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01-10-2021 | Coronavirus | Original Contributions

Impact of the COVID-19 Pandemic and Lockdown on Gastric Bypass Results at 1-Year Follow-up

Authors: Alberto G. Barranquero, Sorin Cimpean, Dario Raglione, Benjamin Cadière, Marie-Thérèse Maréchal, Luca Pau, Mattia Bez, Guy-Bernard Cadière

Published in: Obesity Surgery | Issue 10/2021

Abstract

Purpose

The COVID-19 pandemic caused a lockdown in many countries, which induced negative dietary habits and sedentary behavior. Studies suggest that weight loss of patients undergoing bariatric surgery was equally affected. The aim was to evaluate the impact of COVID-19 on weight loss, obesity-related comorbidities, and nutritional status at 1-year follow-up after gastric bypass (GB).

Methods

Retrospective observational case–control study of patients undergoing primary GB in a tertiary referral Belgian center. COVID-19 period group was composed by those whose 1-year postoperative period was affected by the COVID-19 pandemic and lockdown: from October 1, 2019, to March 31, 2020. The control group was composed of patients operated from October 1, 2018, to March 31, 2019. Electronic clinical records were reviewed searching: baseline characteristics, weight and comorbidities evolution, and biochemical values.

Results

A total of 47 patients in the COVID-19 period group and 66 in the non-COVID-19 period group were analyzed. There were no significant differences in baseline characteristics. A reduced weight loss was observed at 1-year follow-up, in terms of percentage of excess weight loss (%EWL) (82.4% [SD: 21.6] vs. 82.4% [SD: 21.6]; p: 0.043) and body mass index (BMI) (27.8 kg/m² [IQR: 25.8–30.0] vs. 26.2 kg/m² [IQR: 24.6–28.6]; p: 0.029) for COVID-19 period group vs. non-COVID-19 period group, respectively. There was a similar reduction of obesity-related comorbidities, without clinically significant differences in the nutritional follow-up.

Conclusion

The COVID-19 pandemic and lockdown had an impact on weight loss at 1-year follow-up after gastric bypass.

Graphical abstract

The GBD 2015 Obesity Collaborators. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med 2017; 377: 13–27. https://doi.org/10.1056/NEJMoa1614362

Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724. https://doi.org/10.1001/jama.292.14.1724.CrossRefPubMed

Peterli R, Wölnerhanssen BK, Peters T, et al. Effect of laparoscopic sleeve gastrectomy vs laparoscopic Roux-en-Y gastric bypass on weight loss in patients with morbid obesity: the SM-BOSS randomized clinical trial. JAMA. 2018;319:255. https://doi.org/10.1001/jama.2017.20897.CrossRefPubMedPubMedCentral

Karlsson J, Taft C, Rydén A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. 2007;31:1248–61. https://doi.org/10.1038/sj.ijo.0803573.CrossRef

Guan W, Ni Z, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382:1708–20. https://doi.org/10.1056/NEJMoa2002032.CrossRefPubMed

Alfano V, Ercolano S. The efficacy of lockdown against COVID-19: a cross-country panel analysis. Appl Health Econ Health Policy. 2020;18:509–17. https://doi.org/10.1007/s40258-020-00596-3.CrossRefPubMed

Constandt B, Thibaut E, De Bosscher V, et al. Exercising in times of lockdown: an analysis of the impact of COVID-19 on levels and patterns of exercise among adults in Belgium. IJERPH. 2020;17:4144. https://doi.org/10.3390/ijerph17114144.CrossRefPubMedCentral

Jimenez A, de Hollanda A, Palou E, et al. Psychosocial, lifestyle, and body weight impact of COVID-19-related lockdown in a sample of participants with current or past history of obesity in Spain. OBES SURG. 2021;31:2115–24. https://doi.org/10.1007/s11695-021-05225-z.CrossRefPubMed

Moussaoui IEl, Navez J, Moussaoui KEl, et al. Impact of COVID-19 lockdown on short-term results after laparoscopic sleeve gastrectomy. OBES SURG. 2021;31(6):2614–8. https://doi.org/10.1007/s11695-021-05283-3.CrossRefPubMed

10.

Vitiello A, Berardi G, Velotti N, et al. Impact of COVID-19 lockdown on short-term weight loss in a single Italian institution. OBES SURG. 2021;31(7):3365–8. https://doi.org/10.1007/s11695-021-05343-8.CrossRefPubMed

11.

Conceição E, de Lourdes M, Ramalho S, et al. Eating behaviors and weight outcomes in bariatric surgery patients amidst COVID-19. Surg Obes Relat Dis. 2021;17(6):1165–74. https://doi.org/10.1016/j.soard.2021.02.025.CrossRefPubMedPubMedCentral

12.

Yang W, Wang C, Shikora S, et al. Recommendations for metabolic and bariatric surgery during the COVID-19 pandemic from IFSO. OBES SURG. 2020;30:2071–3. https://doi.org/10.1007/s11695-020-04578-1.CrossRefPubMed

13.

Bal BS, Finelli FC, Shope TR, et al. Nutritional deficiencies after bariatric surgery. Nat Rev Endocrinol. 2012;8:544–56. https://doi.org/10.1038/nrendo.2012.48.CrossRefPubMed

14.

von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61:344–9. https://doi.org/10.1016/j.jclinepi.2007.11.008.CrossRef

15.

