Bariatric Surgery between Health Need and Complications, Medina 2010-2017
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Vol. 3 No. 11 (2020)
Keywords:
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Bariatric, surgery, obesity, weight loss, gastric, sleeve, bypass
Abstract
Background: Obesity is established worldwide health problem. One of the methods to manage it is bariatric surgery. Our study aim is to determine the complications of bariatric surgery at Medina, KFH from surgical overview and compare the results with other studies.
Objectives: To identify the most common health needs indicating bariatric surgery and the health impact of these procedures on them. And to determine the types of intra and postoperative complications can occur due to bariatric surgery.
Methodology: This is an analytical retrospective study of the patients who underwent bariatric surgery in KFH, Medina, K.S.A, from 2010-2017. Data was gained from the hospital medical records between 8th – 16th April 2018. It had been typed into an excel 2010 program, and statistical analysis done by statistical package for the social sciences (SPSS v.21) for windows.
Results: 154 patients underwent bariatric surgery in KFH, 78.6% of them are female and 21.4% are male. The mean BMI is 49.69 ± 9.386. 29.9% of them are previously diagnosed with chronic illnesses HTN 38.7%, DM 30.1%, IHD 2,2%, and others 29.0%. Regarding the type of operation gastric sleeve done approximately 96.1%, adjustable gastric banding approximately 3.3%, Roux en Y gastric bypass approximately 0.7%. With 0.0% intraoperative complication and 3.8% postoperative complications.
Conclusion:In KFH Medina, bariatric surgery had a good effect on gynecological conditions. No mortalities or intraoperative complications. We recommend more studies to study the effect of bariatric surgery on DM and HTN in Medina in a longer period.
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References
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28- Dixon JB, Zimmet P, Alberti KG, Rubino F, International Diabetes Federation Taskforce on Epidemiology and Prevention. Bariatric surgery: an IDF statement for obese type 2 diabetes. Diabetic Medicine. 2011 Jun;28(6):628-42.
29- Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, Thomas S, Abood B, Nissen SE, Bhatt DL. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. New England Journal of Medicine. 2012 Apr 26;366(17):1567-76.
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31- Messinis IE, Messini CI, Anifandis G, Dafopoulos K. Polycystic ovaries and obesity. Best Practice & Research Clinical Obstetrics & Gynaecology. 2015 May 1;29(4):479-88.
32- Christ JP, Falcone T. Bariatric Surgery Improves Hyperandrogenism, Menstrual Irregularities, and Metabolic Dysfunction Among Women with Polycystic Ovary Syndrome (PCOS). Obesity surgery. 2018 Mar 2:1-7.
33- Ricci C, Gaeta M, Rausa E, Asti E, Bandera F, Bonavina L. Long-term effects of bariatric surgery on type II diabetes, hypertension and hyperlipidemia: a meta-analysis and meta-regression study with 5-year follow-up. Obesity surgery. 2015 Mar1;25(3):397-405.
34- Sanmiguel CP, Conklin JL, Cunneen SA, et al. Gastric electrical stimulation with the TANTALUS System in obese type 2 diabetes patients: effect on weight and glycemic control. J Diabetes Sci Technol. 2009;3:964–70.
35- Tarnowski W, Stanowski E, Paśnik K. Electric stimulation of the stomach in the treatment of diabetes mellitus in obese patients [Polish] Postępy Nauk Medycznych. 2009;22(Suppl 1)
36- Cottam DR, Atkinson J, Anderson A, Grace B, Fisher B. A case-controlled matched-pair cohort study of laparoscopic Roux-en-Y gastric bypass and Lap-Band patients in a single US center with three-year follow-up. Obes Surg. 2006;16:534–540.
37- Chouillard EK, Karaa A, Elkhoury M, Greco VJ Intercontinental Society of Natural Orifice, Endoscopic, and Laparoscopic Surgery (i-NOELS) Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for morbid obesity: case-control study. Surg Obes Relat Dis. 2011;7:500–505.
38- Chakravarty PD, McLaughlin E, Whittaker D, Byrne E, Cowan E, Xu K, et al. Comparison of laparoscopic adjustable gastric banding (LAGB) with other bariatric procedures; a systematic review of the randomised controlled trials. Surgeon. 2012;10:172–182.
39- Lynch J, Belgaumkar A. Bariatric surgery is effective and safe in patients over 55: A systematic review and meta-analysis. Obes Surg. 2012;22:1507–16.
40- A Narrative of Intraoperative Staple Line Leaks and Bleeds During Bariatric Surgery [Internet]. ncbi. 2016 [cited 17 August 2018]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4906064/
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45- NCBI. 2018 [cited 17 August 2018]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843041/[
46- 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 Surg. 2014;149(3):275–287.
