Effect of BMI on safety of bariatric surgery during the COVID-19 pandemic, procedure choice, and safety protocols – An analysis from the GENEVA Study. Issue 3 (May 2022)

• Record Type: Journal Article
• Authors: Singhal, Rishi; Omar, Islam; Madhok, Brijesh; Ludwig, Christian; Tahrani, Abd A.; Mahawar, Kamal; Pędziwiatr, Michał; Major, Piotr; Zarzycki, Piotr; Pantelis, Athanasios; Lapatsanis, Dimitris P.; Stravodimos, Georgios; Matthys, Chris; Focquet, Marc; Vleeschouwers, Wouter; Spaventa, Antonio G.; Zerrweck, Carlos; Vitiello, Antonio; Berardi, Giovanna; Musella, Mario; Sanchez-Meza, Alberto; Cantu, Felipe J.; Mora, Fernando; Cantu, Marco A.; Katakwar, Abhishek; Reddy, D. Nageshwar; Elmaleh, Haitham; Hassan, Mohammad; Elghandour, Abdelrahman; Elbanna, Mohey; Osman, Ahmed; Khan, Athar; Layani, Laurent; Kiran, Nalini; Velikorechin, Andrey; Solovyeva, Maria; Melali, Hamid; Shahabi, Shahab; Agrawal, Ashish; Shrivastava, Apoorv; Sharma, Ankur; Narwaria, Bhavya; Narwaria, Mahendra; Raziel, Asnat; Sakran, Nasser; Susmallian, Sergio; Karagöz, Levent; Akbaba, Murat; Pişkin, Salih Zeki; Balta, Ahmet Ziya; Senol, Zafer; Manno, Emilio; Iovino, Michele Giuseppe; Osman, Ahmed; Qassem, Mohamed; Arana-Garza, Sebastián; Povoas, Heitor P.; Vilas-Boas, Marcos Leão; Li, Alan; Ammori, Basil J.; Balamoun, Hany; Salman, Mohammed; Nasta, Amrit Manik; Goel, Ramen; Sánchez-Aguilar, Hugo; Herrera, Miguel F.; Abou-Mrad, Adel; Cloix, Lucie; Mazzini, Guilherme Silva; Kristem, Leonardo; Lazaro, Andre; Campos, Jose; Bernardo, Joaquín; González, Jesús; Trindade, Carlos; Viveiros, Octávio; Ribeiro, Rui; Goitein, David; Hazzan, David; Segev, Lior; Beck, Tamar; Reyes, Hernán; Monterrubio, Jerónimo; García, Paulina; Benois, Marine; Kassir, Radwan; Contine, Alessandro; Elshafei, Moustafa; Aktas, Sueleyman; Weiner, Sylvia; Heidsieck, Till; Level, Luis; Pinango, Silvia; Ortega, Patricia Martinez; Moncada, Rafael; Valenti, Victor; Vlahović, Ivan; Boras, Zdenko; Liagre, Arnaud; Martini, Francesco; Juglard, Gildas; Motwani, Manish; Saggu, Sukhvinder Singh; Momani, Hazem Al; López, Luis Adolfo Aceves; Cortez, María Angelina Contreras; Zavala, Rodrigo Aceves; D'Haese, Christine; Kempeneers, Ivo; Himpens, Jacques; Lazzati, Andrea; Paolino, Luca; Bathaei, Sarah; Bedirli, Abdulkadir; Yavuz, Aydın; Büyükkasap, Çağrı; Özaydın, Safa; Kwiatkowski, Andrzej; Bartosiak, Katarzyna; Walędziak, Maciej; Santonicola, Antonella; Angrisani, Luigi; Iovino, Paola; Palma, Rossella; Iossa, Angelo; Boru, Cristian Eugeniu; Angelis, Francesco De; Silecchia, Gianfranco; Hussain, Abdulzahra; Balchandra, Srivinasan; Coltell, Izaskun Balciscueta; Pérez, Javier Lorenzo; Bohra, Ashok; Awan, Altaf K.; Madhok, Brijesh; Leeder, Paul