COVID‐19 and its Severity in Bariatric Surgery‐Operated Patients

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Charpentier, Etienne | Redheuil, Alban | Bourron, Olivier | Boussouar, Samia | Lucidarme, Olivier | Zarai, Mohamed | Kachenoura, Nadjia | Bouazizi, Khaoula | Salem, Joe-Elie | Hekimian, Guillaume | Kerneis, Matthieu | Amoura, Zahir | Allenbach, Yves | Hatem, Stephane | Jeannin, Anne-Caroline | Andreelli, Fabrizio | Phan, Franck | Tilmont, Romain | Chenu, Romain | Meyfroit, Louise | Pasi, Nicoletta | Larbi-Messaoud, Schahrazed | Laroche, Suzanne | Ciangura, Cécile | Popelier, Marc | Jacqueminet, Sophie | Halbron, Marine | Hartemann, Agnès

Edité par CCSD ; Wiley -

International audience. Objective: Obesity is a major risk factor for severe forms of coronavirus disease (COVID-19), but little is known about the post-bariatric surgery (BS) setting. The prevalence of likely COVID-19 and its risk factors in patients followed up after BS was assessed.Methods: A total of 738 patients who underwent BS and were followed up at a university medical center were surveyed. A retrospective comparison of characteristics at baseline, 1 year after BS, and at the time of lockdown was performed between patients with COVID-19-likely events (CL) based on a combination of reported symptoms and those for whom COVID-19 was unlikely.Results: CL occurred in 62 (8.4%) patients, among whom 4 (6.4%) had a severe form requiring hospitalization and 1 (1.6%) died. The CL group had a higher proportion of persistent type 2 diabetes (T2D) at last follow-up (36.2% vs. 20.3%, P = 0.01). BMI at the time of lockdown was lower in the CL group (30.2 ± 5.1 vs. 32.8 ± 6.5 kg/m2 ; P < 0.01) with higher percent weight loss since BS in the CL group. Severe forms of COVID-19 requiring hospitalization were associated with persistent T2D at the last follow-up visit.Conclusions: In BS patients, CL were associated with persistent T2D and lower BMI.

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