The Peri-operative Bariatric Surgery Care in the Middle East Region

Nimeri, Abdelrahman; Hadad, Mohammed Al; Khoursheed, Mousa; Maasher, Ahmed; Qahtani, Aayed Al; Shaban, Talat Al; Fawal, Hayssam; Safadi, Bassem Y.; Alderazi, Amer; Abdalla, Emad; Bashir, Ahmad

doi:10.1007/s11695-016-2503-7

Cited by 26 publications

(14 citation statements)

References 35 publications

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“…referral to dietitian, smoking cessation, referral to psychologist, screening for obstructive sleep apnea, colonoscopy screening and cardiologist referral for patients above 50 years, drain and urinary catheter placement, leak test, thromboembolism prophylaxis, and vitamin supplementation). (50) A survey of IFSO-MENA surgeon members documented that 65% of 148 respondents did not perform routine pre-operative endoscopy for patients undergoing one anastomosis gastric bypass. (51) Retrospective studies have suggested that routine esophagogastroduodenoscopy (EGD) can be informative in preventing the cancellation or postponement of bariatric surgery in the UAE (52) and KSA, (53) whereas other studies showed no benefit in surgical management in Qatar (54) and among individuals without symptoms of gastroesophageal reflux disease in Jordan.…”

Section: Preoperative Practicesmentioning

confidence: 99%

“…Some low-income MENA countries may not have any access to bariatric surgery or may be lacking comprehensive bariatric programs. (50) Published reports document varied patient outcomes of bariatric surgery in the MENA region in adults (57,58) and youth. (59,60) However, a literature review (61) noted relatively few publications on bariatric surgery in the Arabic peninsular countries as compared to western regions and called for the creation of a regional registry.…”

Section: Healthcare Accessmentioning

confidence: 99%

See 1 more Smart Citation

Bariatric surgery in the Middle East and North Africa: narrative review with focus on culture-specific considerations

Inocian

Nolfi

Felicilda-Reynaldo

et al. 2021

Surgery for Obesity and Related Diseases

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Section: Preoperative Practicesmentioning

confidence: 99%

Section: Healthcare Accessmentioning

confidence: 99%

Bariatric surgery in the Middle East and North Africa: narrative review with focus on culture-specific considerations

Inocian

Nolfi

Felicilda-Reynaldo

et al. 2021

Surgery for Obesity and Related Diseases

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“…The survey was uploaded to Survey Monkey, a link was sent to the PASMBS social media platforms and to all members of the PASMBS Telegram group in 2017 as described previously [7]. Frequent reminders were sent to the Telegram group and via social Media platforms.…”

Section: Check For Updatesmentioning

confidence: 99%

“…The aim of this survey is to study the incidence of VTE and the practice of VTE thromboprophylaxis in the Middle East region represented by members of the Pan Arab Society of Metabolic and Bariatric Surgery (PASMBS). PASMBS includes surgeons from the Middle East and Africa (full description of the PASMBS group was provided in an earlier publication by Nimeri, et al) [7].…”

Section: Introductionmentioning

confidence: 99%

Venous Thromboembolism and Bariatric Surgery in the Middle East Region

Ashraf¹,

Ahmad²,

Al³

et al. 2019

J Obes Weight-Loss Medic

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Introduction: Venous thromboembolism (VTE) is a major cause of morbidity and mortality after bariatric surgery. Methods: We designed a survey to study VTE after bariatric surgery in the Middle East & North Africa region (MENA). We used Survey Monkey and uploaded the survey in our PASMBS social media platforms. Results: Eighty-two surgeons (63%) responded, they performed 121,369 cases and encountered 230 VTEs (0.19%). VTEs included 13 upper extremity, 103 lower extremity, 57 pulmonary embolism (PE), and 57 portomesenteric venous thrombosis (PMT). There was 9 VTE related mortalities constituting 4% mortality rate. The most commonly performed procedure was Sleeve Gastrostomy (56%). It was followed by Adjustable Gastric band (13%), One Anastomosis Gastric Bypass (10%), and Roux-en-Y Gastric bypass (9%). A scoring tool for VTE was used by 62% of surgeons and Caprini was the most commonly used tool and 62% of surgeons reported having at least one incident of VTE. Sequential compression devices were used by 57% of surgeons. Low molecular weight heparin was the most commonly used chemoprophylaxis. LMWH 40 mg once a day was used in 53% of the moderate risk group, 26% of the high-risk group and 6% in the highest risk group. Post-discharge, chemoprophylaxis was continued in the moderate, high and highest risk patients 82%, 95%, and 98% respectively. Conclusion: VTE risk assessment and the use of chemoprophylaxis for VTE is common in the MENA region. However, many patients continue to receive sub-therapeutic doses of low molecular heparin during the hospital stay and after discharge.

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“…However, this number proved to have increased by 2.5-fold between the years 2011-2014 (6,7). This increase was especially noted in the Middle Eastern countries due to the increased burden of obesity, diabetes and metabolic syndrome they are facing there as of recent years (8). Currently, more than 30% of the population in the gulf region demonstrate a body mass index (BMI) exceeding 30, with Kuwait having 39.7% of its population placed in this obesity range (9).…”

Section: Introductionmentioning

confidence: 99%

Results from the First Kuwait National Bariatric Surgery Report

Al-Sabah

Haddad

Jumaa

et al. 2020

Preprint

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Background Currently, more than 30% of the population in the gulf demonstrate a body mass index(BMI) exceeding 30. This burden of obesity has proven to take a toll on the population; therefore, we created the first Kuwait National Bariatric Surgery Database to report on bariatric surgeries performed in Kuwait. Methods Data was collected from the six public hospitals in Kuwait. This data was then submitted to a merged National Registry. Data web portal were used to upload, merge, and analyze the data. Results The average age for participants was 32.6 years. The average preoperative BMI was 45.9kg/m2 for males and 43.3kg/m2 for females. 16.4% of males and 12.3% of females presented with type 2 diabetes, while the most prevalent obesity related disease was a poor functional status in both males and females(90.8% and 90.5%, respectively). Most procedures performed in Kuwait are sleeve gastrectomy. The most encountered in-hospital complication after primary bariatric surgery was bleeding(1.5%), with Roux-en-Y gastric bypass(RYGB) having the highest recorded rate of post-operative complications(3.6% bleeding). The overall rate of operative complications was 2.6%, which was most prevalent post-RYGB(10.3%) and lowest post-sleeve gastrectomy(2.5%). Conclusion The importance of tracking and documenting the journey and change in the rates of obesity and effectiveness of bariatric procedures in individual countries with significantly high obesity rates is imperative to be able to create a plan of action to tackle this worldwide epidemic. This report will be able to provide the population with an accurate accounting that demonstrates further the safety of bariatric/metabolic surgery.

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The Peri-operative Bariatric Surgery Care in the Middle East Region

Abstract: The wide variation in the peri-operative care of bariatric surgery in the Middle East region highlights the need for regional guidelines based on international guidelines.

Cited by 26 publications

References 35 publications

Bariatric surgery in the Middle East and North Africa: narrative review with focus on culture-specific considerations

Bariatric surgery in the Middle East and North Africa: narrative review with focus on culture-specific considerations

Venous Thromboembolism and Bariatric Surgery in the Middle East Region

Results from the First Kuwait National Bariatric Surgery Report

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