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

Detalhes bibliográficos
Autor(a) principal: SILVA,LEONARDO EMILIO DA
Data de Publicação: 2020
Outros Autores: 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
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100606
Resumo: 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.
id CBC-1_b2c6069a720989c2cb398b2d2823d3c4
oai_identifier_str oai:scielo:S0100-69912020000100606
network_acronym_str CBC-1
network_name_str Revista do Colégio Brasileiro de Cirurgiões
repository_id_str
spelling 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 pandemicBariatric SurgeryDiabetes Mellitus, Type 2ObesityComorbidityCoronavirusPandemicsABSTRACT 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.Colégio Brasileiro de Cirurgiões2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100606Revista do Colégio Brasileiro de Cirurgiões v.47 2020reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20202640info:eu-repo/semantics/openAccessSILVA,LEONARDO EMILIO DACOHEN,RICARDO VITORDE-ANDRADE,JAMES CAMARASZEGÖ,THOMASSANTO,MARCO AURÉLIORAMOS,ALMINO CARDOSOVILAS-BOAS,MARCOS LEÃOMORAES-ZENÓBIO,CRISTIANE MOULINALENCAR-MENEGUESSO,ANNELISE MOTAVON-BAHTEN,LUIZ CARLOSeng2020-06-09T00:00:00Zoai:scielo:S0100-69912020000100606Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2020-06-09T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv 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 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
spellingShingle 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
SILVA,LEONARDO EMILIO DA
Bariatric Surgery
Diabetes Mellitus, Type 2
Obesity
Comorbidity
Coronavirus
Pandemics
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 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 SILVA,LEONARDO EMILIO DA
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_role author
author2 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
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv 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
dc.subject.por.fl_str_mv Bariatric Surgery
Diabetes Mellitus, Type 2
Obesity
Comorbidity
Coronavirus
Pandemics
topic Bariatric Surgery
Diabetes Mellitus, Type 2
Obesity
Comorbidity
Coronavirus
Pandemics
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.
publishDate 2020
dc.date.none.fl_str_mv 2020-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100606
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100606
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0100-6991e-20202640
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.47 2020
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
instacron:CBC
instname_str Colégio Brasileiro de Cirurgiões (CBC)
instacron_str CBC
institution CBC
reponame_str Revista do Colégio Brasileiro de Cirurgiões
collection Revista do Colégio Brasileiro de Cirurgiões
repository.name.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)
repository.mail.fl_str_mv ||revistacbc@cbc.org.br
_version_ 1754209215037046784