COVID-19 Infection Post-Laparoscopic Sleeve Gastrectomy: A Case Report and Review of Literature

Obey Albaini; Achraf Jardaly; Rola  Husni; Bassem Safadi

doi:10.38179/ijcr.v2i1.66

Authors

Obey Albaini, MD Department of Research, Lebanese American University Medical Center Rizk Hospital, Beirut, Lebanon
Achraf Jardaly, MD Lebanese American University Gilbert and Rose-Marie Chagoury School of Medicine, Beirut, Lebanon
Rola Husni, MD Division of Infectious Diseases, Lebanese American University Medical Center Rizk Hospital, Beirut, Lebanon
Bassem Safadi, MD, FACS Department of Surgery, Lebanese American University Medical Center Rizk Hospital, Beirut, Lebanon

DOI:

https://doi.org/10.38179/ijcr.v2i1.66

Keywords:

COVID-19, Peri-operative, Post-operative, Laparoscopic sleeve gastrectomy, Case report

Abstract

Background: COVID-19 caused the suspension of elective surgeries in several hospitals around the world, in an attempt to help contain the spread of the virus. However, a safe resumption of such surgeries is warranted to reduce further burden on patients. It is important to understand when, how and where to resume elective surgeries, as published data suggested that peri-operative COVID-19 infection incurred an increased risk of morbidity and mortality to surgical patients.

Case Report: A 25-year-old patient presented for fever 5 days post Laparoscopic Sleeve Gastrectomy. He was diagnosed with COVID-19 using a PCR test. The patient was managed at home with symptomatic therapy. No life-threatening complications were reported during or after his infection.

Conclusion: Based on available data, our literature review regarding peri-operative COVID-19 complications, bariatric surgeons have to balance between the risk of undergoing an elective surgery like metabolic bariatric surgeries and the risk of postponing this procedure and thus delaying the resolution of obesity along with its comorbidities.

Author Biographies

Rola Husni, MD, Division of Infectious Diseases, Lebanese American University Medical Center Rizk Hospital, Beirut, Lebanon

Assistant Professor in the Division of Infectious Diseases at the Lebanese American University Medical Center, Beirut, Lebanon

Bassem Safadi, MD, FACS, Department of Surgery, Lebanese American University Medical Center Rizk Hospital, Beirut, Lebanon

Chairperson of the Department of Surgery at the Lebanese American University Medical Center, Rizk Hospital, Beirut, Lebanon

References

Emmanuel N, Zibara V, Saad JM, et al. COVID-19: What We Know So Far: A Narrative Review. Int J of Clin Res. 2020;1(1):73-108. https://doi.org/10.38179/ijcr.v1i1.19

Kuo S, Dhillon NK, Gewertz BL, Ley EJ. Surgical Cases in the COVID-19 Era: An Early Institutional Experience. Am Surg. 2020;86(6):560-561. PMID: 32683971. https://doi.org/10.1177/0003134820925025

COVIDSurg Collaborative. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Br J Surg. 2020;107(11):1440-1449. PMID: 32395848. https://doi.org/10.1002/bjs.11746

Pouwels S, Omar I, Aggarwal S, et al. The First Modified Delphi Consensus Statement for Resuming Bariatric and Metabolic Surgery in the COVID-19 Times. Obes Surg. 2021;31(1):451-456. PMID: 32740826. https://dx.doi.org/10.1007%2Fs11695-020-04883-9

COVIDSurg Collaborative; GlobalSurg Collaborative. Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study. Anaesthesia. 2021;76(6):748-758. PMID: 33690889. https://doi.org/10.1111/anae.15458

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study [Internet]. Vol. 396, Lancet (Lon-don, England). Lancet; 2020 Available from: https://pubmed.ncbi.nlm.nih.gov/32479829/. Accessed on October 2, 2020.

Doglietto F, Vezzoli M, Gheza F, et al. Factors Associated With Surgical Mortality and Complications Among Patients With and Without Coronavirus Disease 2019 (COVID-19) in Italy. JAMA Surg. 2020;155(8):691-702. PMID: 32530453. https://doi.org/10.1001/jamasurg.2020.2713

Cai M, Wang G, Zhang L, et al. Performing abdominal surgery during the COVID-19 epidemic in Wuhan, China: a single-centred, retrospective, observational study. Br J Surg. 2020;107(7):e183-e185. PMID: 32339259. https://doi.org/10.1002/bjs.11643

Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239-1242. PMID: 32091533. https://doi.org/10.1001/jama.2020.2648

