Eighty-Seven Consecutive Sleeve Gastrectomies Between the Two Peaks of the Covid-19 Pandemic. An Opening-Phase Experience
Purpose During the Covid-19 pandemic, the outcome of symptomatic Covid-19 infection occurring early after elective operations is reportedly associated with fatalities. Incidence is unknown and data on bariatric practice is scarce. Covid-19 exposure status and outcomes of sleeve gastrectomy (SG) betw...
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Veröffentlicht in: | Obesity surgery 2021-07, Vol.31 (7), p.3026-3030 |
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description | Purpose
During the Covid-19 pandemic, the outcome of symptomatic Covid-19 infection occurring early after elective operations is reportedly associated with fatalities. Incidence is unknown and data on bariatric practice is scarce. Covid-19 exposure status and outcomes of sleeve gastrectomy (SG) between the first two peaks of the pandemic are prospectively evaluated.
Material and Methods
During our “opening-phase,” candidates for SG were enrolled after written informed consent was obtained which specifically emphasized the additional risks of the Covid-19. Viral exposure history and swab/RNA testing were obtained from all. Preoperative antibody testing was also performed, once became available. Preoperative workout, definitions, and surgical technique were standard. Patients were followed up with video-calls. All perioperative data is prospectively recorded.
Results
Between June 23 and November 20, 87 consecutive SGs were performed without mortality and conversion with a 1.2% major early complication rate. Single complication was due to Covid-19, acutely becoming symptomatic one day following the SG. During the first year of the pandemic, a minimum of 13.8% of the patients had encountered the virus and the rate of developing postoperative symptomatic Covid-19 was 6.3% including a patient with full-blown Covid-19 pneumonia 1 day after SG. Results on weight loss matched expectations.
Conclusion
Currently, differing from the first peak of pandemic, vaccines are underway although a more serious surge continues. Given the high rate of morbidity and mortality of Covid-19 infection early after elective operations, caution is warranted when balancing the expected benefit from an elective procedure against the risk of acquiring perioperative Covid-19 infection. |
doi_str_mv | 10.1007/s11695-021-05339-4 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7951939</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2501259677</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-8dc56cc2145be5733abb65ba4be919fd5793317ea6dc4b48f98093a9397aac673</originalsourceid><addsrcrecordid>eNp9kU1vEzEQhlcIRNPCH-CALHHh4uKPtb2-IJUoLUiVGqnlbHm9s4nLxg72bkr-PW5TyseBk6WZZ97x6KmqN5ScUkLUh0yp1AITRjERnGtcP6tmVJEGk5o1z6sZ0ZLgRjN-VB3nfEsKKRl7WR1xrohmms2q_cKv1uMeX8MOAprHkMFNo98Buh6g1NCFzWMCN8aNh4w-wXgHBRzXgG7uIlqC_ZZR7B8K87jzHaYaLW3oYOPdKToL6GoLwYcVXq5tBrT4sYXkITh4Vb3o7ZDh9eN7Un09X9zMP-PLq4sv87NL7GpVj7jpnJDOMVqLFoTi3LatFK2tW9BU951QmnOqwMrO1W3d9LohmlvNtbLWScVPqo-H3O3UbqBzEMZkB7NNfmPT3kTrzd-d4NdmFXdGaUFLTAl4_xiQ4vcJ8mg2PjsYBhsgTtkwQSgTWqr7Xe_-QW_jlEI5r1BcSlk8NYViB8qlmHOC_ukzlJh7s-Zg1hRf5sGsqcvQ2z_PeBr5pbIA_ADk0gorSL93_yf2J5Grr3k</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2536660538</pqid></control><display><type>article</type><title>Eighty-Seven Consecutive Sleeve Gastrectomies Between the Two Peaks of the Covid-19 Pandemic. An Opening-Phase Experience</title><source>SpringerLink Journals - AutoHoldings</source><creator>Yerdel, Mehmet Ali ; Özgen, Görkem</creator><creatorcontrib>Yerdel, Mehmet Ali ; Özgen, Görkem</creatorcontrib><description>Purpose
During the Covid-19 pandemic, the outcome of symptomatic Covid-19 infection occurring early after elective operations is reportedly associated with fatalities. Incidence is unknown and data on bariatric practice is scarce. Covid-19 exposure status and outcomes of sleeve gastrectomy (SG) between the first two peaks of the pandemic are prospectively evaluated.
