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10.1007/s11695-021-05339-4

http://scihub22266oqcxt.onion/10.1007/s11695-021-05339-4
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33709292!7951939!33709292
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suck abstract from ncbi


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pmid33709292      Obes+Surg 2021 ; 31 (7): 3026-3030
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  • Eighty-Seven Consecutive Sleeve Gastrectomies Between the Two Peaks of the Covid-19 Pandemic An Opening-Phase Experience #MMPMID33709292
  • Yerdel MA; Ozgen G
  • Obes Surg 2021[Jul]; 31 (7): 3026-3030 PMID33709292show ga
  • 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.
  • |*COVID-19[MESH]
  • |*Obesity, Morbid/surgery[MESH]
  • |Gastrectomy/adverse effects[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |SARS-CoV-2[MESH]


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