Titre
SOFFCO-MM guidelines for the resumption of bariatric and metabolic surgery during and after the Covid-19 pandemic.
Type
synthèse (review)
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Kassir, R.
Auteure/Auteur
Rebibo, L.
Auteure/Auteur
Genser, L.
Auteure/Auteur
Sterkers, A.
Auteure/Auteur
Blanchet, M.C.
Auteure/Auteur
Pattou, F.
Auteure/Auteur
Msika, S.
Auteure/Auteur
Contributrices/contributeurs
Abittan, R.
Abou-Mrad, A.
Arnalsteen, L.
Arnoux, R.
Auguste, T.
Benchetrit, S.
Berthet, B.
Bertrand, J.C.
Blanchard, L.C.
Bouillot, J.L.
Caiazzo, R.
Catheline, J.M.
Chevallier, J.M.
Dargent, J.
Fournier, P.
Frering, V.
Gugenheim, J.
Johanet, H.
Lechaux, D.
Leyre, P.
Liagre, A.
Mouiel, J.
Nocca, D.
Pourcher, G.
Reche, F.
Robert, M.
Sebbag, H.
Sodji, M.
Tuyeras, G.
Zimmermann, J.M.
Groupes de travail
Remerciement comité de lecture
Liens vers les unités
ISSN
1878-7886
Statut éditorial
Publié
Date de publication
2020-08
Volume
157
Numéro
4
Première page
317
Dernière page/numéro d’article
327
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Practice Guideline ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
Sujets
PID Serval
serval:BIB_2AB0C2669B44
PMID
Open Access
Oui
Date de création
2020-07-03T15:24:35.590Z
Date de création dans IRIS
2025-05-20T15:58:02Z
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Nom
32600823_BIB_2AB0C2669B44.pdf
Version du manuscrit
published
Taille
2.84 MB
Format
Adobe PDF
PID Serval
serval:BIB_2AB0C2669B44.P001
Somme de contrôle
(MD5):613d964fa9e6d89fbbd9ef8a720a452a