Material and Methods
During our “opening-phase,” candidates for SG were enrolled after written informed consent was obtained which specifically emphasized the additional risks of the Covid-19. Viral exposure history and swab/RNA testing were obtained from all. Preoperative antibody testing was also performed, once became available. Preoperative workout, definitions, and surgical technique were standard. Patients were followed up with video-calls. All perioperative data is prospectively recorded.
Results
Between June 23 and November 20, 87 consecutive SGs were performed without mortality and conversion with a 1.2% major early complication rate. Single complication was due to Covid-19, acutely becoming symptomatic one day following the SG. During the first year of the pandemic, a minimum of 13.8% of the patients had encountered the virus and the rate of developing postoperative symptomatic Covid-19 was 6.3% including a patient with full-blown Covid-19 pneumonia 1 day after SG. Results on weight loss matched expectations.
Conclusion
Currently, differing from the first peak of pandemic, vaccines are underway although a more serious surge continues. Given the high rate of morbidity and mortality of Covid-19 infection early after elective operations, caution is warranted when balancing the expected benefit from an elective procedure against the risk of acquiring perioperative Covid-19 infection.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-021-05339-4</identifier><identifier>PMID: 33709292</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Coronaviruses ; COVID-19 ; Infections ; Medicine ; Medicine & Public Health ; Mortality ; Original Contributions ; Pandemics ; Surgery</subject><ispartof>Obesity surgery, 2021-07, Vol.31 (7), p.3026-3030</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-8dc56cc2145be5733abb65ba4be919fd5793317ea6dc4b48f98093a9397aac673</citedby><cites>FETCH-LOGICAL-c474t-8dc56cc2145be5733abb65ba4be919fd5793317ea6dc4b48f98093a9397aac673</cites><orcidid>0000-0002-4044-076X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-021-05339-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-021-05339-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33709292$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yerdel, Mehmet Ali</creatorcontrib><creatorcontrib>Özgen, Görkem</creatorcontrib><title>Eighty-Seven Consecutive Sleeve Gastrectomies Between the Two Peaks of the Covid-19 Pandemic. An Opening-Phase Experience</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Purpose
During the Covid-19 pandemic, the outcome of symptomatic Covid-19 infection occurring early after elective operations is reportedly associated with fatalities. Incidence is unknown and data on bariatric practice is scarce. Covid-19 exposure status and outcomes of sleeve gastrectomy (SG) between the first two peaks of the pandemic are prospectively evaluated.
Material and Methods
During our “opening-phase,” candidates for SG were enrolled after written informed consent was obtained which specifically emphasized the additional risks of the Covid-19. Viral exposure history and swab/RNA testing were obtained from all. Preoperative antibody testing was also performed, once became available. Preoperative workout, definitions, and surgical technique were standard. Patients were followed up with video-calls. All perioperative data is prospectively recorded.
Results
Between June 23 and November 20, 87 consecutive SGs were performed without mortality and conversion with a 1.2% major early complication rate. Single complication was due to Covid-19, acutely becoming symptomatic one day following the SG. During the first year of the pandemic, a minimum of 13.8% of the patients had encountered the virus and the rate of developing postoperative symptomatic Covid-19 was 6.3% including a patient with full-blown Covid-19 pneumonia 1 day after SG. Results on weight loss matched expectations.
