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Singhal, Rishi, Omar, Islam, Madhok, Brijesh, Rajeev, Yashasvi, Graham, Yitka, Tahrani, Abd A.; Ludwig, Christian, Wiggins, Tom, Mahawar, Kamal, Pędziwiatr, Michał, Major, Piotr, Zarzycki, Piotr, Pantelis, Athanasios, Lapatsanis, Dimitris P.; Stravodimos, Georgios, Matthys, Chris, Focquet, Marc, Vleeschouwers, Wouter, Spaventa, Antonio G.; Zerrweck, Carlos, Vitiello, Antonio, Berardi, Giovanna, Musella, Mario, Sanchez-Meza, Alberto, Cantu, Felipe J.; Mora, Fernando, Cantu, Marco A.; Katakwar, Abhishek, Reddy, D. Nageshwar, Elmaleh, Haitham, Hassan, Mohammad, Elghandour, Abdelrahman, Elbanna, Mohey, Osman, Ahmed, Khan, Athar, Layani, Laurent, Kiran, Nalini, Velikorechin, Andrey, Solovyeva, Maria, Melali, Hamid, Shahabi, Shahab, Agrawal, Ashish, Shrivastava, Apoorv, Sharma, Ankur, Narwaria, Bhavya, Narwaria, Mahendra, Raziel, Asnat, Sakran, Nasser, Susmallian, Sergio, Karagöz, Levent, Akbaba, Murat, Pişkin, Salih Zeki, Balta, Ahmet Ziya, Senol, Zafer, Manno, Emilio, Iovino, Michele Giuseppe, Osman, Ahmed, Qassem, Mohamed, Arana-Garza, Sebastián, Povoas, Heitor P.; Vilas-Boas, Marcos Leão, Li, Alan, Ammori, Basil J.; Balamoun, Hany, Salman, Mohammed, Nasta, Amrit Manik, Goel, Ramen, Sánchez-Aguilar, Hugo, Herrera, Miguel F.; Abou-Mrad, Adel, Cloix, Lucie, Mazzini, Guilherme Silva, Kristem, Leonardo, Lazaro, Andre, Campos, Jose, Bernardo, Joaquín, González, Jesús, Trindade, Carlos, Viveiros, Octávio, Ribeiro, Rui, Goitein, David, Hazzan, David, Segev, Lior, Beck, Tamar, Reyes, Hernán, Monterrubio, Jerónimo, García, Paulina, Benois, Marine, Kassir, Radwan, Contine, Alessandro, Elshafei, Moustafa, Aktas, Sueleyman, Weiner, Sylvia, Heidsieck, Till, Level, Luis, Pinango, Silvia, Ortega, Patricia Martinez, Moncada, Rafael, Valenti, Victor, Vlahović, Ivan, Boras, Zdenko, Liagre, Arnaud, Martini, Francesco, Juglard, Gildas, Motwani, Manish, Saggu, Sukhvinder Singh, Al Momani, Hazem, López, Luis Adolfo Aceves, Cortez, María Angelina Contreras, Zavala, Rodrigo Aceves, D’Haese, Christine, Kempeneers, Ivo, Himpens, Jacques, Lazzati, Andrea, Paolino, Luca, Bathaei, Sarah, Bedirli, Abdulkadir, Yavuz, Aydın, Büyükkasap, Çağrı, Özaydın, Safa, Kwiatkowski, Andrzej, Bartosiak, Katarzyna, Walędziak, Maciej, Santonicola, Antonella, Angrisani, Luigi, Iovino, Paola, Palma, Rossella, Iossa, Angelo, Boru, Cristian Eugeniu, De Angelis, Francesco, Silecchia, Gianfranco, Hussain, Abdulzahra, Balchandra, Srivinasan, Coltell, Izaskun Balciscueta, Pérez, Javier Lorenzo, Bohra, Ashok, Awan, Altaf K.; Madhok, Brijesh, Leeder, Paul C.; Awad, Sherif, Al-Khyatt, Waleed, Shoma, Ashraf, Elghadban, Hosam, Ghareeb, Sameh, Mathews, Bryan, Kurian, Marina, Larentzakis, Andreas, Vrakopoulou, Gavriella