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Vol. 99. Issue 1.
Pages 4-10 (January 2021)
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Vol. 99. Issue 1.
Pages 4-10 (January 2021)
Special article
DOI: 10.1016/j.cireng.2020.12.015
Obesity and SARS-CoV-2: Considerations on bariatric surgery and recommendations for the start of surgical activity
Obesidad y SARS-CoV-2: consideraciones sobre la cirugía bariátrica y recomendaciones para el inicio de la actividad quirúrgica
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Raquel Sánchez Santosa,
Corresponding author
raquelsanchezsantos@gmail.com

Corresponding author.
, Amador Garcia Ruiz de Gordejuelab, Irene Breton Lesmesc, Albert Lecube Torellód, Violeta Moizé Arconee, Juan José Arroyo Martinb, Enric Fernandez Alsinab, Esteban Martín Antonab, Miguel Ángel Rubio Herrerac, Fátima Sabench Pereferrera, Andrés Sánchez Pernautea, Ramón Vilallonga Puya
a Sociedad Española de Cirugía de la Obesidad y Enfermedades Metabólicas (SECO), Spain
b Sección de Obesidad de la Asociación Española de Cirujanos (AEC), Spain
c Sociedad Española de Endocrinología y Nutrición (SEEN), Spain
d Sociedad Española para el Estudio de la Obesidad (SEEDO), Spain
e Sociedad Científica Española de Dietética y Nutrición (SEDYN), Spain
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Tables (3)
Table 1. Prioritization of bariatric patients according to their baseline status, associated diseases, clinical situation and possible sequalae of delayed surgery.
Table 2. Main indications for revision surgery after primary bariatric surgery currently accepted by the international community.
Table 3. Summary of recommendations for preoperative weight loss in bariatric patients in the context of the SARS-CoV-2 pandemic.
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Abstract

The SARS-CoV-2 pandemic has a great impact worldwide, being Spain one of the most affected countries. The delay in bariatric surgery can have fatal consequences since up to 50% of the patients who are on the waiting list develop a new comorbidity during the time they remain on it and 1.5% of patients die while waiting for the intervention. That is why bariatric surgery should not be delayed, if the occupation of the hospital by COVID-19+ patients decreases significantly, and sufficient resources and safety are available to restart surgery in patients with benign pathology. This document contains the main recommendations for the bariatric surgery programs in our country from the point of view of safety, bariatric patient preparation and follow up during the SARS-CoV-2 pandemia.

Keywords:
Obesity
Bariatric surgery
COVID-19
Safety
Resumen

La pandemia SARS-CoV-2ha tenido un gran impacto en todo el mundo, siendo España uno de los países más afectados. La demora en la cirugía bariátrica puede tener consecuencias fatales, ya que hasta el 50% de los pacientes que se encuentran en lista de espera desarrollan una nueva comorbilidad durante el tiempo que permanecen en ella y el 1,5% de pacientes fallecen mientras esperan la intervención. Es por ello por lo que la cirugía bariátrica no debe demorarse en cuanto la ocupación del hospital por pacientes COVID-19+ disminuya de forma significativa y se disponga de recursos y seguridad suficiente para realizar la cirugía en pacientes con patología benigna. Este documento recoge las principales recomendaciones para los programas de cirugía bariátrica en nuestro país desde el punto de vista tanto de seguridad como de preparación y seguimiento del paciente bariátrico en el contexto de la pandemia SARS-CoV-2.

Palabras clave:
Obesidad
Cirugía bariátrica
COVID-19
Seguridad

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