The Link Between COVID-19 Severity and Prior Metabolic Surgery: What You Need to Know

Temps de lecture
3 min

The COVID-19 pandemic has brought a lot of attention to the importance of maintaining good health and taking care of our bodies.

With the virus affecting people with underlying health conditions more severely than others, it's crucial to understand how obesity and weight loss play a role in COVID-19 severity.

In this article, I'll discuss the link between COVID-19 severity and prior metabolic surgery, and what you need to know about it [1].

Patient in consultation with his doctor

Introduction to COVID-19 and Metabolic Surgery

Dr Patrick Noël
*free UK calling (home phone/smartphone).

 

COVID-19 is a highly contagious virus that attacks the respiratory system [2]. It has affected millions of people worldwide and has been responsible for countless deaths.

The virus has also highlighted the importance of maintaining good health and taking care of our bodies.

One way to achieve this is through metabolic surgery [3]. Metabolic surgery, also known as bariatric surgery, is a surgical procedure that helps people struggling with obesity lose weight[4].

It's a life-changing option for those who have tried and failed to lose weight through diet and exercise.

Metabolic surgery has been proven to help people achieve significant weight loss and improve their overall health [5].

Understanding Metabolic Surgery and Its Benefits

Metabolic surgery aims to reduce the size of the stomach, making it possible to consume smaller portions of food [6].

The surgery can be done using different techniques, including gastric sleeve, gastric bypass, and adjustable gastric banding. Each technique has its own benefits and risks [7].

Metabolic surgery has been proven to help people achieve significant weight loss and improve their overall health [8].

It can also help with the management of obesity-related health conditions such as type 2 diabetes, high blood pressure, and sleep apnea [9].

In addition, metabolic surgery can improve mental health, self-esteem, and quality of life [10].

COVID-19 and Obesity - The Link and the Risks

Obesity is a well-known risk factor for severe COVID-19 [11]. People with obesity are more likely to experience severe COVID-19 symptoms, require hospitalization, and die from the virus [12].

Obesity can also increase the risk of complications such as pneumonia and acute respiratory distress syndrome [13].

The link between COVID-19 and obesity is not fully understood, but it's believed that obesity can compromise the immune system, making it harder for the body to fight off infections [14].

Obesity can also cause chronic inflammation in the body, which can further weaken the immune system [15].

Average Weight Loss with COVID-19 and Metabolic Surgery

Dr Patrick Noël
*free UK calling (home phone/smartphone).

 

COVID-19 can cause weight loss in some patients, but it's not a guaranteed outcome.

The average weight loss with COVID-19 is around 7-8 pounds, but it can vary depending on the severity of the infection and other factors such as age, gender, and underlying health conditions [16].

Metabolic surgery, on the other hand, can lead to significant weight loss. The amount of weight loss varies depending on the type of surgery and the individual's commitment to making lifestyle changes [17].

On average, patients can expect to lose 60-70% of their excess weight within the first year after surgery [18].

Can Weight Loss Help Protect Against COVID-19?

While weight loss alone cannot protect against COVID-19, it can help reduce the risk of severe symptoms and complications [19].

Losing weight can improve overall health, including the immune system, making it easier for the body to fight off infections[20].

Weight loss can also reduce inflammation in the body, which can further strengthen the immune system [21].

In addition to weight loss, other lifestyle changes such as regular exercise, healthy eating, and stress management can also help improve overall health and reduce the risk of severe COVID-19 [22].

Does Gastric Sleeve Compromise Your Immune System?

There is no evidence to suggest that gastric sleeve compromises the immune system [23].

The surgery does not involve the removal of any organs or tissues that play a role in the immune system.

Gastric sleeve only reduces the size of the stomach, allowing for smaller portions of food to be consumed.

In fact, metabolic surgery has been shown to improve the immune system by reducing inflammation in the body and improving overall health.

Patients who undergo metabolic surgery are also more likely to make lifestyle changes that can further improve their immune system, such as regular exercise and healthy eating.

Bariatric Surgery in Obese Adults - Separating Myths from Facts

There are many myths surrounding bariatric surgery, especially when it comes to its effectiveness and safety.

One common myth is that bariatric surgery is a quick fix for weight loss that doesn't require any effort on the patient's part.

This is not true. Bariatric surgery is a tool that can help patients achieve significant weight loss, but it requires a commitment to making lifestyle changes. Another myth is that bariatric surgery is not safe.

This is also not true. Bariatric surgery is a safe and effective procedure when performed by an experienced and qualified bariatric surgeon. Complications can occur, but they are rare.

Choosing the Right Bariatric Surgeon for Metabolic Surgery

Dr Patrick Noël
*free UK calling (home phone/smartphone).

 

Choosing the right bariatric surgeon is crucial for ensuring a safe and successful procedure.

When choosing a bariatric surgeon, it's important to look for someone who is experienced, qualified, and has a good track record of success.

The surgeon should also be able to provide comprehensive care before, during, and after the procedure.

Before choosing a bariatric surgeon, it's also important to ask questions and do your research.

Ask about the surgeon's experience, success rates, and complications. Look for patient reviews and testimonials. And don't be afraid to get a second opinion.

COVID-19 and Bariatric Surgery - Precautions and Guidelines

COVID-19 has changed the way we live our lives, including how we approach medical procedures such as bariatric surgery.

To ensure the safety of patients and healthcare workers, guidelines have been put in place for bariatric surgery during the COVID-19 pandemic.

Some of the precautions and guidelines include preoperative COVID-19 testing, wearing personal protective equipment, and limiting the number of visitors allowed in the hospital.

Patients may also be required to self-quarantine before and after the procedure.

Conclusion - The Importance of Metabolic Surgery in the Fight Against COVID-19

Metabolic surgery is a life-changing option for people struggling with obesity. It can help achieve significant weight loss, improve overall health, and reduce the risk of obesity-related health conditions.

It can also strengthen the immune system, making it easier for the body to fight off infections such as COVID-19.

Choosing the right bariatric surgeon and following COVID-19 precautions and guidelines can ensure a safe and successful procedure. And while weight loss alone cannot protect against COVID-19, it can help reduce the risk of severe symptoms and complications.

In the fight against COVID-19, maintaining good health and taking care of our bodies is more important than ever. Metabolic surgery is just one tool in the fight, but it's a powerful one. If you're struggling with obesity, talk to your doctor about whether metabolic surgery is right for you.

Sources

  1. Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial - a prospective controlled intervention study of bariatric surgery. Journal of Internal Medicine. 2013;273(3):219-234. https://pubmed.ncbi.nlm.nih.gov/23163728/
  2. World Health Organization. Coronavirus disease (COVID-19) pandemic. https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Accessed April 3, 2023.
  3. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity. 2013;21(S1):S1-S27. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4142593/
  4. Chang SH, Stoll CR, Song J, Varela JE, Eagon CJ, Colditz GA. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012. JAMA Surgery. 2014;149(3):275-287. https://pubmed.ncbi.nlm.nih.gov/24352617/
  5. Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obesity Surgery. 2017;27(9):2279-2289. https://pubmed.ncbi.nlm.nih.gov/28405878/
  6. Courcoulas AP, Yanovski SZ, Bonds D, et al. Long-term outcomes of bariatric surgery: a National Institutes of Health symposium. JAMA Surgery. 2014;149(12):1323-1329.
  7. Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric surgery versus intensive medical therapy for diabetes — 5-year outcomes. New England Journal of Medicine. 2017;376(7):641-651.
  8. Adams TD, Davidson LE, Litwin SE, et al. Weight and metabolic outcomes 12 years after gastric bypass. New England Journal of Medicine. 2017;377(12):1143-1155.
  9. Dixon JB, Zimmet P, Alberti KG, Rubino F. Bariatric surgery: an IDF statement for obese Type 2 diabetes. Diabetic Medicine. 2011;28(6):628-642.
  10. Sarwer DB, Wadden TA, Moore RH, et al. Preoperative eating behavior, postoperative dietary adherence, and weight loss after gastric bypass surgery. Surgery for Obesity and Related Diseases. 2008;4(5):640-646.
  11. Sattar N, McInnes IB, McMurray JJV. Obesity is a risk factor for severe COVID-19 infection: multiple potential mechanisms. Circulation. 2020;142(1):4-6.
  12. Simonnet A, Chetboun M, Poissy J, et al. High prevalence of obesity in severe acute respiratory syndrome coronavirus‐2 (SARS‐CoV‐2) requiring invasive mechanical ventilation. Obesity. 2020;28(7):1195-1199.
  13. Simonnet, A., Chetboun, M., Poissy, J., Raverdy, V., Noulette, J., Duhamel, A., ... & LICORN and the Lille COVID‚Äê19 and Obesity study group. (2020). High prevalence of obesity in severe acute respiratory syndrome coronavirus‚Äê2 (SARS‚ÄêCoV‚Äê2) requiring invasive mechanical ventilation. Obesity, 28(7), 1195-1199.
  14. Honce, R., & Schultz-Cherry, S. (2019). Impact of obesity on influenza A virus pathogenesis, immune response, and evolution. Frontiers in immunology, 10, 1071.
  15. Green, W. D., & Beck, M. A. (2017). Obesity impairs the adaptive immune response to influenza virus. Annals of the American Thoracic Society, 14(Supplement_5), S406-S409.
  16. Almandoz, J. P., Xie, L., Schellinger, J. N., Mathew, M. S., Gazda, C., Ofori, A., ... & Michalski, M. (2020). Impact of COVID-19 Stay-at-Home Orders on Weight-Related Behaviours Among Patients with Obesity. Clinical obesity, 10(5), e12386.
  17. Courcoulas, A. P., King, W. C., Belle, S. H., Berk, P., Flum, D. R., Garcia, L., ... & Pomp, A. (2018). Seven-year weight trajectories and health outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) Study. JAMA surgery, 153(5), 427-434.
  18. Buchwald, H., Avidor, Y., Braunwald, E., Jensen, M. D., Pories, W., Fahrbach, K., & Schoelles, K. (2004). Bariatric surgery: a systematic review and meta-analysis. JAMA, 292(14), 1724-1737.
  19. Luzi, L., & Radaelli, M. G. (2020). Influenza and obesity: its odd relationship and the lessons for COVID-19 pandemic. Acta Diabetologica, 57(6), 759-764.
  20. Nieman, D. C., & Wentz, L. M. (2019). The compelling link between physical activity and the body's defense system. Journal of Sport and Health Science, 8(3), 201-217.
  21. You, T., & Arsenis, N. C. (2017). Effects of exercise training on chronic inflammation in obesity: current evidence and potential mechanisms. Sports Medicine, 47(4), 675-688.
  22. Centers for Disease Control and Prevention. (2021). Living with Obesity during COVID-19. Retrieved from https://www.cdc.gov/obesity/resources/living-with-obesity-during-covid-19.html
  23. Gletsu-Miller, N., & Wright, B. N. (2013). Mineral malnutrition following bariatric surgery. Advances in Nutrition, 4 (5), 506-517.


 

Dr Patrick Noël
*free UK calling (home phone/smartphone).

 

Le guide des hôpitaux et cliniques de France.

Recherchez parmi les 1335 établissements