Conclusion
Currently, differing from the first peak of pandemic, vaccines are underway although a more serious surge continues. Given the high rate of morbidity and mortality of Covid-19 infection early after elective operations, caution is warranted when balancing the expected benefit from an elective procedure against the risk of acquiring perioperative Covid-19 infection.</description><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Infections</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>Original Contributions</subject><subject>Pandemics</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1vEzEQhlcIRNPCH-CALHHh4uKPtb2-IJUoLUiVGqnlbHm9s4nLxg72bkr-PW5TyseBk6WZZ97x6KmqN5ScUkLUh0yp1AITRjERnGtcP6tmVJEGk5o1z6sZ0ZLgRjN-VB3nfEsKKRl7WR1xrohmms2q_cKv1uMeX8MOAprHkMFNo98Buh6g1NCFzWMCN8aNh4w-wXgHBRzXgG7uIlqC_ZZR7B8K87jzHaYaLW3oYOPdKToL6GoLwYcVXq5tBrT4sYXkITh4Vb3o7ZDh9eN7Un09X9zMP-PLq4sv87NL7GpVj7jpnJDOMVqLFoTi3LatFK2tW9BU951QmnOqwMrO1W3d9LohmlvNtbLWScVPqo-H3O3UbqBzEMZkB7NNfmPT3kTrzd-d4NdmFXdGaUFLTAl4_xiQ4vcJ8mg2PjsYBhsgTtkwQSgTWqr7Xe_-QW_jlEI5r1BcSlk8NYViB8qlmHOC_ukzlJh7s-Zg1hRf5sGsqcvQ2z_PeBr5pbIA_ADk0gorSL93_yf2J5Grr3k</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Yerdel, Mehmet Ali</creator><creator>Özgen, Görkem</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4044-076X</orcidid></search><sort><creationdate>20210701</creationdate><title>Eighty-Seven Consecutive Sleeve Gastrectomies Between the Two Peaks of the Covid-19 Pandemic. An Opening-Phase Experience</title><author>Yerdel, Mehmet Ali ; Özgen, Görkem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-8dc56cc2145be5733abb65ba4be919fd5793317ea6dc4b48f98093a9397aac673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Infections</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mortality</topic><topic>Original Contributions</topic><topic>Pandemics</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yerdel, Mehmet Ali</creatorcontrib><creatorcontrib>Özgen, Görkem</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yerdel, Mehmet Ali</au><au>Özgen, Görkem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eighty-Seven Consecutive Sleeve Gastrectomies Between the Two Peaks of the Covid-19 Pandemic. An Opening-Phase Experience</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>31</volume><issue>7</issue><spage>3026</spage><epage>3030</epage><pages>3026-3030</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Purpose
During the Covid-19 pandemic, the outcome of symptomatic Covid-19 infection occurring early after elective operations is reportedly associated with fatalities. Incidence is unknown and data on bariatric practice is scarce. Covid-19 exposure status and outcomes of sleeve gastrectomy (SG) between the first two peaks of the pandemic are prospectively evaluated.
Material and Methods
During our “opening-phase,” candidates for SG were enrolled after written informed consent was obtained which specifically emphasized the additional risks of the Covid-19. Viral exposure history and swab/RNA testing were obtained from all. Preoperative antibody testing was also performed, once became available. Preoperative workout, definitions, and surgical technique were standard. Patients were followed up with video-calls. All perioperative data is prospectively recorded.
Results
Between June 23 and November 20, 87 consecutive SGs were performed without mortality and conversion with a 1.2% major early complication rate. Single complication was due to Covid-19, acutely becoming symptomatic one day following the SG. During the first year of the pandemic, a minimum of 13.8% of the patients had encountered the virus and the rate of developing postoperative symptomatic Covid-19 was 6.3% including a patient with full-blown Covid-19 pneumonia 1 day after SG. Results on weight loss matched expectations.
Conclusion
Currently, differing from the first peak of pandemic, vaccines are underway although a more serious surge continues. Given the high rate of morbidity and mortality of Covid-19 infection early after elective operations, caution is warranted when balancing the expected benefit from an elective procedure against the risk of acquiring perioperative Covid-19 infection.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33709292</pmid><doi>10.1007/s11695-021-05339-4</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-4044-076X</orcidid><oa>free_for_read</oa></addata></record> |
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source | SpringerLink Journals - AutoHoldings |
subjects | Coronaviruses COVID-19 Infections Medicine Medicine & Public Health Mortality Original Contributions Pandemics Surgery |
title | Eighty-Seven Consecutive Sleeve Gastrectomies Between the Two Peaks of the Covid-19 Pandemic. An Opening-Phase Experience |
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