Kumar P, Renuka MK, Kalaiselvan MS, Arunkumar AS. Outcome of Noncardiac Surgical Patients Admitted to a Multidisciplinary Intensive Care Unit. Indian J Crit Care Med. 2017;21(1):17-22. PMID: 28197046. https://doi.org/10.4103/0972-5229.198321

Moliere S, Veillon F. COVID-19 in Post-Operative Patients: Imaging Findings. Surg Infect (Larchmt). 2020;21(5):416-421. PMID: 32401630. https://doi.org/10.1089/sur.2020.169

Aminian A, Brethauer SA, Kirwan JP, Kashyap SR, Burguera B, Schauer PR. How safe is metabolic/diabetes surgery?. Diabetes Obes Metab. 2015;17(2):198-201. PMID: 25352176. https://doi.org/10.1111/dom.12405

Aminian A, Kermansaravi M, Azizi S, et al. Bariatric Surgical Practice During the Initial Phase of COVID-19 Outbreak. Obes Surg. 2020;30(9):3624-3627. PMID: 32314249. https://doi.org/10.1007/s11695-020-04617-x

Milner JJ, Rebeles J, Dhungana S, et al. Obesity Increases Mortality and Modulates the Lung Metabolome during Pandemic H1N1 Influenza Virus Infection in Mice. J Immunol. 2015;194(10):4846-4859. PMID: 25862817. https://doi.org/10.4049/jimmunol.1402295

Maier HE, Lopez R, Sanchez N, et al. Obesity Increases the Duration of Influenza A Virus Shedding in Adults. J Infect Dis. 2018;218(9):1378-1382. PMID: 30085119. https://doi.org/10.1093/infdis/jiy370

Peng YD, Meng K, Guan HQ, et al. Zhonghua Xin Xue Guan Bing Za Zhi. 2020;48(6):450-455. PMID: 32120458. https://doi.org/10.3760/cma.j.cn112148-20200220-00105

Rubino F, Cohen RV, Mingrone G, et al. Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS recommendations for management of surgical candidates and postoperative patients and prioritisation of access to surgery. Lancet Diabetes Endocrinol. 2020;8(7):640-648. PMID: 32386567. https://doi.org/10.1016/s2213-8587(20)30157-1

Aminian A, Safari S, Razeghian-Jahromi A, Ghorbani M, Delaney CP. COVID-19 Outbreak and Surgical Practice: Unexpected Fatality in Perioperative Period. Ann Surg. 2020;272(1):e27-e29. PMID: 32221117. https://doi.org/10.1097/sla.0000000000003925

Kaafarani HMA, El Moheb M, Hwabejire JO, et al. Gastrointestinal Complications in Critically Ill Patients With COVID-19. Ann Surg. 2020;272(2):e61-e62. PMID: 32675498. https://doi.org/10.1097/sla.0000000000004004

Al-Ani F, Chehade S, Lazo-Langner A. Thrombosis risk associated with COVID-19 infection. A scoping review. Thromb Res. 2020;192:152-160. PMID: 32485418. https://dx.doi.org/10.1016%2Fj.thromres.2020.05.039

Mechanick JI, Apovian C, Brethauer S, et al. CLINICAL PRACTICE GUIDELINES FOR THE PERIOPERATIVE NUTRITION, METABOLIC, AND NONSURGICAL SUPPORT OF PATIENTS UNDERGOING BARIATRIC PROCEDURES - 2019 UPDATE: COSPONSORED BY AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS/AMERICAN COLLEGE OF ENDOCRINOLOGY, THE OBESITY SOCIETY, AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY, OBESITY MEDICINE ASSOCIATION, AND AMERICAN SOCIETY OF ANESTHESIOLOGISTS - EXECUTIVE SUMMARY. Endocr Pract. 2019;25(12):1346-1359. PMID: 31682518. https://doi.org/10.4158/gl-2019-0406

Bacalbasa N, Diaconu C, Savu C, Savu C, Stiru O, Balescu I. The Impact of COVID-19 Infection on the Postoperative Outcomes in Pancreatic Cancer Patients. In Vivo. 2021;35(2):1307-1311. PMID: 33622935. https://dx.doi.org/10.21873%2Finvivo.12383

Therapeutic Management of Adults With COVID-19. National Institutes of Health. Available from: https://www.covid19treatmentguidelines.nih.gov/therapeutic-management/. Accessed April 13, 2021.

Azran C, Porat D, Dahan A, Dicker D. Treatment of COVID-19 Patients Post-Bariatric Surgery: Issues for Consideration. J Clin Med. 2020;9(9):2827. Published 2020 Aug 31. PMID: 32878333. https://dx.doi.org/10.3390%2Fjcm9092827.