Department of Bariatric Surgery, Birmingham Heartlands Hospital, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK; Healthier Weight, UK.
Metabolic Endocrinology and Obesity Medicine, Institute of Metabolism and Systems Research, University of Birmingham, UK; Diabetes and Weight Management, University Hospitals Birmingham NHS Foundation Trust, Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK.
Obes Res Clin Pract. 2021 Jul-Aug;15(4):395-401. doi: 10.1016/j.orcp.2021.04.005. Epub 2021 Apr 23.
There is a paucity of data in scientific literature on the impact of Coronavirus Disease 2019 (COVID-19) pandemic on bariatric surgery. The aim of this study was to evaluate the impact of COVID-19 pandemic on Bariatric Surgery globally.
We conducted a global online survey of bariatric surgeons between 16/04/20 - 15/05/20. The survey was endorsed by five national bariatric surgery societies and circulated amongst their memberships. Authors also shared the link through their personal networks, email groups, and social media.
703 respondents from 77 countries completed the survey. Respondents reported a drop in elective bariatric activity from a median (IQR) of 130 (60-250) procedures in 2019 to a median of 0 (0-2) between16/03/2020 and 15/04/2020 during the pandemic. The corresponding figures for emergency activity were 5 (2-10) and 0 (0-1) respectively. 441 (63%) respondents did not perform any bariatric procedures during this time period. Surgeons reported outcomes of 61 elective bariatric surgical procedures during the pandemic with 13 (21%) needing ventilation and 2 (3.3%) deaths. Of the 13 emergency bariatric procedures reported, 5 (38%) needed ventilation and 4 (31%) died. 90 (13%) surgeons reported having had to perform a bariatric surgical or endoscopic procedure without adequate Personal Protective Equipment.
COVID-19 pandemic led to a remarkable decline in global elective and emergency bariatric surgery activity at its beginning. Both elective and emergency procedures performed at this stage of the pandemic had considerable morbidity and mortality.
关于 2019 年冠状病毒病（COVID-19）大流行对减重手术影响的科学文献数据很少。本研究的目的是评估 COVID-19 大流行对全球减重手术的影响。
我们在 2020 年 4 月 16 日至 5 月 15 日期间对减重外科医生进行了全球在线调查。该调查得到了五个国家减重外科学会的认可，并在其成员中进行了传播。作者还通过个人网络、电子邮件组和社交媒体分享了该链接。
来自 77 个国家的 703 名受访者完成了调查。受访者报告称，在大流行期间，2020 年 3 月 16 日至 4 月 15 日期间，择期减重手术活动从 2019 年的中位数（IQR）130 例（60-250 例）降至中位数 0 例（0-2 例），急诊活动分别为 5 例（2-10 例）和 0 例（0-1 例）。在此期间，441 名（63%）受访者未进行任何减重手术。外科医生报告了大流行期间 61 例择期减重手术的结果，其中 13 例（21%）需要通气，2 例（3.3%）死亡。报告的 13 例急诊减重手术中，5 例（38%）需要通气，4 例（31%）死亡。90 名（13%）外科医生报告说，他们不得不在没有足够的个人防护设备的情况下进行减重手术或内镜手术。
COVID-19 大流行在其开始时导致全球择期和急诊减重手术活动显著下降。在此阶段进行的择期和急诊手术都有相当高的发病率和死亡率。
