We have detected that you are using an Ad Blocker. PracticeUpdate is free to end users but we rely on advertising to fund our site. Please consider supporting PracticeUpdate by whitelisting us in your ad blocker.
We have sent a message to the email address you have provided, . If this email is not correct, please update your settings with your correct address.
The email address you provided during registration, , does not appear to be valid. Please update your settings with a valid address before to continue using PracticeUpdate.
Welcome to PracticeUpdate! We hope you are enjoying access to a selection of our top-read and most recent articles. Please register today for a free account and gain full access to all of our expert-selected content.
You can find your saved items on your dashboard, in the "saved" tab.
You've recommended your first item
Your recommendations help us improve our content suggestions for you and other PracticeUpdate members.
You've subscribed to your first topic alert
What does that mean?
Each day, we'll check to see if new items have been published to the topics you're subscribed to, and we'll send you one email with all of the new items from that day.
We'll keep all topic alert notifications available on your dashboard for 30 days, to make sure you don't miss anything.
Lastly, whenever you have unread items in the topics you've subscribed to, the "Alerts" icon will light up in the main menu. Just click on the bell to see your five most-recent, unread notifications.
Metabolic and bariatric surgeries have been postponed due to the COVID-19 pandemic, and follow-up of patients who had these surgeries prior to the outbreak has been limited. In this article, the Diabetes Surgery Summit (DSS) consensus conference series provides guidance for the management of patients while surgery is delayed and for postoperative surveillance. The guidance includes nonsurgical options that may be used to mitigate harm due to delayed surgery, management of patients who have had surgery, recommendations for preparation for surgery, and details of prioritization of patients for surgery based on their individual conditions.
The DSS guidelines provide a triaging strategy for management of patients who require metabolic and bariatric surgery and for patients who have had prior surgery; this strategy is necessary, given the backlog in surgeries due to the COVID-19 pandemic.
This abstract is available on the publisher's site.
The coronavirus disease 2019 pandemic is wreaking havoc on society, especially health-care systems, including disrupting bariatric and metabolic surgery. The current limitations on accessibility to non-urgent care undermine postoperative monitoring of patients who have undergone such operations. Furthermore, like most elective surgery, new bariatric and metabolic procedures are being postponed worldwide during the pandemic. When the outbreak abates, a backlog of people seeking these operations will exist. Hence, surgical candidates face prolonged delays of beneficial treatment. Because of the progressive nature of obesity and diabetes, delaying surgery increases risks for morbidity and mortality, thus requiring strategies to mitigate harm. The risk of harm, however, varies among patients, depending on the type and severity of their comorbidities. A triaging strategy is therefore needed. The traditional weight-centric patient-selection criteria do not favour cases based on actual clinical needs. In this Personal View, experts from the Diabetes Surgery Summit consensus conference series provide guidance for the management of patients while surgery is delayed and for postoperative surveillance. We also offer a strategy to prioritise bariatric and metabolic surgery candidates on the basis of the diseases that are most likely to be ameliorated postoperatively. Although our system will be particularly germane in the immediate future, it also provides a framework for long-term clinically meaningful prioritisation.
Bariatric and Metabolic Surgery During and After the COVID-19 Pandemic: DSS Recommendations for Management of Surgical Candidates and Postoperative Patients and Prioritisation of Access to Surgery
Lancet Diabetes Endocrinol 2020 May 07;[EPub Ahead of Print], F Rubino, RV Cohen, G Mingrone, CW le Roux, JI Mechanick, DE Arterburn, J Vidal, G Alberti, SA Amiel, RL Batterham, S Bornstein, G Chamseddine, S Del Prato, JB Dixon, RH Eckel, D Hopkins, BM McGowan, A Pan, A Patel, F Pattou, PR Schauer, PZ Zimmet, DE Cummings