Clinical characteristics of coronavirus disease 2019 in patients undergoing laparoscopic bariatric/metabolic surgery: a nationwide survey in Japan.

Autor: Miyazaki Y; Department of Surgery, Osaka General Medical Center, 3-1-56 Bandaihigashi, Sumiyoshi-ku, Osaka-shi, Osaka, 558-8558, Japan. ymiyazaki02@gh.opho.jp., Ohta M; Research Center for GLOBAL and LOCAL Infectious Diseases, Oita University, Oita, Japan.; Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan., Kitahama S; Department of Metabolic and Bariatric Surgery, Center for Obesity, Diabetes, and Endocrinology, Chibune General Hospital, Osaka, Japan., Seki Y; Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan., Inamine S; Bariatric and Metabolic Surgery Center, Ohama Daiichi Hospital, Naha, Japan., Oshiro T; Department of Surgery, Toho University Sakura Medical Center, Sakura, Japan., Nagao Y; Center for Integration of Advanced Medicine, Life Science and Innovative Technology, Kyushu University, Fukuoka, Japan., Hatao F; Department of Surgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan., Orita H; Department of Upper Gastrointestinal Surgery, Juntendo University School of Medicine, Tokyo, Japan., Sasaki A; Department of Surgery, School of Medicine, Iwate Medical University, Yahaba, Japan., Kagawa S; Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan., Yamaguchi T; Department of Surgery, Shiga University of Medical Science, Otsu, Japan., Aizu K; Department of Surgery, Kasugai Municipal Hospital, Kasugai, Japan., Hayata K; Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan., Saito S; Department of Surgery, Jichi Medical University, Shimotsuke, Japan., Amiki M; Department of Surgery, Kawasaki Saiwai Hospital, Kawasaki, Japan., Nakamura Y; Department of Digestive and General Surgery, University of the Ryukyus, Okinawa, Japan., Matsubara H; Department of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba, Japan., Shimada M; Department of Surgery, Tokushima University, Tokushima, Japan., Naitoh T; Department of Lower Gastrointestinal Surgery, Kitasato University School of Medicine, Sagamihara, Japan., Ishibashi N; Department of Surgery, Kurume University, Kurume, Japan., Takiguchi S; Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan., Shibao K; Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan., Inoue K; Department of Surgery, Kansai Medical University, Hirakata, Japan., Togawa T; Department of Digestive Surgery, Omi Medical Center, Kusatsu, Japan., Saito T; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Osaka, Japan., Uno K; Department of Surgery, Jikei University School of Medicine, Tokyo, Japan., Endo Y; Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan., Kasama K; Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan., Tatsuno I; Chiba Prefectural University of Health and Sciences, Chiba, Japan.
Jazyk: angličtina
Zdroj: Surgery today [Surg Today] 2024 Dec 03. Date of Electronic Publication: 2024 Dec 03.
DOI: 10.1007/s00595-024-02967-y
Abstrakt: Purpose: Bariatric/metabolic surgery has been reported to reduce the incidence of severe coronavirus disease 2019 (COVID-19); however, its ability to reduce risk is controversial. Therefore, this study aimed to elucidate the incidence and severity of COVID-19 in bariatric patients in Japan.
Methods: The first survey of patients infected with COVID-19 after bariatric/metabolic surgery until June 30, 2022, was sent to 83 Japanese institutions. A second survey was conducted in institutions that reported on COVID-19 patients. The severity of COVID-19 was compared between the general population and bariatric patients, and risk factors correlated with severity were also evaluated.
Results: Twenty-six institutions (31.3%) reported 119 patients with COVID-19 after laparoscopic bariatric/metabolic surgery. There were no severe cases or deaths; however, moderate COVID-19 (pneumonia) was significantly more common in bariatric patients than in the general population (11.4% vs. 1.3%). The risk factors for moderate COVID-19 in bariatric patients included incurable dyslipidemia and infection before the 6th wave of the pandemic.
Conclusion: In Japan, the number of moderate COVID-19 cases may be higher in bariatric patients than in the general population. This study did not show that bariatric/metabolic surgery reduces the risk of COVID-19 complications.
Competing Interests: Declarations. Ethical approval: All data collection and analyses were performed in accordance with the ethical standards of the 1964 Declaration of Helsinki, and the protocol for this research project was approved by the Ethics Committee of the Oita University Faculty of Medicine (#2417-D5).
(© 2024. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.)
Databáze: MEDLINE
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