COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metab
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COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy) Matteo Uccelli 1 & Giovanni Carlo Cesana 1 & Stefano Maria De Carli 1 & Francesca Ciccarese 1 & Alberto Oldani 1 & Adelinda Angela Giulia Zanoni 1 & Riccardo Giorgi 1 & Roberta Villa 1 & Ayman Ismail 1 & Simone Targa 1 & Andrea D’Alessio 2 & Giancarlo Cesana 3 & Lorenzo Mantovani 3 & Stefano Olmi 1 Received: 17 September 2020 / Revised: 21 October 2020 / Accepted: 21 October 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Introduction On February 20, 2020, a severe case of pneumonia due to SARS-CoV-2 was diagnosed in northern Italy (Lombardy). Some studies have identified obesity as a risk factor for severe disease in patients with COVID-19. The purpose of this study was to investigate the incidence of SARS-CoV-2 infection and its severity in patients who have undergone bariatric surgery. Material and Methods During the lockdown period (until May 2020), we contacted operated patients by phone and social networks (e.g., Facebook) to maintain constant contact with them; in addition, we gave the patients a dedicated phone number at which to call us for emergencies. We produced telemedicine and educational videos for obese and bariatric patients, and we submitted a questionnaire to patients who had undergone bariatric surgery in the past. Results A total of 2145 patients (313 male; 1832 female) replied to the questionnaire. Mean presurgical BMI: 44.5 ± 6.8 kg/m2. Mean age: 44.0 ± 10.0 year. Mean BMI after surgery: 29.3 ± 5.5 kg/m2 (p < 0.05). From February to May 2020, 8.4% of patients reported that they suffered from at least one symptom among those identified as related to SARS-CoV-2 infection. Thirteen patients (0.6%) tested positive for COVID-19. Six patients (0.3%) were admitted to the COVID Department, and 2 patients (0.1%) were admitted to the ICU. Conclusions Although the reported rates of symptoms and fever were high, only 0.6% of patients tested positive for COVID-19. Among more than 2000 patients who underwent bariatric surgery analyzed in this study, only 0.1% needed ICU admission. Keywords Obesity surgery . Metabolic surgery . Bariatric surgery, . Obesity . COVID-19 . Italy . Laparoscopy
Introduction The spread of coronavirus disease 2019 (COVID-19) has reached—from the beginning of March—the epidemiological criteria to be declared a pandemic (affecting more than 100,000 people in 100 countries) [1]. Only 3 cases of COVID-19 were identified in Italy in the first half of Supplementary Information The online version contains supplementary material available at https://doi.org/10.1007/s11695-02005085-z. * Matteo Uccelli [email protected] Extended author information available on the last page of the article
February 2020, and all involved people who had recently traveled to China. On February 20, 2020, a severe case of pneumonia due to SARS-CoV-2 (severe acute respirat
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