Recomendaciones de la Sociedad Ecuatoriana de Cirugía Bariátrica y Metabólica (SECBAMET) para la realización de cirugías bariátricas/metabólicas electivas en el contexto de la pandemia por COVID-19

Antonio Torres; Max Torres; Alfredo D. Guerrón; Amílcar Herrera; Ronnal Vargas; Gassman Ochoa; Glenda Herrera

doi:10.47464/MetroCiencia/vol29/3/2021/39-46

Authors

Antonio Torres Universidad Central del Ecuador https://orcid.org/0000-0002-1570-2932
Max Torres Universidad Central del Ecuador https://orcid.org/0000-0002-4512-5451
Alfredo D. Guerrón Duke University, USA https://orcid.org/0000-0002-4632-1681
Amílcar Herrera Hospital Metropolitano https://orcid.org/0000-0001-7490-0210
Ronnal Vargas Universidad Nacional Autónoma de México https://orcid.org/0000-0001-5487-4000
Gassman Ochoa Hospital del Instituto Ecuatoriano de Seguridad Social-Riobamba https://orcid.org/0000-0002-0315-1862
Glenda Herrera Pontificia Universidad Católica del Ecuador https://orcid.org/0000-0002-4554-7574

DOI:

https://doi.org/10.47464/MetroCiencia/vol29/3/2021/39-46

Keywords:

COVID-19 pandemic, morbid obesity, bariatric-metabolic surgery

Abstract

The COVID19 pandemic presents challenges for all healthcare providers and patients. Virus mortality has been directly related to morbid obesity and its associated comorbidities. The sanitary measures to prevent massive contagions and the restrictions imposed by the government decrees in relation to the COVID-19 pandemic have had as an undesired effect the paucity of scheduled medical care in general, and of 80% of elective surgeries. Such inattention presents risks for patients with morbid obesity. It is estimated that the pandemic and the incidence of contagion will continue for several months and even years. The recommendations proposed by various organizations worldwide do not present guidelines on how to return to safe metabolic surgery. As a society, we present a proposal to return to activities taking into account the observation of the health authorities, the protection of patients and medical personnel, patient preparation and the stratification of care based on physiological and surgical parameters.

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Author Biographies

Antonio Torres, Universidad Central del Ecuador

Miembro Comité Científico SECBAMET-IFSO. Médico Tratante Hospital Militar FF.AA N1. Líder Unidad Cirugía Bariátrica y Metabólica. Docente Universitario Postgrado de Cirugía General Universidad Central del Ecuador
Max Torres, Universidad Central del Ecuador

Miembro Comité Científico SECBAMET-IFSO. Miembro de la Unidad de Cirugía Bariátrica y Metabólica Hospital Metropolitano. Fellow de la Sociedad Americana de Cirugía Metabólica y Bariátrica. Miembro de la Sociedad Americana de Cirugía Robótica. Profesor de la Cátedra de Cirugía de la Universidad Central del Ecuador
Alfredo D. Guerrón, Duke University, USA

Miembro Comité Científico SECBAMET-IFSO. Profesor Asistente de Cirugía. Duke University, USA. Fellow del Colegio Americano de Cirujanos. Fellow de la Sociedad Americana de Cirugía Metabólica y Bariátrica
Amílcar Herrera, Hospital Metropolitano

Miembro Comité Científico SECBAMET-IFSO. Servicio de Cirugía Hospital Metropolitano. Fellow del Colegio Americano de Cirujanos
Ronnal Vargas, Universidad Nacional Autónoma de México

Miembro Comité Científico SECBAMET-IFSO. Líder Clínica de Obesidad y Enfermedades Metabólicas Hospital General San Francisco IESS. Subespecialista en Cirugía Bariátrica y Profesor Asociado Cirugía Bariátrica UNAM
Gassman Ochoa, Hospital del Instituto Ecuatoriano de Seguridad Social-Riobamba

Miembro Comité Científico SECBAMET-IFSO. Médico Tratante del Hospital del Instituto Ecuatoriano de Seguridad Social-Riobamba. Ex presidente de la Sociedad Ecuatoriana de Cirugía Capítulo Chimborazo
Glenda Herrera, Pontificia Universidad Católica del Ecuador

Presidenta y Miembro Comité Científico SECBAMET-IFSO. Coordinadora de la Unidad de Cirugía Bariátrica y Metabólica Hospital Metropolitano. Docente del Postgrado de Cirugía y Laparoscopía de la Pontificia Universidad Católica del Ecuador. Fellow del Colegio Americano de Cirujanos

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