C.; Awad, Sherif; Al-Khyatt, Waleed; Shoma, Ashraf; Elghadban, Hosam; Ghareeb, Sameh; Mathews, Bryan; Kurian, Marina; Larentzakis, Andreas; Vrakopoulou, Gavriella Zoi; Albanopoulos, Konstantinos; Bozdag, Ahemt; Lale, Azmi; Kirkil, Cuneyt; Dincer, Mursid; Bashir, Ahmad; Haddad, Ashraf; Hijleh, Leen Abu; Zilberstein, Bruno; de Marchi, Danilo Dallago; Souza, Willy Petrini; Brodén, Carl Magnus; Gislason, Hjörtur; Shah, Kamran; Ambrosi, Antonio; Pavone, Giovanna; Tartaglia, Nicola; Kumari Kona, S. Lakshmi; Kalyan, K.; Perez, Cesar Ernesto Guevara; Botero, Miguel Alberto Forero; Covic, Adrian; Timofte, Daniel; Maxim, Madalina; Faraj, Dashti; Tseng, Larissa; Liem, Ronald; Ören, Gürdal; Dilektasli, Evren; Yalcin, Ilker; AlMukhtar, Hudhaifa; Hadad, Mohammed Al; Mohan, Rasmi; Arora, Naresh; Bedi, Digvijaysingh; Rives-Lange, Claire; Chevallier, Jean-Marc; Poghosyan, Tigran; Sebbag, Hugues; Zinaï, Lamia; Khaldi, Saadi; Mauchien, Charles; Mazza, Davide; Dinescu, Georgiana; Rea, Bernardo; Pérez-Galaz, Fernando; Zavala, Luis; Besa, Anais; Curell, Anna; Balibrea, Jose M.; Vaz, Carlos; Galindo, Luis; Silva, Nelson; Caballero, José Luis Estrada; Sebastian, Sergio Ortiz; Marchesini, João Caetano Dallegrave; da Fonseca Pereira, Ricardo Arcanjo; Sobottka, Wagner Herbert; Fiolo, Felipe Eduardo; Turchi, Matias; Coelho, Antonio Claudio Jamel; Zacaron, Andre Luis; Barbosa, André; Quinino, Reynaldo; Menaldi, Gabriel; Paleari, Nicolás; Martinez-Duartez, Pedro; de Aragon Ramírez de Esparza, Gabriel Martínez; Esteban, Valentin Sierra; Torres, Antonio; Garcia-Galocha, Jose Luis; Josa, Miguel; Pacheco-Garcia, Jose Manuel; Mayo-Ossorio, Maria Angeles; Chowbey, Pradeep; Soni, Vandana; de Vasconcelos Cunha, Hercio Azevedo; Castilho, Michel Victor; Ferreira, Rafael Meneguzzi Alves; Barreiro, Thiago Alvim; Charalabopoulos, Alexandros; Sdralis, Elias; Davakis, Spyridon; Bomans, Benoit; Dapri, Giovanni; Belle, Koenraad Van; Takieddine, Mazen; Vaneukem, Pol; Karaca, Esma Seda Akalın; Karaca, Fatih Can; Sumer, Aziz; Peksen, Caghan; Savas, Osman Anil; Chousleb, Elias; Elmokayed, Fahad; Fakhereldin, Islam; Aboshanab, Hany Mohamed; Swelium, Talal; Gudal, Ahmad; Gamloo, Lamees; Ugale, Ayushka; Ugale, Surendra; Boeker, Clara; Reetz, Christian; Hakami, Ibrahim Ali; Mall, Julian; Alexandrou, Andreas; Baili, Efstratia; Bodnar, Zsolt; Maleckas, Almantas; Gudaityte, Rita; Guldogan, Cem Emir; Gundogdu, Emre; Ozmen, Mehmet Mahir; Thakkar, Deepti; Dukkipati, Nandakishore; Shah, Poonam Shashank; Shah, Shashank Subhashchandra; Shah, Simran Shashank; Adil, Md Tanveer; Jambulingam, Periyathambi; Mamidanna, Ravikrishna; Whitelaw, Douglas; Adil, Md Tanveer; Jain, Vigyan; Veetil, Deepa Kizhakke; Wadhawan, Randeep; Torres, Antonio; Torres, Max; Tinoco, Tabata; Leclercq, Wouter; Romeijn, Marleen; van de Pas, Kelly; Alkhazraji, Ali K.; Taha, Safwan