Sana Hospitals Germany, Obesity Center North Rhine-Westphalia, Department of General-, Visceral-, and Transplant Surgery, RWTH Aachen University, Aachen, Germany.
Bariatric Endoscopy Unit at HM Sanchinarro University Hospital in Madrid, Madrid, Spain.
Obes Surg. 2020 Nov;30(11):4179-4186. doi: 10.1007/s11695-020-04826-4.
COVID-19 (Coronavirus disease 2019) caused by SARS-CoV-2 has become a global pandemic. Obesity is a risk factor for severe disease, and the practice of endoscopy poses special challenges and risks of SARS-CoV-2 transmission to patients and providers given the evolving role of the gastrointestinal tract in viral transmission and aerosol generation during endoscopic procedures. It is therefore necessary to distinguish between urgent interventions that cannot be postponed despite the risks during the pandemic and, in contrast, purely elective interventions that could be deferred in order to minimize transmission risks during a time of infection surge and limited access. Semi-urgent bariatric procedures have an intermediate position. Since the chronological course of the pandemic is still unpredictable, these interventions were defined according to whether or not they should be performed within a nominal 8-week period. In this position statement, the IFSO Endoscopy Committee offers guidance on navigating bariatric endoscopic procedures in patients with obesity during the COVID-19 pandemic, in the hope of mitigating the risk of SARS-CoV-2 transmission to vulnerable patients and healthcare workers. These recommendations may evolve as the pandemic progresses.
由 SARS-CoV-2 引起的 COVID-19（2019 年冠状病毒病）已成为全球性大流行。肥胖是重症疾病的危险因素，鉴于胃肠道在病毒传播和内镜检查过程中产生气溶胶方面的作用不断演变，内镜操作对患者和医务人员造成了特殊的挑战和 SARS-CoV-2 传播风险。因此，有必要区分在大流行期间尽管存在风险但不能推迟的紧急干预措施，以及相反，可以推迟的纯粹是择期干预措施，以最大限度地降低感染激增和有限通道期间的传播风险。半紧急减肥手术处于中间位置。由于大流行的时间进程仍然难以预测，因此根据这些干预措施是否应在规定的 8 周内进行来对其进行定义。在本立场声明中，IFSO 内镜委员会就肥胖患者在 COVID-19 大流行期间进行减肥内镜手术提供了指导，希望减轻向脆弱患者和医护人员传播 SARS-CoV-2 的风险。随着大流行的进展，这些建议可能会发生变化。
