Benefits of bariatric surgery in severely obese adolescents
Bariatric surgery linked to lower risk of hospital and medical care unit admission
A Cleveland Clinic study shows that among patients who have obesity and who tested positive for COVID-19, a past history of bariatric surgery was significantly associated with a lower risk of hospital and medical care unit admission. The results were published in the journal of Surgery for Obesity and Related Diseases.
In the past months, researchers worldwide have identified obesity as a risk factor for developing a severe sort of COVID-19, which can require hospital admission, need for medical care, and the use of ventilator support.
The Centers for Disease Control and Prevention reported that quite 70% of U.S. adults are overweight or have obesity, which can increase the danger of severe illness from the coronavirus.
Obesity may be a complex disease caused by multiple factors that weaken the system. Obesity creates a chronic inflammatory state that causes excessive production of cytokines, which are small proteins involved within the immune reaction.
Infection with the coronavirus also triggers the system to release cytokines, which can cause excessive cytokine production that damages organs. which will partly explain the severity of infection in patients with obesity.”
In addition, obesity increases the danger of the disorder, hypertension, diabetes, renal disorder, and grume formation. Those conditions can cause poor outcomes after infection with SARS-CoV-2, which is that the virus that causes COVID-19.
Obesity can also affect systema respiratorium. Many patients with obesity have underlying lung conditions, like apnea and obesity hypoventilation syndrome, which will worsen the outcomes of COVID-19 pneumonia.
“Dr’s study provides further evidence of the important link between obesity and poor outcomes from coronavirus infection. The study shows for the primary time that substantial weight loss via bariatric surgery may very well reduce the danger from a severe illness in these patients,
Looking at 4,365 patients who tested positive for SARS-CoV-2 researchers identified 33 patients who had a previous history of weight-loss surgery (20 patients had a sleeve gastrectomy and 13 patients had a Roux-en-Y gastric bypass).
The 33 surgical patients were carefully matched 1:10 to nonsurgical patients with obesity to assemble a cohort of 330 control patients with a body mass index of 40 or higher at the time of SARS-CoV-2 testing.
This matched cohort study of 363 patients showed that sustained weight loss and improvement of diabetes and hypertension within the bariatric surgical group before contracting COVID-19 was related to a way lower rate of hospital and ICU admission.
Eighteen percent of patients within the weight-loss surgery group and 42 you look after patients within the control group required hospitalization after contracting COVID-19. additionally, 13 you look after patients within the control group required ICU admission, 7 the required mechanical ventilation, and 2.4 % died. None of those occurred within the surgical group.
“Patients after bariatric surgery become significantly healthier and should fight the virus better,” adds Dr”If confirmed by future studies, this may be added to the long list of health benefits of bariatric surgery like improvement of diabetes, hypertension, disease, apnea, and prevention of attack, stroke, renal disorder, and death.”
Another Cleveland Clinic study showed that weight-loss surgery was related to a 40 a discount on the risk of death and heart complications in patients with diabetes and obesity.