Di Lorenzo N, Antoniou SA, Batterham RL, et al. Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC. EASO and ESPCOP Surg Endosc. 2020;34:2332–58. https://doi.org/10.1007/s00464-020-07555-y.CrossRefPubMed

16.

Clavien PA, Barkun J, de Oliveira ML, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009;250:187–96. https://doi.org/10.1097/SLA.0b013e3181b13ca2.CrossRefPubMed

17.

Bennett G, Young E, Butler I, et al. The impact of lockdown during the COVID-19 outbreak on dietary habits in various population groups: a scoping review. Front Nutr. 2021;8: 626432. https://doi.org/10.3389/fnut.2021.626432.CrossRefPubMedPubMedCentral

18.

Nicoletti CF, Esteves GP, Genario R, et al. Nutritional inadequacies among post-bariatric patients during COVID-19 quarantine in Sao Paulo, Brazil. OBES SURG. 2021;31(5):2330–4. https://doi.org/10.1007/s11695-020-05107-w.CrossRefPubMed

19.

de Luis D, Izaola O, Primo D, et al. Factors related to weight gain in subjects with sleeve gastrectomy during lockdown by the COVID-19 pandemic. OBES SURG. 2021;31:2197–202. https://doi.org/10.1007/s11695-021-05253-9.CrossRefPubMed

20.

Athanasiadis DI, Hernandez E, Hilgendorf W, et al. How are bariatric patients coping during the coronavirus disease 2019 (COVID-19) pandemic? Analysis of factors known to cause weight regain among postoperative bariatric patients. Surg Obes Relat Dis. 2021;17:756–64. https://doi.org/10.1016/j.soard.2020.11.021.CrossRefPubMed

21.

Youssef A, Cassin SE, Wnuk S, et al. The impact of COVID-19 pandemic on bariatric patients’ self-management post-surgery. Appetite. 2021;162: 105166. https://doi.org/10.1016/j.appet.2021.105166.CrossRefPubMedPubMedCentral

22.

Buchwald H, Estok R, Fahrbach K, et al. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med. 2009;122:248-256.e5. https://doi.org/10.1016/j.amjmed.2008.09.041.CrossRefPubMed

23.

Zhang Y, Wang W, Yang C, et al. Improvement in nocturnal hypoxemia in obese patients with obstructive sleep apnea after bariatric surgery: a meta-analysis. OBES SURG. 2019;29:601–8. https://doi.org/10.1007/s11695-018-3573-5.CrossRefPubMed

24.

Uccelli M, Cesana GC, De Carli SM, et al. COVID-19 and obesity: is bariatric surgery protective? retrospective analysis on 2145 patients undergone bariatric-metabolic surgery from high volume center in Italy (Lombardy). OBES SURG. 2021;31:942–8. https://doi.org/10.1007/s11695-020-05085-z.CrossRefPubMed

25.

Aminian A, Fathalizadeh A, Tu C, et al. Association of prior metabolic and bariatric surgery with severity of coronavirus disease 2019 (COVID-19) in patients with obesity. Surg Obes Relat Dis. 2021;17:208–14. https://doi.org/10.1016/j.soard.2020.10.026.CrossRefPubMed

26.

Buchwald H. Metabolic/bariatric surgery during COVID-19. OBES SURG. 2021. https://doi.org/10.1007/s11695-021-05254-8.CrossRefPubMedPubMedCentral

27.

Arias PM, Domeniconi EA, García M, et al. Micronutrient deficiencies after roux-en-Y gastric bypass: long-term results. OBES SURG. 2020;30:169–73. https://doi.org/10.1007/s11695-021-05254-8.CrossRefPubMed

28.

Livingstone C. Zinc: physiology, deficiency, and parenteral nutrition. Nutr Clin Pract. 2015;30:371–82. https://doi.org/10.1177/0884533615570376.CrossRefPubMed

29.

Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Surg Obes Relat Dis. 2013;9:159–91. https://doi.org/10.1016/j.soard.2012.12.010.CrossRefPubMed

30.

Ruiz de Angulo D, Balaguer Román A, Munitiz Ruiz V, et al. Influence of the lockdown due to COVID-19 on ponderal results during the first year after vertical gastrectomy. Cir Esp. 2020;99(6):428–32. https://doi.org/10.1016/j.ciresp.2020.08.003.CrossRefPubMedPubMedCentral

31.

Hodge JM, Shah R, McCullough ML, et al. Validation of self-reported height and weight in a large, nationwide cohort of U.S. adults. PLoS ONE. 2020;15(4):e0231229. https://doi.org/10.1371/journal.pone.0231229.CrossRefPubMedPubMedCentral

Title: Impact of the COVID-19 Pandemic and Lockdown on Gastric Bypass Results at 1-Year Follow-up
Authors: Alberto G. Barranquero
Sorin Cimpean
Dario Raglione
Benjamin Cadière
Marie-Thérèse Maréchal
Luca Pau
Mattia Bez
Guy-Bernard Cadière
Publication date: 01-10-2021
Publisher: Springer US
Keywords: Coronavirus
Obesity
Obesity
Bariatric Surgery
Bariatric Surgery
COVID-19
Published in: Obesity Surgery / Issue 10/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-021-05640-2

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Impact of the COVID-19 Pandemic and Lockdown on Gastric Bypass Results at 1-Year Follow-up

Abstract

Purpose

Methods

Results

Conclusion

Graphical abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Graphical abstract

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