Zoi, Albanopoulos, Konstantinos, Bozdag, Ahemt, Lale, Azmi, Kirkil, Cuneyt, Dincer, Mursid, Bashir, Ahmad, Haddad, Ashraf, Hijleh, Leen Abu, Zilberstein, Bruno, de Marchi, Danilo Dallago, Souza, Willy Petrini, Brodén, Carl Magnus, Gislason, Hjörtur, Shah, Kamran, Ambrosi, Antonio, Pavone, Giovanna, Tartaglia, Nicola, Kona, S. Lakshmi Kumari, Kalyan, K.; Perez, Cesar Ernesto Guevara, Botero, Miguel Alberto Forero, Covic, Adrian, Timofte, Daniel, Maxim, Madalina, Faraj, Dashti, Tseng, Larissa, Liem, Ronald, Ören, Gürdal, Dilektasli, Evren, Yalcin, Ilker, AlMukhtar, Hudhaifa, Al Hadad, Mohammed, Mohan, Rasmi, Arora, Naresh, Bedi, Digvijaysingh, Rives-Lange, Claire, Chevallier, Jean-Marc, Poghosyan, Tigran, Sebbag, Hugues, Zinaï, Lamia, Khaldi, Saadi, Mauchien, Charles, Mazza, Davide, Dinescu, Georgiana, Rea, Bernardo, Pérez-Galaz, Fernando, Zavala, Luis, Besa, Anais, Curell, Anna, Balibrea, Jose M.; Vaz, Carlos, Galindo, Luis, Silva, Nelson, Caballero, José Luis Estrada, Sebastian, Sergio Ortiz, Marchesini, João Caetano Dallegrave, da Fonseca Pereira, Ricardo Arcanjo, Sobottka, Wagner Herbert, Fiolo, Felipe Eduardo, Turchi, Matias, Coelho, Antonio Claudio Jamel, Zacaron, Andre Luis, Barbosa, André, Quinino, Reynaldo, Menaldi, Gabriel, Paleari, Nicolás, Martinez-Duartez, Pedro, de Aragon Ramírez de Esparza, Gabriel Martínez, Esteban, Valentin Sierra, Torres, Antonio, Garcia-Galocha, Jose Luis, Josa, MIguel, Pacheco-Garcia, Jose Manuel, Mayo-Ossorio, Maria Angeles, Chowbey, Pradeep, Soni, Vandana, de Vasconcelos Cunha, Hercio Azevedo, Castilho, Michel Victor, Ferreira, Rafael Meneguzzi Alves, Barreiro, Thiago Alvim, Charalabopoulos, Alexandros, Sdralis, Elias, Davakis, Spyridon, Bomans, Benoit, Dapri, Giovanni, Van Belle, Koenraad, MazenTakieddine, Vaneukem, Pol, Karaca, Esma Seda Akalın, Karaca, Fatih Can, Sumer, Aziz, Peksen, Caghan, Savas, Osman Anil, Chousleb, Elias, Elmokayed, fahad, Fakhereldin, Islam, Aboshanab, Hany Mohamed, Swelium, Talal, Gudal, Ahmad, Gamloo, Lamees, Ugale, Ayushka, Ugale, Surendra, Boeker, Clara, Reetz, Christian, Hakami, Ibrahim Ali, Mall, Julian, Alexandrou, Andreas, Baili, Efstratia, Bodnar, Zsolt, Maleckas, Almantas, Gudaityte, Rita, Guldogan, Cem Emir, Gundogdu, Emre, Ozmen, Mehmet Mahir, Thakkar, Deepti, Dukkipati, Nandakishore, Shah, Poonam Shashank, Shah, Shashank Subhashchandra, Shah, Simran Shashank, Adil, Md Tanveer, Jambulingam, Periyathambi, Mamidanna, Ravikrishna, Whitelaw, Douglas, Adil, Md Tanveer, Jain, Vigyan, Veetil, Deepa Kizhakke, Wadhawan, Randeep, Torres, Antonio, Torres, Max, Tinoco, Tabata, Leclercq, Wouter, Romeijn, Marleen, van de Pas, Kelly, Alkhazraji, Ali K.; Taha, Safwan A.; Ustun, Murat, Yigit, Taner, Inam, Aatif, Burhanulhaq, Muhammad, Pazouki, Abdolreza, Eghbali, Foolad, Kermansaravi, Mohammad, Jazi, Amir Hosein