A.; Ustun, Murat; Yigit, Taner; Inam, Aatif; Burhanulhaq, Muhammad; Pazouki, Abdolreza; Eghbali, Foolad; Kermansaravi, Mohammad; Jazi, Amir Hosein Davarpanah; Mahmoudieh, Mohsen; Mogharehabed, Neda; Tsiotos, Gregory; Stamou, Konstantinos; Barrera Rodriguez, Francisco J; Rojas Navarro, Marco A.; MOhamed Torres, Omar; Martinez, Sergio Lopez; Tamez, Elda Rocio Maltos; Millan Cornejo, Gustavo A.; Flores, Jose Eduardo Garcia; Mohammed, Diya Aldeen; Elfawal, Mohamad Hayssam; Shabbir, Asim; Guowei, Kim; So, Jimmy By; Kaplan, Elif Tuğçe; Kaplan, Mehmet; Kaplan, Tuğba; Pham, DangTuan; Rana, Gurteshwar; Kappus, Mojdeh; Gadani, Riddish; Kahitan, Manish; Pokharel, Koshish; Osborne, Alan; Pournaras, Dimitri; Hewes, James; Napolitano, Errichetta; Chiappetta, Sonja; Bottino, Vincenzo; Dorado, Evelyn; Schoettler, Axel; Gaertner, Daniel; Fedtke, Katharina; Aguilar-Espinosa, Francisco; Aceves-Lozano, Saul; Balani, Alessandro; Nagliati, Carlo; Pennisi, Damiano; Rizzi, Andrea; Frattini, Francesco; Foschi, Diego; Benuzzi, Laura; Parikh, Chirag; Shah, Harshil; Pinotti, Enrico; Montuori, Mauro; Borrelli, Vincenzo; Dargent, Jerome; Copaescu, Catalin A; Hutopila, Ionut; Smeu, Bogdan; Witteman, Bart; Hazebroek, Eric; Deden, Laura; Heusschen, Laura; Okkema, Sietske; Aufenacker, Theo; den Hengst, Willem; Vening, Wouter; van der Burgh, Yonta; Ghazal, Ahmad; Ibrahim, Hamza; Niazi, Mourad; Alkhaffaf, Bilal; Altarawni, Mohammad; Cesana, Giovanni Carlo; Anselmino, Marco; Uccelli, Matteo; Olmi, Stefano; Stier, Christine; Akmanlar, Tahsin; Sonnenberg, Thomas; Schieferbein, Uwe; Marcolini, Alejandro; Awruch, Diego; Vicentin, Marco; de Souza Bastos, Eduardo Lemos; Gregorio, Samuel Azenha; Ahuja, Anmol; Mittal, Tarun; Bolckmans, Roel; Wiggins, Tom; Baratte, Clément; Wisnewsky, Judith Aron; Genser, Laurent; Chong, Lynn; Taylor, Lillian; Ward, Salena; Chong, Lynn; Taylor, Lillian; Hi, Michael W.; Heneghan, Helen; Fearon, Naomi; Plamper, Andreas; Rheinwalt, Karl; Heneghan, Helen; Geoghegan, Justin; Ng, Kin Cheung; Fearon, Naomi; Kaseja, Krzysztof; Kotowski, Maciej; Samarkandy, Tarig A.; Leyva-Alvizo, Adolfo; Corzo-Culebro, Lourdes; Wang, Cunchuan; Yang, Wah; Dong, Zhiyong; Riera, Manel; Jain, Rajesh; Hamed, Hosam; Said, Mohammed; Zarzar, Katia; Garcia, Manuel; Türkçapar, Ahmet Gökhan; Şen, Ozan; Baldini, Edoardo; Conti, Luigi; Wietzycoski, Cacio; Lopes, Eduardo; Pintar, Tadeja; Salobir, Jure; Aydin, Cengiz; Atici, Semra Demirli; Ergin, Anıl; Ciyiltepe, Huseyin; Bozkurt, Mehmet Abdussamet; Kizilkaya, Mehmet Celal; Onalan, Nezihe Berrin Dodur; Binti Ahmad Zuber, Mariana Nabila; Wong, Wei Jin; Garcia, Amador; Vidal, Laura; Beisani, Marc; Pasquier, Jorge; Vilallonga, Ramon; Sharma, Sharad; Parmar, Chetan; Lee, Lyndcie; Sufi, Pratik; Sinan, Hüseyin; Saydam, Mehmet;
