COVID-19 Guidelines for Triage of Metabolic and Bariatric Surgery Patients

Emergency

(Needs immediate action; life threatening or permanent organ damage)

Patients in hemorrhagic shock
Patients in septic shock
Necrotizing soft tissue infections
Perforated viscus
Airway emergencies
Risk of Ischemic bowel
Specific Bariatric: Perforated marginal ulcer, bleeding, anastomatic or staple-line leak, obstruction particularly internal hernia, gastric band perforation or prolapse

(Needs surgery; may be delayed by a few days/weeks)

Bariatric: revisions for dysphagia, severe gerd, pain, dehydration/malnutrition, slipped band, anastomotic strictures at risk for aspiration
Primary cases for patients pending surgery requiring preop weight loss ie transplant, etc.

(May be delayed for months without threat to life or organ damage)