Davarpanah, Mahmoudieh, Mohsen, Mogharehabed, Neda, Tsiotos, Gregory, Stamou, Konstantinos, Barrera Rodriguez, Francisco J.; Rojas Navarro, Marco A.; Torres, Omar MOhamed, Martinez, Sergio Lopez, Tamez, Elda Rocio Maltos, Millan Cornejo, Gustavo A.; Flores, Jose Eduardo Garcia, Mohammed, Diya Aldeen, Elfawal, Mohamad Hayssam, Shabbir, Asim, Guowei, Kim, So, Jimmy By, Kaplan, Elif Tuğçe, Kaplan, Mehmet, Kaplan, Tuğba, Pham, DangTuan, Rana, Gurteshwar, Kappus, Mojdeh, Gadani, Riddish, Kahitan, Manish, Pokharel, Koshish, Osborne, Alan, Pournaras, Dimitri, Hewes, James, Napolitano, Errichetta, Chiappetta, Sonja, Bottino, Vincenzo, Dorado, Evelyn, Schoettler, Axel, Gaertner, Daniel, Fedtke, Katharina, Aguilar-Espinosa, Francisco, Aceves-Lozano, Saul, Balani, Alessandro, Nagliati, Carlo, Pennisi, Damiano, Rizzi, Andrea, Frattini, Francesco, Foschi, Diego, Benuzzi, Laura, Parikh, Chirag, Shah, Harshil, Pinotti, Enrico, Montuori, Mauro, Borrelli, Vincenzo, Dargent, Jerome, Copaescu, Catalin A.; Hutopila, Ionut, Smeu, Bogdan, Witteman, Bart, Hazebroek, Eric, Deden, Laura, Heusschen, Laura, Okkema, Sietske, Aufenacker, Theo, den Hengst, Willem, Vening, Wouter, van der Burgh, Yonta, Ghazal, Ahmad, Ibrahim, Hamza, Niazi, Mourad, Alkhaffaf, Bilal, Altarawni, Mohammad, Cesana, Giovanni Carlo, Anselmino, Marco, Uccelli, Matteo, Olmi, Stefano, Stier, Christine, Akmanlar, Tahsin, Sonnenberg, Thomas, Schieferbein, Uwe, Marcolini, Alejandro, Awruch, Diego, Vicentin, Marco, de Souza Bastos, Eduardo Lemos, Gregorio, Samuel Azenha, ahuja, Anmol, mittal, Tarun, Bolckmans, Roel, Wiggins, Tom, Baratte, Clément, Wisnewsky, Judith Aron, Genser, Laurent, Chong, Lynn, Taylor, Lillian, Ward, Salena, Chong, Lynn, Taylor, Lillian, Hi, Michael W.; Heneghan, Helen, Fearon, Naomi, Plamper, Andreas, Rheinwalt, Karl, Heneghan, Helen, Geoghegan, Justin, Ng, Kin Cheung, Fearon, Naomi, Kaseja, Krzysztof, Kotowski, Maciej, Samarkandy, Tarig A.; Leyva-Alvizo, Adolfo, Corzo-Culebro, Lourdes, Wang, Cunchuan, Yang, Wah, Dong, Zhiyong, Riera, Manel, Jain, Rajesh, Hamed, Hosam, Said, Mohammed, Zarzar, Katia, Garcia, Manuel, Türkçapar, Ahmet Gökhan, Şen, Ozan, Baldini, Edoardo, Conti, Luigi, Wietzycoski, Cacio, Lopes, Eduardo, Pintar, Tadeja, Salobir, Jure, Aydin, Cengiz, Atici, Semra Demirli, Ergin, Anıl, Ciyiltepe, Huseyin, Bozkurt, Mehmet Abdussamet, Kizilkaya, Mehmet Celal, Onalan, Nezihe Berrin Dodur, Zuber, Mariana Nabila Binti Ahmad, Wong, Wei Jin, Garcia, Amador, Vidal, Laura, Beisani, Marc, Pasquier, Jorge, Vilallonga, Ramon, Sharma, Sharad, Parmar, Chetan, Lee, Lyndcie, Sufi, Pratik, Sinan, Hüseyin, Saydam, Mehmet.
Obesity Surgery ; 2022.
Article in English | PMC | ID: covidwho-1820984
2.
Endosc Int Open ; 10(2): E183-E191, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1758425

