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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Chir+Visc
2020 ; 157
(4
): 323-334
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Recommandations de la SOFFCO-MM en vue de la reprise de l?activité de chirurgie
bariatrique et métabolique pendant et après la pandémie Covid-19
#MMPMID32834886
Kassir R
; Rebibo L
; Genser L
; Sterkers A
; Blanchet MC
; Pattou F
; Msika S
J Chir Visc
2020[Aug]; 157
(4
): 323-334
PMID32834886
show ga
Bariatric/metabolic surgery was paused during the Covid-19 pandemic. The impact
of social confinement and the interruption of this surgery on the population with
obesity has been underestimated, with weight gain and worsened comorbidities.
Some candidates for this surgery are exposed to a high risk of mortality linked
to the pandemic. Obesity and diabetes are two major risk factors for severe forms
of Covid-19. The only currently effective treatment for obesity is metabolic
surgery, which confers prompt, lasting benefits. It is thus necessary to resume
such surgery. To ensure that this resumption is both gradual and well-founded, we
have devised a priority ranking plan. The flow charts we propose will help
centres to identify priority patients according to a benefit/risk assessment.
Diabetes holds a central place in the decision tree. Resumption patterns will
vary from one centre to another according to human, physical and medical
resources, and will need adjustment as the epidemic unfolds. Specific informed
consent will be required. Screening of patients with obesity should be
considered, based on available knowledge. If Covid-19 is suspected, surgery must
be postponed. Emphasis must be placed on infection control measures to protect
patients and healthcare professionals. Confinement is strongly advocated for
patients for the first month post-operatively. Patient follow-up should
preferably be by teleconsultation.