Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 298.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\32386567
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Lancet+Diabetes+Endocrinol
2020 ; 8
(7
): 640-648
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS
recommendations for management of surgical candidates and postoperative patients
and prioritisation of access to surgery
#MMPMID32386567
Rubino F
; Cohen RV
; Mingrone G
; le Roux CW
; Mechanick JI
; Arterburn DE
; Vidal J
; Alberti G
; Amiel SA
; Batterham RL
; Bornstein S
; Chamseddine G
; Del Prato S
; Dixon JB
; Eckel RH
; Hopkins D
; McGowan BM
; Pan A
; Patel A
; Pattou F
; Schauer PR
; Zimmet PZ
; Cummings DE
Lancet Diabetes Endocrinol
2020[Jul]; 8
(7
): 640-648
PMID32386567
show ga
The coronavirus disease 2019 pandemic is wreaking havoc on society, especially
health-care systems, including disrupting bariatric and metabolic surgery. The
current limitations on accessibility to non-urgent care undermine postoperative
monitoring of patients who have undergone such operations. Furthermore, like most
elective surgery, new bariatric and metabolic procedures are being postponed
worldwide during the pandemic. When the outbreak abates, a backlog of people
seeking these operations will exist. Hence, surgical candidates face prolonged
delays of beneficial treatment. Because of the progressive nature of obesity and
diabetes, delaying surgery increases risks for morbidity and mortality, thus
requiring strategies to mitigate harm. The risk of harm, however, varies among
patients, depending on the type and severity of their comorbidities. A triaging
strategy is therefore needed. The traditional weight-centric patient-selection
criteria do not favour cases based on actual clinical needs. In this Personal
View, experts from the Diabetes Surgery Summit consensus conference series
provide guidance for the management of patients while surgery is delayed and for
postoperative surveillance. We also offer a strategy to prioritise bariatric and
metabolic surgery candidates on the basis of the diseases that are most likely to
be ameliorated postoperatively. Although our system will be particularly germane
in the immediate future, it also provides a framework for long-term clinically
meaningful prioritisation.