ABSTRACT

Background and study aims Obesity represents a major health concern; bariatric surgery is the most effective treatment reducing and maintaining weight loss. The role of a routine esophagogastroduodenoscopy (EGD) prior bariatric surgery is still debated. Moreover, in this scenario of COVID-19 pandemic, EGD is even more questionable due to the procedural risk of viral transmission. A new model of video-endoscopic capsule (VEC) recently has been introduced as a good alternative to the EGD. The aim of this study was to determine if this new capsule is an adequate diagnostic alternative to EGD in the work-up of patients selected for bariatric surgery, particularly in the setting of COVID-19. Patients and methods From January to November 2020, 27 patients selected for bariatric surgery were enrolled in this pilot study to assess for noninferiority of VEC compared to EGD in detection of upper gastrointestinal disease. Results VEC had sensitivity, specificity, and positive and negative predictive values in identification of significant lesions of 91.3 %, 83.33 %, 98.01 %, and 51.57 %, respectively, compared with EGD as the standard criterion. The accuracy was 90.51 % (95 % CI, 73.75 %-98.18 %) and the chi-square statistic is 0.1153 ( P  = 0.73). Conclusions Our report confirms the diagnostic noninferiority of VEC in preoperative work-up of patients selected for bariatric surgery, compared to EGD. This is very important, particularly during the COVID-19 pandemic, given the high risk of contamination with EGD. Larger multicenter studies are required to confirm our preliminary results.

7.
Obes Surg ; 31(10): 4272-4288, 2021 10.
Article in English | MEDLINE | ID: covidwho-1333112

ABSTRACT

BACKGROUND: There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives of this study were to examine the safety of bariatric surgery (BS) during the coronavirus disease 2019 (COVID-19) pandemic and to determine the efficacy of perioperative COVID-19 protective strategies on postoperative symptomatic COVID-19 rates. METHODS: We conducted an international cohort study to determine all-cause and COVID-19-specific 30-day morbidity and mortality of BS performed between 01/05/2020 and 31/10/2020. RESULTS: Four hundred ninety-nine surgeons from 185 centres in 42 countries provided data on 7704 patients. Elective primary BS (n = 7084) was associated with a 30-day morbidity of 6.76% (n = 479) and a 30-day mortality of 0.14% (n = 10). Emergency BS, revisional BS, insulin-treated type 2 diabetes, and untreated obstructive sleep apnoea were associated with increased complications on multivariable analysis. Forty-three patients developed symptomatic COVID-19 postoperatively, with a higher risk in non-whites. Preoperative self-isolation, preoperative testing for SARS-CoV-2, and surgery in institutions not concurrently treating COVID-19 patients did not reduce the incidence of postoperative COVID-19. Postoperative symptomatic COVID-19 was more likely if the surgery was performed during a COVID-19 peak in that country. CONCLUSIONS: BS can be performed safely during the COVID-19 pandemic with appropriate perioperative protocols. There was no relationship between preoperative testing for COVID-19 and self-isolation with symptomatic postoperative COVID-19. The risk of postoperative COVID-19 risk was greater in non-whites or if BS was performed during a local peak.


Subject(s)
Bariatric Surgery , COVID-19 , Diabetes Mellitus, Type 2 , Obesity, Morbid , COVID-19 Testing , Cohort Studies , Humans , Incidence , Obesity, Morbid/surgery , Pandemics , Postoperative Complications/epidemiology , SARS-CoV-2
8.
Obes Surg ; 31(7): 3365-3368, 2021 07.
Article in English | MEDLINE | ID: covidwho-1130902

ABSTRACT

Italy was the first European country to have a major outbreak of COVID-19. Bariatric procedures were stopped and telemedicine had to be implemented. A large percentage of patients struggled to follow postoperative diet and to start physical activity due to social restrictions. We have compared short-term outcomes of patients who had bariatric procedures prior to lockdown with subjects that had undergone obesity surgery in the same period of the previous year at our institution. A total number of 63 patients were included in this study. Weight loss at 1, 3 and 6 postoperative months in the 2019 group was significantly higher at any point of follow-up when compared to 2020. Social limitations and nonattendance of clinical appointments may have compromised early results.


