Metabolic and respiratory co-morbidities in obese patients before and after bariatric surgery in Al-Madinah Region, (western Saudi Arabia): A tertiary center experience

Almughamsi, Asim Mukhideer; Aly, Mohamed Abdelnaem; Alfarsi, Muayad Ahmed; Alahmari, Ahmed Modawi; Alhazmi, Rema Mohammed; Alhazmi, Shaden Mohammed; Makhdom, Raghad Abdulrazaq; Alfadhli, Reema Ahmed; Aljohani, Lujain Abdulaziz; Elmehallawy, Ghaidaa Salem; El Sayed, Salah Mohamed; Saad, Alfarazdeg Ageed; Donkol, Abdel-Raheem; Abdallah, Mohamed Ramadan

doi:10.21608/svuijm.2024.321138.1981

	Metabolic and respiratory co-morbidities in obese patients before and after bariatric surgery in Al-Madinah Region, (western Saudi Arabia): A tertiary center experience
SVU-International Journal of Medical Sciences
Article 64, Volume 7, Issue 2, July 2024, Page 714-723 PDF (212.54 K)
Document Type: Original research articles
DOI: 10.21608/svuijm.2024.321138.1981
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Authors
Asim Mukhideer Almughamsi¹; Mohamed Abdelnaem Aly²; Muayad Ahmed Alfarsi¹; Ahmed Modawi Alahmari³; Rema Mohammed Alhazmi⁴; Shaden Mohammed Alhazmi⁴; Raghad Abdulrazaq Makhdom⁴; Reema Ahmed Alfadhli⁴; Lujain Abdulaziz Aljohani⁴; Ghaidaa Salem Elmehallawy⁴; Salah Mohamed El Sayed^* ⁵; Alfarazdeg Ageed Saad⁶; Abdel-Raheem Donkol⁷; Mohamed Ramadan Abdallah⁸
¹Department of General surgery, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.
²Department of General Surgery, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia. & Department of General Surgery, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.
³Department of General surgery, King Salman bin Abdulaziz Medical City Hospital, Ministry of Health, Al-Madinah Al-Munawwarah, Saudi Arabia.
⁴MBBS, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.
⁵Division of Clinical Biochemistry, Department of Basic Medical Sciences, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia . & