key: cord-0826234-f1anv8ml
authors: Nedelcu, Marius; Marx, Ludovic; Lutfi, Rami Edward; Vilallonga, Ramon; Diaconu, Victor; Aboudi, Shadi; Cirera de tudela, Artur; Ferrer, José Vicente; Ramirez, Jose; Noel, Patrick; Nedelcu, Anamaria; Carandina, Sergio
title: When to perform Bariatric surgery after COVID-19 infection
date: 2021-07-06
journal: Surg Obes Relat Dis
DOI: 10.1016/j.soard.2021.07.001
sha: c6da7079711f09334f2d756b476fd9d3dfacae9e
doc_id: 826234
cord_uid: f1anv8ml

nan

In the current letter (1) the authors reported two cases of patients with previous COVID-19 infection scheduled for bariatric surgery, as a reply to our initial manuscript (2) . They should be commended for inciting bariatric professionals to progress in order to better address the history of COVID and future bariatric surgery, but their letter is lacking important information about these two cases, especially regarding their clinical status and preoperative pulmonary functional tests.

The attitude against this COVID-19 pandemic was distinctive among different countries at different periods for the last 15 months. However, a patient with bilateral pneumonia requiring oxygen therapy and azithromycin per os and not requiring hospitalization should be alerting us during the bariatric preoperative work-up. The authors' letter suggest that this was a benign evolution (with no need of hospitalization) of COVID -19 infection, which is highly debatable in Moreover, the current letter does not report any bariatric surgery with the analysis of any outcome.

Did the authors operate these two patients? After which interval and what are the recorded outcomes? We considered that this type of information was essential for the initial letter. Anyway, the authors are to be commended for reporting these two clinical cases, but the relation with our previous manuscript is extremely limited. 

Comment on: Bariatric surgery in patients with previous COVID-19 infection Surg Obes Relat Dis

Bariatric surgery in patients with previous COVID-19 35 infection