Subject(s)
COVID-19 , Gastric Bypass , Laparoscopy , Obesity, Morbid , Communicable Disease Control , Europe , Gastrectomy , Humans , Italy/epidemiology , Obesity, Morbid/surgery , Retrospective Studies , SARS-CoV-2 , Treatment Outcome , Weight Loss
9.
Updates Surg ; 73(2): 745-752, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-1002181

ABSTRACT

Since the beginning of the pandemic due to the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its related disease, coronavirus disease 2019 (COVID-19), several articles reported negative outcomes in surgery of infected patients. Aim of this study is to report results of patients with COVID-19-positive swab, in the perioperative period after surgery. Data of COVID-19-positive patients undergoing emergent or oncological surgery, were collected in a retrospective, multicenter study, which involved 20 Italian institutions. Collected parameters were age, sex, body mass index, COVID-19-related symptoms, patients' comorbidities, surgical procedure, personal protection equipment (PPE) used in operating rooms, rate of postoperative infection among healthcare staff and complications, within 30-postoperative days. 68 patients, who underwent surgery, resulted COVID-19-positive in the perioperative period. Symptomatic patients were 63 (92.5%). Fever was the main symptom in 36 (52.9%) patients, followed by dyspnoea (26.5%) and cough (13.2%). We recorded 22 (32%) intensive care unit admissions, 23 (33.8%) postoperative pulmonary complications and 15 (22%) acute respiratory distress syndromes. As regards the ten postoperative deaths (14.7%), 6 cases were related to surgical complications. One surgeon, one scrub nurse and two circulating nurses were infected after surgery due to the lack of specific PPE. We reported less surgery-related pulmonary complications and mortality in Sars-CoV-2-infected patients, than in literature. Emergent and oncological surgery should not be postponed, but it is mandatory to use full PPE, and to adopt preoperative screenings and strategies that mitigate the detrimental effect of pulmonary complications, mostly responsible for mortality.


Subject(s)
COVID-19/complications , COVID-19/epidemiology , Elective Surgical Procedures/mortality , Pneumonia, Viral/complications , Pneumonia, Viral/epidemiology , Postoperative Complications/mortality , Adult , Aged , Aged, 80 and over , COVID-19/transmission , Emergencies , Female , Humans , Infection Control/organization & administration , Italy/epidemiology , Male , Middle Aged , Occupational Exposure/statistics & numerical data , Pandemics , Pneumonia, Viral/transmission , Pneumonia, Viral/virology , Retrospective Studies , Risk Factors , SARS-CoV-2
10.
Updates Surg ; 72(2): 259-268, 2020 Jun.
Article in English | MEDLINE | ID: covidwho-574895

ABSTRACT

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its related disease, coronavirus disease 2019 (COVID-19), has been rapidly spreading all over the world and is responsible for the current pandemic. The current pandemic has found the Italian national health system unprepared to provide an appropriate and prompt response, heavily affecting surgical activities. Based on the limited data available in the literature and personal experiences, the Società Italiana di Chirurgia dell'OBesità e Malattie Metaboliche (SICOB) provides recommendations regarding the triage of bariatric surgical procedures during the COVID-19 pandemic defining a dedicated path for surgery in morbidly obese patients with known or suspected COVID-19 who may require emergency operations. Finally, the current paper delineates a strategy to resume outpatient visits and elective bariatric surgery once the acute phase of the pandemic is over. Models developed during the COVID-19 crisis should be integrated into hospital practices for future use in similar scenarios. Surgeons are presented with a golden opportunity to embrace systemic change and to drive their professional future.


Subject(s)
Bariatric Surgery , Coronavirus Infections , Elective Surgical Procedures , Obesity/surgery , Pandemics , Pneumonia, Viral , Quarantine , Bariatric Surgery/methods , Bariatric Surgery/standards , COVID-19 , Decision Trees , Disease Outbreaks , Humans , Time Factors
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