47- Gupta PK, Franck C, Miller WJ, et al. Development and validation of a bariatric surgery morbidity risk calculator using the prospective, multicenter NSQIP dataset. J Am Coll Surg. 2011;212:301–309. doi: 10.1016/j.jamcollsurg.2010.11.003.
48- Chang S-H, Stoll CRT, Song J, Varela E, Eagon CJ, Colditz GA. Bariatric surgery an updated systematic review and meta analysis, 2003-2012. JamaSurg. 2014;149(3):275–287.
49- Gonzalez R, Sarr MG, Smith CD, Baghai M, Kendrick M, et al. Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity. J Am Coll Surg. 2007;204:47–55.
50- Gonzalez R, Sarr MG, Smith CD, Baghai M, Kendrick M, et al. Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity. J Am Coll Surg. 2007;204:47–55.
51- Salinas A, Baptista A, Santiago E, Antor M, Salinas H. Self-expandable metal stents to treat gastric leaks. Surg Obes Relat Dis. 2006;2:570–2.
52- Sapala JA, Wood MH, SchuhKneckt MP, Sapal MA. Fatal pulmonary embolism after bariatric operations for morbid obesity: a 24 year retrospective analysis. Obes Surg. 2003;13:819–25.
53- Ma IT, Madura JA. Gastrointestinal Complications After Bariatric Surgery. Gastroenterol Hepatol (N Y). 2015;11(8):526-35.
54- Christou NV, Jarand J, Sylvestre JL, Mclean APH. Analysis of the incidence and risk factors for wound infections in open bariatric surgery. Obes Surg. 2004;14:16–22.
55- Lee C, Kelly J, Wassef W. Complications of bariatric surgery. Curr Opin Gastroenterol. 2007;23:636–43.
56- Elder KA, Wolfe BM. Bariatric surgery: a review of procedures and outcomes. Gastroenterology. 2007;132(6):2253-71.
57- Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch; a case series of 40 consecutive patients. Obes Surg. 2000;10(6):514-23
58- Aarts EO, Janssen IM, Berends FJ. The gastric sleeve: losing weight as fast as micronutrients. Obes Surg. 2011;21(2):207–211
2- Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, Zitman FG. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Archives of general psychiatry. 2010 Mar 1;67(3):220-9.
3- WHO | Obesity [Internet]. Who.int. 2018 [cited 27 July 2018]. Available from: http://www.who.int/gho/ncd/risk_factors/obesity_text/en/
4- Algahtani HA, Khan AS, Khan MA, Aldarmahi AA, Lodhi Y. Neurological complications of bariatric surgery. Neurosciences. 2016 Jul;21(3):241.
5- Müller-Riemenschneider F, Reinhold T, Berghöfer A, Willich SN. Health-economic burden of obesity in Europe. European journal of epidemiology. 2008 Aug 1;23(8):499.
6- Kanazawa M, Yoshiike N, Osaka T, Numba Y, Zimmet P, Inoue S. Criteria and classification of obesity in Japan and Asia‐Oceania. Asia Pacific journal of clinical nutrition. 2002 Dec 1;11(s8).
7- Miller WC, Koceja DM, Hamilton EJ. A meta-analysis of the past 25 years of weight loss research using diet, exercise or diet plus exercise intervention. International Journal of Obesity & Related Metabolic Disorders. 1997 Oct 1;21(10).
8- Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. Jama. 2004 Oct 13;292(14):1724-37.
9- Christou NV, Sampalis JS, Liberman M, Look D, Auger S, McLean AP, MacLean LD. Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Annals of surgery. 2004 Sep;240(3):416.
10- Bariatric Surgery [Internet]. MSD manuals. 2018 [cited 28 June 2018]. Available from: https://www.msdmanuals.com/professional/nutritional-disorders/obesity-and-the-metabolic-syndrome/bariatric-surgery
11- Bariatric Surgery Procedures – ASMBS | American Society for Metabolic and Bariatric Surgery [Internet]. American Society for Metabolic and Bariatric Surgery. 2018 [cited 28 June 2018]. Available from: https://asmbs.org/patients/bariatric-surgery-procedures
12- Ozsoy Z, Demir E. The Evolution of Bariatric Surgery Publications and Global Productivity: A Bibliometric Analysis. Obesity Surgery. 2017 Oct 31:1-3.
13- Ponce J, DeMaria EJ, Nguyen NT, Hutter M, Sudan R, Morton JM. American Society for Metabolic and Bariatric Surgery estimation of bariatric surgery procedures in 2015 and surgeon workforce in the United States. Surgery for Obesity and Related Diseases. 2016 Nov 30;12(9):1637-9.
