Bariatric and metabolic surgery in Colombia during COVID–19, is it a risk? – Correspondence

Domínguez-Alvarado, Gonzalo Andrés; Mesa, Kamila Serrano; Calvache, María Paula Toloza; Gómez, Luis Ernesto López

doi:10.1016/j.ijsu.2022.106700

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…Additionally, some studies carried out in our country showed low levels of contagion secondary to the performance of surgical procedures in times of COVID-19 [ 7 ], consequently to a rapid diagnosis and conduct plan, in addition to the proper use of personal protection elements, systematization of activities and updated training for health personnel. These pillars mentioned above we consider should be replicated for the outbreak by MPX.…”

mentioning

confidence: 99%

Monkeypox outbreak, will it affect surgery services? – Correspondence

Domínguez-Alvarado

Hernández

Moreno

et al. 2022

International Journal of Surgery

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confidence: 99%

Monkeypox outbreak, will it affect surgery services? – Correspondence

Domínguez-Alvarado

Hernández

Moreno

et al. 2022

International Journal of Surgery

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“…In a 2016 consensus statement, the Latin American Federation of Obesity Societies compiled the most recent data on the prevalence of obesity in all Latin American countries, of which Bolivia, Mexico, and Guatemala ranked at the high end, each with a prevalence above 30% [ 1 ]. In Colombia, there is a prevalence of adults aged 18 to 64 years with overweight of 37.7% and obesity of 18.7%, according to the 2015 National Nutritional Health Survey [ 2 , 3 ].…”

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confidence: 99%

Bariatric and Metabolic Surgery—in the Health Benefits Plan in Colombia

et al. 2022

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Variations in clinical course and surgical outcomes of acute appendicitis during COVID-19 Pandemic: a multicenter cohort study

et al. 2023

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Background COVID-19 pandemic has led to changes in the presentation and treatment of surgical pathologies. Therefore, we aim to describe the influence of the COVID-19 pandemic on the clinical presentation and management of acute appendicitis (AAp) and its surgical outcomes. Study design A multicenter cohort study with prospectively collected databases. Three high-volume centers were included and all patients over 18 years of age who underwent appendectomy for AAp were included. Multiple logistic regression and multinomial logistic regression were performed, and odds ratio, relative risk, and B-coefficient were reported when appropriate, statistical significance was reached with p-values < 0.05. Results 1.468 patients were included (709 in the pre-pandemic group and 759 in the COVID-19 group). Female patients constituted 51.84%. Mean age was 38.13 ± 16.96 years. Mean Alvarado’s score was 7.01 ± 1.59 points. Open surgical approach was preferred in 90.12%. Conversion rate of 1.29%. Mortality rate was 0.75%. There was an increase of perforated and localized peritonitis (p 0.01) in the COVID-19 group. Presence of any postoperative complication (p 0.00), requirement of right colectomy and ileostomy (p 0.00), and mortality (p 0.04) were higher in the COVID-19 group. Patients in the pre-pandemic group have a lesser risk of mortality (OR 0.14, p 0.02, 95% CI 0.02–0.81) and a lesser relative risk of having complicated appendicitis (RR 0.68, p 0.00, 95% CI 0.54–0.86). Conclusion Complicated appendicitis was an unexpected consequence of the COVID-19 pandemic, due to surgical consultation delay, increased rates of morbidity, associated procedures, and mortality, influencing the clinical course and surgical outcomes of patients with AAp.

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Bariatric and metabolic surgery in Colombia during COVID–19, is it a risk? – Correspondence

Cited by 4 publications

References 4 publications

Monkeypox outbreak, will it affect surgery services? – Correspondence

Monkeypox outbreak, will it affect surgery services? – Correspondence

Bariatric and Metabolic Surgery—in the Health Benefits Plan in Colombia

Variations in clinical course and surgical outcomes of acute appendicitis during COVID-19 Pandemic: a multicenter cohort study

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