Background Age ≥ 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID- 19 pandemic in comparison with the younger cohort. Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups — patients ≥ 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality. Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 ± 2.5 years, 119.5 ± 24.5 kg, and 43 ± 7 in Group I and 39.8 ± 11.3 years, 117.7±20.4 kg, and 43.7 ± 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was significantly higher in Group I (11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not significantly different between the two groups. Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those ≥ 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not significantly different between the two groups.
Safety of bariatric surgery in ≥ 65-year-old patients during the COVID-19 pandemic / Singhal, Rishi; Omar, Islam; Madhok, Brijesh; Rajeev, Yashasvi; Graham, Yitka; Tahrani, Abd A.; Ludwig, Christian; Wiggins, Tom; 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; Al Momani, Hazem; 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; De Angelis, Francesco; 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; Kona, S. Lakshmi Kumari; 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; Al Hadad, Mohammed; 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; Van Belle, Koenraad; Mazentakieddine, Null; 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.; Torres, Omar MOhamed; 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; Zuber, Mariana Nabila Binti Ahmad; 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. - In: OBESITY SURGERY. - ISSN 0960-8923. - 32:7(2022), pp. 2155-2167. [10.1007/s11695-022-06067-z]
Safety of bariatric surgery in ≥ 65-year-old patients during the COVID-19 pandemic
Palma, Rossella;Iossa, AngeloMembro del Collaboration Group
;Boru, Cristian EugeniuMembro del Collaboration Group
;De Angelis, FrancescoMembro del Collaboration Group
;Silecchia, GianfrancoMembro del Collaboration Group
;Borrelli, Vincenzo;
2022
Abstract
Background Age ≥ 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID- 19 pandemic in comparison with the younger cohort. Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups — patients ≥ 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality. Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 ± 2.5 years, 119.5 ± 24.5 kg, and 43 ± 7 in Group I and 39.8 ± 11.3 years, 117.7±20.4 kg, and 43.7 ± 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was significantly higher in Group I (11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not significantly different between the two groups. Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those ≥ 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not significantly different between the two groups.| File | Dimensione | Formato | |
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