• Is Part Of: Obesity research & clinical practice. Volume 16:Issue 3(2022)
• Page Start: 249
• Page End: 253
• Publication Date: 2022-05
• Subjects: BMI -- SARS-CoV-2 -- COVID-19 -- Resuming Elective surgery -- Bariatric surgery -- Obesity surgery -- Obesity -- Metabolic surgery -- Pandemic; Obesity -- Research -- Periodicals; Obesity -- Treatment -- Periodicals; Obesity -- Periodicals; Obésité -- Recherche -- Périodiques; Obésité -- Traitement -- Périodiques; Obesity -- Research; Obesity -- Treatment; Electronic journals; Periodicals; 616.398
• DOI: 10.1016/j.orcp.2022.06.003
• Languages: English
• ISSNs: 1871-403X

Abstract

Abstract: Background: It has been suggested that patients with a Body Mass Index (BMI) of > 60 kg/m 2 should be offered expedited Bariatric Surgery (BS) during the Coronavirus Disease-2019 (COVID-19) pandemic. The main objective of this study was to assess the safety of this approach. Methods: We conducted a global study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into three groups according to their preoperative BMI - Group I (BMI<50 kg/m 2 ), Group II (BMI 50–60 kg/m 2 ), and Group III (BMI>60 kg/m 2 ). The effect of preoperative BMI on 30-day morbidity and mortality, procedure choice, COVID-19 specific safety protocols, and comorbidities was assessed. Results: This study included 7084 patients (5197;73.4 % females). The mean preoperative weight and BMI were 119.49 ± 24.4 Kgs and 43.03 ± 6.9 Kg/m 2, respectively. Group I included 6024 (85 %) patients, whereas Groups II and III included 905 (13 %) and 155 (2 %) patients, respectively. The 30-day mortality rate was higher in Group III (p = 0.001). The complication rate and COVID-19 infection were not different. Comorbidities were significantly more likely in Group III (p = <0.001). A significantly higher proportion of patients in group III received Sleeve Gastrectomy or One Anastomosis Gastric Bypass compared to other groups. Patients with a BMI of > 70 kg/m 2 had a 30-day mortality of 7.7 % (2/26). None of these patients underwent a Roux-en-Y Gastric Bypass. Conclusion: The 30-day mortality rate was significantly higher in patients with BMI > 60 kg/m 2 . There was, however, no significant difference in complications rates in different BMI groups, probably due to differences in procedure selection. Highlights: This study included 7084 patients (5197;73.4 females). The mean preoperative weight and BMI were 119.49 ± 24.4 Kgs and 43.03 ± 6.9 Kg/m 2, respectively. The 30-day mortality rate was significantly higher in patients with BMI > 60 kg/m 2 . There was however no significant difference in complications rates in different BMI groups, probably due to differences in procedure selection. Patients with a BMI of > 70 kg/m 2 had a 30-day mortality of 7.7 % (2/26).