14- Al-Khaldi Y. Bariatric surgery in Saudi Arabia: The urgent need for standards. Saudi Journal of Obesity. 2016 Jan 1; 4(1):1.
15- Kaul A, Sharma J. Impact of bariatric surgery on comorbidities. Surgical Clinics. 2011 Dec 1;91(6):1295-312.
16- Pories WJ. Bariatric surgery: risks and rewards. The Journal of Clinical Endocrinology & Metabolism. 2008 Nov 1;93(11_supplement_1):s89-96.
17- Jammah AA. Endocrine and metabolic complications after bariatric surgery. Saudi journal of gastroenterology: official journal of the Saudi Gastroenterology Association. 2015 Sep;21(5):269.
18- Mayo Clinic, 2018, last accessed on 16 November: https://www.mayoclinic.org/healthy-lifestyle/weight-loss/in-depth/gastric-bypass-surgery/art-20046318
19- Batsis J, Dolkart K. Evaluation of older Adults with obesity for bariatric surgery: Geriatricians' perspective. Journal of Clinical Gerontology and Geriatrics. 2015;6(2):45-53.
20- Mdedge, 2018, last accessed on 16 November: https://www.mdedge.com/jfponline/article/60355/obesity/what-are-indications-bariatric-surgery
21- Gastrointestinal Surgery for Severe Obesity 25-27 March 1991. Obesity Surgery. 1991;1(3):257-265.
22- Dare S, Mackay D, Pell J. Correction: Relationship between Smoking and Obesity: A Cross-Sectional Study of 499,504 Middle-Aged Adults in the UK General Population. PLOS ONE. 2017;12(2):e0172076.
23- Gruber J, Frakes M. Does falling smoking lead to rising obesity?. Journal of Health Economics. 2006;25(2):183-197.
24- Jiang S, Lu W, Zong X, Ruan H, Liu Y. Obesity and hypertension. Experimental and Therapeutic Medicine. 2016;12(4):2395-2399.
25- Re RN. Obesity-Related Hypertension. The Ochsner Journal. 2009;9(3):133-136.
26- Puzziferri N, Roshek TB, Mayo HG, Gallagher R, Belle SH, Livingston EH. Long-term follow-up after bariatric surgery: a systematic review. Jama. 2014 Sep 3;312(9):934-42.
27- Courcoulas AP, Christian NJ, Belle SH, Berk PD, Flum DR, Garcia L, Horlick M, Kalarchian MA, King WC, Mitchell JE, Patterson EJ. Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. Jama. 2013 Dec 11;310(22):2416-25.
28- Dixon JB, Zimmet P, Alberti KG, Rubino F, International Diabetes Federation Taskforce on Epidemiology and Prevention. Bariatric surgery: an IDF statement for obese type 2 diabetes. Diabetic Medicine. 2011 Jun;28(6):628-42.
29- Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, Thomas S, Abood B, Nissen SE, Bhatt DL. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. New England Journal of Medicine. 2012 Apr 26;366(17):1567-76.
30- Sjöström L, Peltonen M, Jacobson P, Sjöström CD, Karason K, Wedel H, Ahlin S, Anveden Å, Bengtsson C, Bergmark G, Bouchard C. Bariatric surgery and long-term cardiovascular events. Jama. 2012 Jan 4;307(1):56-65.
31- Messinis IE, Messini CI, Anifandis G, Dafopoulos K. Polycystic ovaries and obesity. Best Practice & Research Clinical Obstetrics & Gynaecology. 2015 May 1;29(4):479-88.
32- Christ JP, Falcone T. Bariatric Surgery Improves Hyperandrogenism, Menstrual Irregularities, and Metabolic Dysfunction Among Women with Polycystic Ovary Syndrome (PCOS). Obesity surgery. 2018 Mar 2:1-7.
33- Ricci C, Gaeta M, Rausa E, Asti E, Bandera F, Bonavina L. Long-term effects of bariatric surgery on type II diabetes, hypertension and hyperlipidemia: a meta-analysis and meta-regression study with 5-year follow-up. Obesity surgery. 2015 Mar1;25(3):397-405.
34- Sanmiguel CP, Conklin JL, Cunneen SA, et al. Gastric electrical stimulation with the TANTALUS System in obese type 2 diabetes patients: effect on weight and glycemic control. J Diabetes Sci Technol. 2009;3:964–70.
