-la-Pape, France.</Affiliation>
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SOFFCO-MM guidelines for the resumption of bariatric and metabolic surgery during and after the Covid-19 pandemic.

SOFFCO-MM guidelines for the resumption of bariatric and metabolic surgery during and after the Covid-19 pandemic.

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