The recommendations of the Brazilian College of Surgeons and the Brazilian Bariatric and Metabolic Surgery Societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of COVID-19 pandemic
ABSTRACT Prioritizing surgical procedures aims at facilitating patient’s access according to the clinical needs, maximizing access equity, and minimizing the damage from delayed access. Previous categorization of elective bariatric surgery have been adapted to define an objective prioritizing system that reflects those principles for bariatric and metabolic operations. Given the factors that contribute to the morbidity and mortality of obese and type 2 diabetes patients, surgical prioritization should be based on clinical risk stratification. For patients with type 2 diabetes, we suggest that the operation may be prioritized for those with a higher risk of morbidity and mortality in a relatively short term. Likewise, it is necessary to guide the surgical team regarding the necessary care both in the pre, per and postoperative periods of bariatric and metabolic surgery. These recommendations aim to reduce the risk of in-hospital contamination of the surgical team among health professionals and between health professionals and patients. In summary, these recommendations have been shaped after a thorough analysis of the available literature and are extremely important to mitigate the harm related to the clinical complications of obesity and its comorbidities while keeping healthcare providers’ and patients’ safety.
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Colégio Brasileiro de Cirurgiões
2020
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oai:scielo:S0100-699120200001006062020-06-09The recommendations of the Brazilian College of Surgeons and the Brazilian Bariatric and Metabolic Surgery Societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of COVID-19 pandemicSILVA,LEONARDO EMILIO DACOHEN,RICARDO VITORDE-ANDRADE,JAMES CAMARASZEGÖ,THOMASSANTO,MARCO AURÉLIORAMOS,ALMINO CARDOSOVILAS-BOAS,MARCOS LEÃOMORAES-ZENÓBIO,CRISTIANE MOULINALENCAR-MENEGUESSO,ANNELISE MOTAVON-BAHTEN,LUIZ CARLOS Bariatric Surgery Diabetes Mellitus, Type 2 Obesity Comorbidity Coronavirus Pandemics ABSTRACT Prioritizing surgical procedures aims at facilitating patient’s access according to the clinical needs, maximizing access equity, and minimizing the damage from delayed access. Previous categorization of elective bariatric surgery have been adapted to define an objective prioritizing system that reflects those principles for bariatric and metabolic operations. Given the factors that contribute to the morbidity and mortality of obese and type 2 diabetes patients, surgical prioritization should be based on clinical risk stratification. For patients with type 2 diabetes, we suggest that the operation may be prioritized for those with a higher risk of morbidity and mortality in a relatively short term. Likewise, it is necessary to guide the surgical team regarding the necessary care both in the pre, per and postoperative periods of bariatric and metabolic surgery. These recommendations aim to reduce the risk of in-hospital contamination of the surgical team among health professionals and between health professionals and patients. In summary, these recommendations have been shaped after a thorough analysis of the available literature and are extremely important to mitigate the harm related to the clinical complications of obesity and its comorbidities while keeping healthcare providers’ and patients’ safety.info:eu-repo/semantics/openAccessColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões v.47 20202020-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100606en10.1590/0100-6991e-20202640 |
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SILVA,LEONARDO EMILIO DA COHEN,RICARDO VITOR DE-ANDRADE,JAMES CAMARA SZEGÖ,THOMAS SANTO,MARCO AURÉLIO RAMOS,ALMINO CARDOSO VILAS-BOAS,MARCOS LEÃO MORAES-ZENÓBIO,CRISTIANE MOULIN ALENCAR-MENEGUESSO,ANNELISE MOTA VON-BAHTEN,LUIZ CARLOS |
spellingShingle |
SILVA,LEONARDO EMILIO DA COHEN,RICARDO VITOR DE-ANDRADE,JAMES CAMARA SZEGÖ,THOMAS SANTO,MARCO AURÉLIO RAMOS,ALMINO CARDOSO VILAS-BOAS,MARCOS LEÃO MORAES-ZENÓBIO,CRISTIANE MOULIN ALENCAR-MENEGUESSO,ANNELISE MOTA VON-BAHTEN,LUIZ CARLOS The recommendations of the Brazilian College of Surgeons and the Brazilian Bariatric and Metabolic Surgery Societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of COVID-19 pandemic |
author_facet |
SILVA,LEONARDO EMILIO DA COHEN,RICARDO VITOR DE-ANDRADE,JAMES CAMARA SZEGÖ,THOMAS SANTO,MARCO AURÉLIO RAMOS,ALMINO CARDOSO VILAS-BOAS,MARCOS LEÃO MORAES-ZENÓBIO,CRISTIANE MOULIN ALENCAR-MENEGUESSO,ANNELISE MOTA VON-BAHTEN,LUIZ CARLOS |
author_sort |
SILVA,LEONARDO EMILIO DA |
title |
The recommendations of the Brazilian College of Surgeons and the Brazilian Bariatric and Metabolic Surgery Societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of COVID-19 pandemic |
title_short |
The recommendations of the Brazilian College of Surgeons and the Brazilian Bariatric and Metabolic Surgery Societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of COVID-19 pandemic |
title_full |
The recommendations of the Brazilian College of Surgeons and the Brazilian Bariatric and Metabolic Surgery Societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of COVID-19 pandemic |
title_fullStr |
The recommendations of the Brazilian College of Surgeons and the Brazilian Bariatric and Metabolic Surgery Societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of COVID-19 pandemic |
title_full_unstemmed |
The recommendations of the Brazilian College of Surgeons and the Brazilian Bariatric and Metabolic Surgery Societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of COVID-19 pandemic |
title_sort |
recommendations of the brazilian college of surgeons and the brazilian bariatric and metabolic surgery societies on the return of bariatric and metabolic operations in geographic regions of the country where the procedures have been allowed by local policies, in the period of covid-19 pandemic |
description |
ABSTRACT Prioritizing surgical procedures aims at facilitating patient’s access according to the clinical needs, maximizing access equity, and minimizing the damage from delayed access. Previous categorization of elective bariatric surgery have been adapted to define an objective prioritizing system that reflects those principles for bariatric and metabolic operations. Given the factors that contribute to the morbidity and mortality of obese and type 2 diabetes patients, surgical prioritization should be based on clinical risk stratification. For patients with type 2 diabetes, we suggest that the operation may be prioritized for those with a higher risk of morbidity and mortality in a relatively short term. Likewise, it is necessary to guide the surgical team regarding the necessary care both in the pre, per and postoperative periods of bariatric and metabolic surgery. These recommendations aim to reduce the risk of in-hospital contamination of the surgical team among health professionals and between health professionals and patients. In summary, these recommendations have been shaped after a thorough analysis of the available literature and are extremely important to mitigate the harm related to the clinical complications of obesity and its comorbidities while keeping healthcare providers’ and patients’ safety. |
publisher |
Colégio Brasileiro de Cirurgiões |
publishDate |
2020 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100606 |
work_keys_str_mv |
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