Assessment of the clinical and laboratorial profile of patients with obesity and asymptomatic COVID-19 undergoing bariatric surgery in Brazil

Assessment of the clinical and laboratorial profile of patients with obesity and asymptomatic COVID-19 undergoing bariatric surgery in Brazil

Purpose to outline the clinical and laboratorial profile of patients with obesity undergoing bariatric surgery who presented positive reverse transcription-polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome coronavirus-2 (Sars-CoV-2) in the preoperative period without symptoms...

Full description

Saved in:
Bibliographic Details
Published in:Obesity surgery Vol. 32; no. 4; pp. 1064 - 1071
Main Authors: Santa-Cruz, Fernando, Araújo-Júnior, José Guido C., Siqueira, Luciana T., Leão, Luís H. A., Vianna, Cássio, Almeida, Amanda C. A., Silva, Maciana S., Kreimer, Flávio, Ferraz, Álvaro A. B.
Format: Journal Article
Language:English
Published: New York Springer US 01-04-2022
Springer Nature B.V
Subjects:
Adult
Asymptomatic
Bariatric Surgery
Brazil - epidemiology
Coronaviruses
COVID-19 - epidemiology
Dengue fever
Female
Gastrointestinal surgery
Humans
Medicine
Medicine & Public Health
Obesity - complications
Obesity - surgery
Obesity, Morbid - surgery
Original Contributions
Retrospective Studies
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Surgery
Brazil
Obesity
COVID19
Bariatric surgery
Sleeve gastrectomy
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose to outline the clinical and laboratorial profile of patients with obesity undergoing bariatric surgery who presented positive reverse transcription-polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome coronavirus-2 (Sars-CoV-2) in the preoperative period without symptoms presentation. Methods Case series of 17 patients undergoing bariatric surgery who presented positive RT-PCR for Sars-CoV-2 in the preoperative period, with no reported symptoms. Data collected included demographic characteristics, length of hospital stay, waiting time for surgery, inflammatory markers, serum levels of micronutrients and dengue virus (DENV) serology. Results In total, 219 patients underwent bariatric surgery in our institution during the study period. The incidence of asymptomatic cases was 7.7%. The sample comprised 88.2% of women, with mean age of 39.3 years and mean preoperative body mass index (BMI) of 37.7 kg/m2. Thirty five percent of the sample had previous diagnosis of diabetes and 29.4% had hypertension. The mean time elapsed between positive RT-PCR and the operation was 17 ± 7.5 days and the mean length of postoperative hospital stay was 1.9 ± 0.43 day. Mean lymphocytes count was 2,409.7/mm3 and the mean platelet-to-lymphocyte ratio was 126.3. Mean C-reactive protein value was 5.8 mg/dL, while ferritin marked 107.4 µg/L. DENV IgG was identified in all patients who tested for it. Mean levels of vitamin D and zinc were 25.6 ng/mL and 79.9 µg/dL, respectively. There were no postoperative complications reported. Conclusion None of the included patients presented any of the laboratory markers related to disease severity. Moreover, it is important to notice that all patients who tested for DENV, had the specific IgG detected in their serum. Graphical abstract
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-022-05891-7