35- Tarnowski W, Stanowski E, Paśnik K. Electric stimulation of the stomach in the treatment of diabetes mellitus in obese patients [Polish] Postępy Nauk Medycznych. 2009;22(Suppl 1)
36- Cottam DR, Atkinson J, Anderson A, Grace B, Fisher B. A case-controlled matched-pair cohort study of laparoscopic Roux-en-Y gastric bypass and Lap-Band patients in a single US center with three-year follow-up. Obes Surg. 2006;16:534–540.
37- Chouillard EK, Karaa A, Elkhoury M, Greco VJ Intercontinental Society of Natural Orifice, Endoscopic, and Laparoscopic Surgery (i-NOELS) Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for morbid obesity: case-control study. Surg Obes Relat Dis. 2011;7:500–505.
38- Chakravarty PD, McLaughlin E, Whittaker D, Byrne E, Cowan E, Xu K, et al. Comparison of laparoscopic adjustable gastric banding (LAGB) with other bariatric procedures; a systematic review of the randomised controlled trials. Surgeon. 2012;10:172–182.
39- Lynch J, Belgaumkar A. Bariatric surgery is effective and safe in patients over 55: A systematic review and meta-analysis. Obes Surg. 2012;22:1507–16.
40- A Narrative of Intraoperative Staple Line Leaks and Bleeds During Bariatric Surgery [Internet]. ncbi. 2016 [cited 17 August 2018]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4906064/
41- UpToDate [Internet]. Uptodate.com. 2018 [cited 17 August 2018]. Available from: https://www.uptodate.com/contents/bariatric-operations-perioperative-morbidity-and-mortality
42- MM L. Bands and bypasses: 30-day morbidity and mortality of bariatric surgical procedures as assessed by prospective, multi-center, risk-adjusted ACS-NSQ... - PubMed - NCBI [Internet]. Ncbi.nlm.nih.gov. 2018 [cited 17 August 2018]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18806945
43- Benotti PN, Hollingshead J, Mascioli EA, et al. Gastric restrictive operations for morbid obesity. Am J Surg 1989;157:150–5.
44- NCBI. 2018 [cited 17 August 2018]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843041/[
45- NCBI. 2018 [cited 17 August 2018]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843041/[
46- 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 Surg. 2014;149(3):275–287.
47- Gupta PK, Franck C, Miller WJ, et al. Development and validation of a bariatric surgery morbidity risk calculator using the prospective, multicenter NSQIP dataset. J Am Coll Surg. 2011;212:301–309. doi: 10.1016/j.jamcollsurg.2010.11.003.
48- Chang S-H, Stoll CRT, Song J, Varela E, Eagon CJ, Colditz GA. Bariatric surgery an updated systematic review and meta analysis, 2003-2012. JamaSurg. 2014;149(3):275–287.
49- Gonzalez R, Sarr MG, Smith CD, Baghai M, Kendrick M, et al. Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity. J Am Coll Surg. 2007;204:47–55.
50- Gonzalez R, Sarr MG, Smith CD, Baghai M, Kendrick M, et al. Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity. J Am Coll Surg. 2007;204:47–55.
51- Salinas A, Baptista A, Santiago E, Antor M, Salinas H. Self-expandable metal stents to treat gastric leaks. Surg Obes Relat Dis. 2006;2:570–2.
52- Sapala JA, Wood MH, SchuhKneckt MP, Sapal MA. Fatal pulmonary embolism after bariatric operations for morbid obesity: a 24 year retrospective analysis. Obes Surg. 2003;13:819–25.
53- Ma IT, Madura JA. Gastrointestinal Complications After Bariatric Surgery. Gastroenterol Hepatol (N Y). 2015;11(8):526-35.
54- Christou NV, Jarand J, Sylvestre JL, Mclean APH. Analysis of the incidence and risk factors for wound infections in open bariatric surgery. Obes Surg. 2004;14:16–22.
55- Lee C, Kelly J, Wassef W. Complications of bariatric surgery. Curr Opin Gastroenterol. 2007;23:636–43.
56- Elder KA, Wolfe BM. Bariatric surgery: a review of procedures and outcomes. Gastroenterology. 2007;132(6):2253-71.
57- Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch; a case series of 40 consecutive patients. Obes Surg. 2000;10(6):514-23
58- Aarts EO, Janssen IM, Berends FJ. The gastric sleeve: losing weight as fast as micronutrients. Obes Surg. 2011;21(2):207–211
Authors
Alsisi, G. ., Shahata, L., Abdulaziz, M. ., Kulaib, G. ., Alshinqiti, . Z., Tarabishi, R. ., & Aly, M. . (2020). Bariatric Surgery between Health Need and Complications, Medina 2010-2017. Journal of Current Medical Research and Opinion, 3(11), 758–769. https://doi.org/10.15520/jcmro.v3i11.365
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