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ORIGINAL ARTICLE  TECHNICAL CHALLENGE IN BARIATRIC SURGERY Freefree

Minerva Surgery 2021 February;76(1):57-61

DOI: 10.23736/S2724-5691.20.08706-4

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Telematics pre-operative psychological and nutritional assessment in candidates for bariatric surgery during COVID-19 phase 2: a pilot prospective observational study

Laura PIERRO 1 , Ilenia COLUZZI 2, Alberto DI BIASIO 2, Emanuela PAONE 2, Laura SCAPPATICCI 3, Danila CAPOCCIA 4, Francesco DE ANGELIS 2, Angelo IOSSA 2, Cristian E. BORU 2, Carlo LAI 1, Gianfranco SILECCHIA 2

1 Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy; 2 Division of General Surgery and Bariatric Center of Excellence IFSO EC, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy; 3 Rome Obesity Center, Rome, Italy; 4 Diabetes Unit, Department of Medico-Surgical Sciences and Biotechnologies, Santa Maria Goretti Hospital, Sapienza University of Rome, Latina, Italy



BACKGROUND: Obesity represents a risk factor for COVID-19 infection. Therefore, in order to reduce COVID-19 related comorbidities in obese population a continuation of obesity treatment is needed. However, bariatric procedures were postponed because of COVID-19 restrictions, delaying treatment for obese patients seeking for surgery. This study aimed to test the feasibility of a telematics pre-operative psychological and nutritional assessment as an alternative tool during COVID-19 outbreak.
METHODS: Twenty-six patients were contacted. The pre-operative assessment consisted in 3-weekly one-to-one online sessions and a final in-person multidisciplinary session. The protocol feasibility has been evaluated on the following outcome: rejection rate (%), dropout rate (%), compliance and satisfaction’s degree.
RESULTS: Eighteen participants completed the whole protocol and 10% dropped-out. Seventy-two percent of participants obtained an excess weight loss ≥5%. All participants were satisfied of the telematics assessment.
CONCLUSIONS: COVID-19 emergency has changed standard hospital procedures and this study could represent a landmark for an online pre-operative assessment method to adopt in case of new restrictions.


KEY WORDS: COVID-19; Bariatric surgery; Telemedicine

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