The Forgotten Element in the Resumption of Elective Bariatric Surgery During the COVID-19 Pandemic: the Patient Consent!
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The Forgotten Element in the Resumption of Elective Bariatric Surgery During the COVID-19 Pandemic: the Patient Consent! Mohammed Said 1 & Hosam Hamed 2 Received: 15 June 2020 / Revised: 5 September 2020 / Accepted: 11 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Safety comes first, and the sympathy with the postponed bariatric patients should not come at the expense of the proper standard of care. This study presents a survey of 266 bariatric candidates who were rescheduled for bariatric surgery after postponement during the COVID-19 pandemic. The aim was to assess their knowledge and expectations regarding bariatric surgery and the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. A total of 233 (87.6%) candidates believed that they were prone to a higher risk of severe SARS-CoV-2 infection, and 24.4% of them believed that bariatric surgery, during the pandemic, would improve their immunity. A total of 27.8% of candidates attributed the responsibility regarding potential perioperative SARS-CoV-2 infection to the medical personnel, and 10.7% of them believed it to be the surgeon’s responsibility. Keywords COVID-19 pandemic . Coronavirus . Bariatric resumption . Informed consent . Cancelation
Introduction Health policy-makers and planners recommended postponement of elective surgeries, including bariatric surgeries, during the peak of the COVID-19 pandemic. The aim is to reduce the burden on medical resources and to reduce the risk of hospitalacquired infection. The available literature addressed many aspects of bariatric practice during the COVID-19 pandemic. Preoperative preparation and postoperative follow-up could continue, to a great extent, through the utility of telemedicine, in-house exercise, online support groups, online platforms, and electronic applications [1]. There is no debate regarding the importance of timely management of bariatric emergencies as staple line leakage, marginal ulcers, and internal herniation [1, 2]. More recently, recommendations to deal with bariatric surgical resumptions were released. These recommendations included a risk-stratified triaging system to
* Hosam Hamed [email protected] Mohammed Said [email protected] 1
Gastrointestinal Surgical Center, Mansoura University, Mansoura, Dakahleyya, Egypt
2
Gastrointestinal Surgical Center, Mansoura University, Jehan Street, Mansoura, Dakahleyya 35516, Egypt
prioritize tiers of bariatric patients. They also provided instructions for infection control to protect the patients and medical teams [2–4]. To our knowledge, there is no mention of the bariatric candidates’ conceptualization of bariatric practice during the COVID-19 pandemic. Is there a need for a different approach during patient counseling? Should the patient consent be modified in the era of the COVID-19 pandemic? The present study aims to help in answering these questions through an assessment of patients’ concepts regarding bariatric surgery resumption
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