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Bhasker AG, Khaitan M, Bindal V, Kumar A, Rajkumar A, Kaushal A, Prasad A, Parikh C, Sethi D, Goel D, Hareendran DT, Bedi D, Jammu GS, Leo J, Kular K, Narwaria M, Chikkachanappa M, Motwani M, Bharucha M, Ismail M, Dukkipati N, Shah N, Tantia O, Patel P, Padmakumar R, Singh R, Palaniappan R, Shrivastava R, Rajput RRP, Goel R, Wadhawan R, Garg R, Aggarwal S, Patolia S, Baig SJ, Shah S, Shivaram HV, Dhorepatil S, Saggu SS, Ugale S, Perungo T, Soni V. Impact of COVID-19 pandemic on bariatric surgery in India: An obesity and metabolic surgery society of India survey of 1307 patients. J Minim Access Surg 2021; 17:542-547. [PMID: 34558429 PMCID: PMC8486048 DOI: 10.4103/jmas.jmas_2_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Revised: 05/05/2021] [Accepted: 05/06/2021] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND Although safe practice guidelines were issued by the Obesity and Metabolic Surgery Society of India (OSSI) in the end of May 2020, surgeons have been in a dilemma about risk of subjecting patients to hospitalisation and bariatric surgery. This survey was conducted with the objective to evaluate the risk of coronavirus disease-19 (COVID-19) infection in peri- and post-operative period after bariatric and metabolic surgery (BMS). METHODS A survey with OSSI members was conducted from 20 July 2020 to 31 August 2020 in accordance with EQUATOR guidelines. Google Form was circulated to all surgeon members through E-mail and WhatsAppTM. In the second phase, clinical details were captured from surgeons who reported positive cases. RESULTS One thousand three hundred and seven BMS were reported from 1 January 2020 to 15 July 2020. Seventy-eight per cent were performed prior to 31 March 2020 and 276 were performed after 1 April 2020. Of these, 13 (0.99%) patients were reported positive for COVID-19 in the post-operative period. All suffered from a mild disease and there was no mortality. Eighty-seven positive cases were reported from patients who underwent BMS prior to 31 December 2019. Of these, 82.7% of patients had mild disease, 13.7% of patients had moderate symptoms and four patients succumbed to COVID-19. CONCLUSION BMS may be considered as a safe treatment option for patients suffering from clinically severe obesity during the COVID-19 pandemic. Due care must be taken to protect patients and healthcare workers and all procedures must be conducted in line with the safe practice guidelines.
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Affiliation(s)
| | | | | | - Amardeep Kumar
- All India Institute of Medical Sciences, New Delhi, India
| | | | | | | | - Chirag Parikh
- Parul Institute of Medical Science and Research, Vadodara, Gujarat, India
| | | | - Deep Goel
- BLK Super Speciality Hospital, New Delhi, India
| | | | | | | | | | - Kuldeepak Kular
- Kular College and Hospitals Private Limited, Ludhiana, Punjab, India
| | | | | | | | | | | | | | - Neha Shah
- Child Heart International, Chennai, Tamil Nadu, India
| | - Om Tantia
- ILS Hospitals, Kolkata, West Bengal, India
| | - Parag Patel
- Zydus Hospital and Healthcare Research Center, Anand, Gujarat, India
| | | | - Rahul Singh
- Ajanta Hospital, Lucknow, Uttar Pradesh, India
| | - Raj Palaniappan
- Institute of Bariatrics, Apollo Hospitals, Chennai, Tamil Nadu, India
| | | | | | - Ramen Goel
- Wockhardt Hospital, Mumbai, Maharashtra, India
| | | | - Rohit Garg
- Vardhman Mahavir Healthcare, Patiala, Punjab, India
| | - Sandeep Aggarwal
- Kular College and Hospitals Private Limited, Ludhiana, Punjab, India
| | | | | | - Shashank Shah
- Laparo-Obeso Centre, Pune, Maharashtra, India
- Lilavati Hospital Mumbai and Hinduja Healthcare Surgical, Mumbai, Maharashtra, India
| | | | - Shrihari Dhorepatil
- Shree Hospital and Diagnostic Centre Private Limited, Pune, Maharashtra, India
| | | | - Surendra Ugale
- Kirloskar and Virinchi Hospitals, Hyderabad, Telangana, India
| | - T. Perungo
- Dr. Rela Institute and Medical Centre, Chennai, Tamil Nadu, India
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Aggarwal S, Mahawar K, Khaitan M, Raj P, Wadhawan R, Dukkipati N, Kular KS, Prasad A, Bhasker AG, Soni V, Madhok B, Baig S, Palaniappan R, Shivaram HV, Goel D, Bindal V, Saggu S, Shrivastava R, Shah S, Dhorepatil S, Khullar R. Obesity and Metabolic Surgery Society of India (OSSI) Recommendations for Bariatric and Metabolic Surgery Practice During the COVID-19 Pandemic. Obes Surg 2020; 30:5101-5107. [PMID: 32829450 PMCID: PMC7443150 DOI: 10.1007/s11695-020-04940-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 08/14/2020] [Accepted: 08/17/2020] [Indexed: 12/01/2022]
Abstract
Bariatric and metabolic surgery (BMS), the only effective option for patients with obesity with or without comorbidities, has been stopped temporarily due to the ongoing novel corona virus disease (COVID-19) pandemic. However, there has been a recent change in the governmental strategy of dealing with this virus from 'Stay at Home' to 'Stay Alert' in many countries including India. A host of health services including elective surgeries are being resumed. In view of the possibility of resumption of BMS in near future, Obesity and Metabolic Surgery Society of India (OSSI) constituted a committee of experienced surgeons to give recommendations about the requirements as well as precautions to be taken to restart BMS with emphasis on safe delivery and high-quality care.
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Affiliation(s)
- Sandeep Aggarwal
- Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
| | | | | | - Praveen Raj
- Gem Hospital & Research Centre, Coimbatore, India
| | | | | | | | | | | | - Vandana Soni
- Max Institute of Laparoscopic, Endoscopic and Bariatric Surgery Max Super Specialty hospital, New Delhi, India
| | - Brijesh Madhok
- University Hospitals of Derby & Burton NHS Foundation Trust, University of Nottingham (School of Medicine), Nottingham, UK
| | | | | | | | - Deep Goel
- BLK Super-Speciality Hospital, New Delhi, India
| | - Vivek Bindal
- Institute of Minimal Access, Metabolic and Bariatric Surgery (iMAS), Sir Ganga Ram Hospital, New Delhi, India
| | | | | | - Sumeet Shah
- Max Smart Super Speciality Hospital, New Delhi, India
| | | | - Rajesh Khullar
- Max Institute of Laparoscopic, Endoscopic and Bariatric Surgery Max Super Specialty hospital, New Delhi, India
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