Bariatric Surgical Practice During the Initial Phase of COVID-19 Outbreak
Identifieur interne : 000565 ( Main/Exploration ); précédent : 000564; suivant : 000566Bariatric Surgical Practice During the Initial Phase of COVID-19 Outbreak
Auteurs : Ali Aminian [États-Unis] ; Mohammad Kermansaravi [Iran] ; Shahriar Azizi [Iran] ; Peyman Alibeigi [Iran] ; Sina Safamanesh [Iran] ; Ali Mousavimaleki [Iran] ; Mohammad Taghi Rezaei [Iran] ; Maziar Faridi [Iran] ; Somayeh Mokhber [Iran] ; Abdolreza Pazouki [Iran] ; Saeed Safari [Iran]Source :
- Obesity Surgery [ 0960-8923 ] ; 2020.
Abstract
There is no data on patients with severe obesity who developed coronavirus disease 2019 (COVID-19) after bariatric surgery. Four gastric bypass operations, performed in a 2-week period between Feb 24 and March 4, 2020, in Tehran, Iran, were complicated with COVID-19. The mean age and body mass index were 46 ± 12 years and 49 ± 3 kg/m2. Patients developed their symptoms (fever, cough, dyspnea, and fatigue) 1, 2, 4, and 14 days after surgery. One patient had unnoticed anosmia 2 days before surgery. Three patients were readmitted in hospital. All 4 patients were treated with hydroxychloroquine. In two patients who required admission in intensive care unit, other off-label therapies including antiretroviral and immunosuppressive agents were also administered. All patients survived. In conclusion, COVID-19 can complicate the postoperative course of patients after bariatric surgery. Correct diagnosis and management in the postoperative setting would be challenging. Timing of infection after surgery in our series would raise the possibility of hospital transmission of COVID-19: from asymptomatic patients at the time of bariatric surgery to the healthcare workers versus acquiring the COVID-19 infection by non-infected patients in the perioperative period.
Url:
DOI: 10.1007/s11695-020-04617-x
PubMed: 32314249
PubMed Central: 7168566
Affiliations:
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xml:lang="fr">Iran</country><wicri:regionArea>Tehran</wicri:regionArea></affiliation></author><author><name sortKey="Safari, Saeed" sort="Safari, Saeed" uniqKey="Safari S" first="Saeed" last="Safari">Saeed Safari</name><affiliation wicri:level="1"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="GRID">grid.411746.1</institution-id><institution-id institution-id-type="ISNI">0000 0004 4911 7066</institution-id><institution>Firoozgar General Hospital,</institution><institution>Iran University of Medical Sciences,</institution></institution-wrap>Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Tehran</wicri:regionArea></affiliation></author></analytic><series><title level="j">Obesity Surgery</title><idno type="ISSN">0960-8923</idno><idno type="eISSN">1708-0428</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="Par1">There is no data on patients with severe obesity who developed coronavirus disease 2019 (COVID-19) after bariatric surgery. Four gastric bypass operations, performed in a 2-week period between Feb 24 and March 4, 2020, in Tehran, Iran, were complicated with COVID-19. The mean age and body mass index were 46 ± 12 years and 49 ± 3 kg/m<sup>2</sup>. Patients developed their symptoms (fever, cough, dyspnea, and fatigue) 1, 2, 4, and 14 days after surgery. One patient had unnoticed anosmia 2 days before surgery. Three patients were readmitted in hospital. All 4 patients were treated with hydroxychloroquine. In two patients who required admission in intensive care unit, other off-label therapies including antiretroviral and immunosuppressive agents were also administered. All patients survived. In conclusion, COVID-19 can complicate the postoperative course of patients after bariatric surgery. Correct diagnosis and management in the postoperative setting would be challenging. Timing of infection after surgery in our series would raise the possibility of hospital transmission of COVID-19: from asymptomatic patients at the time of bariatric surgery to the healthcare workers versus acquiring the COVID-19 infection by non-infected patients in the perioperative period.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Holshue, Ml" uniqKey="Holshue M">ML Holshue</name></author><author><name sortKey="Debolt, C" uniqKey="Debolt C">C DeBolt</name></author><author><name sortKey="Lindquist, S" uniqKey="Lindquist S">S Lindquist</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ai, T" uniqKey="Ai T">T Ai</name></author><author><name sortKey="Yang, Z" uniqKey="Yang Z">Z Yang</name></author><author><name sortKey="Hou, H" uniqKey="Hou H">H Hou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aminian, A" uniqKey="Aminian A">A Aminian</name></author><author><name sortKey="Brethauer, Sa" uniqKey="Brethauer S">SA Brethauer</name></author><author><name sortKey="Kirwan, Jp" uniqKey="Kirwan J">JP Kirwan</name></author><author><name sortKey="Kashyap, Sr" uniqKey="Kashyap S">SR Kashyap</name></author><author><name sortKey="Burguera, B" uniqKey="Burguera B">B Burguera</name></author><author><name sortKey="Schauer, Pr" uniqKey="Schauer P">PR Schauer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Daigle, Cr" uniqKey="Daigle C">CR Daigle</name></author><author><name sortKey="Brethauer, Sa" uniqKey="Brethauer S">SA Brethauer</name></author><author><name sortKey="Tu, C" uniqKey="Tu C">C Tu</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Iran</li><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><country name="États-Unis"><region name="Ohio"><name sortKey="Aminian, Ali" sort="Aminian, Ali" uniqKey="Aminian A" first="Ali" last="Aminian">Ali Aminian</name></region></country><country name="Iran"><noRegion><name sortKey="Kermansaravi, Mohammad" sort="Kermansaravi, Mohammad" uniqKey="Kermansaravi M" first="Mohammad" last="Kermansaravi">Mohammad Kermansaravi</name></noRegion><name sortKey="Alibeigi, Peyman" sort="Alibeigi, Peyman" uniqKey="Alibeigi P" first="Peyman" last="Alibeigi">Peyman Alibeigi</name><name sortKey="Azizi, Shahriar" sort="Azizi, Shahriar" uniqKey="Azizi S" first="Shahriar" last="Azizi">Shahriar Azizi</name><name sortKey="Faridi, Maziar" sort="Faridi, Maziar" uniqKey="Faridi M" first="Maziar" last="Faridi">Maziar Faridi</name><name sortKey="Mokhber, Somayeh" sort="Mokhber, Somayeh" uniqKey="Mokhber S" first="Somayeh" last="Mokhber">Somayeh Mokhber</name><name sortKey="Mousavimaleki, Ali" sort="Mousavimaleki, Ali" uniqKey="Mousavimaleki A" first="Ali" last="Mousavimaleki">Ali Mousavimaleki</name><name sortKey="Pazouki, Abdolreza" sort="Pazouki, Abdolreza" uniqKey="Pazouki A" first="Abdolreza" last="Pazouki">Abdolreza Pazouki</name><name sortKey="Rezaei, Mohammad Taghi" sort="Rezaei, Mohammad Taghi" uniqKey="Rezaei M" first="Mohammad Taghi" last="Rezaei">Mohammad Taghi Rezaei</name><name sortKey="Safamanesh, Sina" sort="Safamanesh, Sina" uniqKey="Safamanesh S" first="Sina" last="Safamanesh">Sina Safamanesh</name><name sortKey="Safari, Saeed" sort="Safari, Saeed" uniqKey="Safari S" first="Saeed" last="Safari">Saeed Safari</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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