Bariatric surgery is safe during COVID-19 pandemic

IF 0.6 Q3 GEOGRAPHY

Southeastern Geographer Pub Date : 2021-09-30 DOI:10.21614/sgo-26-3-387

A. Hussain, D. Kerrigan, A. Patel, A. Chang, S. Ramar, M. Hussain, S. Javed, M. Q. Almerie, S. Senapati, M. Bossche, A. Alhamdani, C. Parmar, R. Singhal, S. Yeluri, P. Vasas, N. Samuel, S. Balchandra, J. Finney, K. Kirk, S. El-Hasani

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引用次数: 0

Abstract

Background: The Coronavirus Disease 2019 (COVID-19) pandemic has massively affected bariatric surgical practises across the world. Aim: This report aims to show the effects of the pandemic on bariatric practices in the UK during the early phase of the pandemic. Methods: Bariatric surgeons in United Kingdom (UK) were contacted;seven bariatric units and 20 collaborators agreed to participate in this project. The data includes patients' demographics, type and number of operations, bariatric endoscopic procedures, management of complications, emergency and revisional bariatric surgery. Statistical analysis was used to assess the differences among the categories and to compare the data to the 6th report outcomes provided by British Obesity and the Metabolic Surgery Society 2017-2018 (NBSR). Further analysis of mortality between pre pandemic era and June 2020-June 2021 was performed. Results: A total of 430 bariatric procedures were conducted from 1 January 2020 to 31 March 2020 in seven hospitals in UK. The mean age of the patients was 43.3 years. The mean body mass index was 46.75 kg/m2. 314 (73%) of the patients were women and 116 (27%) were men. The following procedures were performed: 118 (27.4%) Laparoscopic Sleeve Gastrectomy (LSG), 114 (26.5%) One Anastomosis Gastric Bypass (OAGB), 76 (17.6%) Roux En-Y Gastric Bypass (RYGB), 61 (14.18%) Gastric Balloon and 15 (3.5%) Adjustable Gastric Band. 176 bariatric endoscopy procedures were performed for different indications. 26 (6.04%) revisional surgeries and 20 (4.6%) emergency bariatric surgeries were performed. 24 (5.58%) patients had Grade I-IV Clavien-Dindo complications. No mortality was reported. There was a significant difference in the number of operations for each of LSG, RYGB and OAGB in these seven hospitals compared to the data provided by the British Obesity and Metabolic Surgery Society (BOMSS) 2017-2018 .Only one patient was diagnosed with COVID-19, who was successfully treated and discharged home. Only one mortality was reported during June 2020 untill June 2021.There was no significant difference in moratlity between pre and post pandemic, p>0.5. Conclusions: This data reveals safe bariatric practices during the early phase of COVID-19. Copyright © Celsius Publishing House.

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新冠肺炎大流行期间，减肥手术是安全的

背景：2019冠状病毒病（新冠肺炎）大流行严重影响了世界各地的减肥手术实践。目的：本报告旨在展示疫情对英国早期减肥实践的影响。方法：联系英国的减肥外科医生；7个减肥单位和20名合作者同意参与该项目。这些数据包括患者的人口统计数据、手术类型和数量、减肥内镜手术、并发症管理、紧急和翻修减肥手术。使用统计分析来评估各类别之间的差异，并将数据与英国肥胖和代谢外科学会2017-2018（NBSR）提供的第六份报告结果进行比较。对疫情前至2020年6月至2021年6月期间的死亡率进行了进一步分析。结果：从2020年1月1日到2020年3月31日，英国七家医院共进行了430次减肥手术。患者的平均年龄为43.3岁。平均体重指数为46.75 kg/m2。314名（73%）患者为女性，116名（27%）患者为男性。进行了以下手术：118（27.4%）腹腔镜袖状胃切除术（LSG），114（26.5%）一次吻合胃旁路术（OAGB），76（17.6%）Roux-En-Y胃旁路术，61（14.18%）胃球囊和15（3.5%）可调节胃束带。针对不同的适应症进行了176次减肥内窥镜检查。进行了26例（6.04%）翻修手术和20例（4.6%）紧急减肥手术。24例（5.58%）患者出现Ⅰ-Ⅳ级Clavien-Dindo并发症。没有死亡报告。与英国肥胖与代谢外科学会（BOMSS）2017-2018年提供的数据相比，这七家医院的LSG、RYGB和OAGB的手术次数有显著差异。只有一名患者被诊断为新冠肺炎，并成功治疗出院回家。在2020年6月至2021年6月期间，仅报告了一例死亡。疫情前和疫情后的死亡率没有显著差异，p>0.05。结论：该数据揭示了新冠肺炎早期的安全减肥实践。版权所有©Celsius出版社。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Southeastern Geographer GEOGRAPHY-

CiteScore

1.10

自引率

14.30%

发文量

期刊介绍： The Southeastern Geographer is a biannual publication of the Southeastern Division of Association of American Geographers. The journal has published the academic work of geographers and other social and physical scientists since 1961. Peer-reviewed articles and essays are published along with book reviews, organization and conference reports, and commentaries. The journal welcomes manuscripts on any geographical subject as long as it reflects sound scholarship and contains significant contributions to geographical understanding.