SARS-COV-2 INFECTION IN PATIENTS OPERATED BY BARIATRIC SURGERY: A LITERATURE REVIEW
In less than a year, the SARS-CoV-2 pandemic has become responsible for more than 2 million deaths worldwide, leading to the disruption of all health systems and economic disasters. There is now clear evidence that severe obesity is a significant risk factor for mortality. Patients are generally healthier after metabolic surgery, which can result in a less severe form of SARS-CoV-2 infection and a better prognosis after contracting this disease. To test this hypothesis, the present study was designed to determine the association of previous metabolic surgery with the severity of SARS-CoV-2 infection in severely obese patients. Non-systematic literature review study in the Medline scientific database focusing on the association between previous metabolic surgery and severity of COVID-19 in obese patients. The findings of this review of 7 observational studies in patients with a history of prior bariatric surgery indicate that a history of bariatric surgery is associated with lower rates of hospitalization and mortality in obese patients after SARS-CoV-2 infection. The present study revealed that findings from observational studies suggest that prior bariatric surgery is associated with a lower rate of mortality and hospital admission in obese patients who become infected with SARS-CoV-2. Confirmation of these findings will require larger studies with better quality data.
SARS-COV-2 INFECTION IN PATIENTS OPERATED BY BARIATRIC SURGERY: A LITERATURE REVIEW
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DOI: 10.22533/at.ed.159232220018
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Palavras-chave: Cirurgia bariátrica; COVID-19; Coronavírus; Diabetes; Cirurgia metabólica; Obesidade; SARS-CoV-2; Perda de peso.
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Keywords: Bariatric surgery; COVID-19; Coronavirus; Diabetes; Metabolic surgery; Obesity; SARS-CoV-2; Weight loss.
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Abstract:
In less than a year, the SARS-CoV-2 pandemic has become responsible for more than 2 million deaths worldwide, leading to the disruption of all health systems and economic disasters. There is now clear evidence that severe obesity is a significant risk factor for mortality. Patients are generally healthier after metabolic surgery, which can result in a less severe form of SARS-CoV-2 infection and a better prognosis after contracting this disease. To test this hypothesis, the present study was designed to determine the association of previous metabolic surgery with the severity of SARS-CoV-2 infection in severely obese patients. Non-systematic literature review study in the Medline scientific database focusing on the association between previous metabolic surgery and severity of COVID-19 in obese patients. The findings of this review of 7 observational studies in patients with a history of prior bariatric surgery indicate that a history of bariatric surgery is associated with lower rates of hospitalization and mortality in obese patients after SARS-CoV-2 infection. The present study revealed that findings from observational studies suggest that prior bariatric surgery is associated with a lower rate of mortality and hospital admission in obese patients who become infected with SARS-CoV-2. Confirmation of these findings will require larger studies with better quality data.
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Número de páginas: 17
- Patrick de Abreu Cunha Lopes
- Estêvão Ribeiro Borges
- Fabio Perillo Barbosa
- Carlos José Saboya
- Caroline Azevedo Brim
- Lucas do Nascimento Freire
- Aline Campos dos Santos Silva
- Thaynara Alves de Souza Maciel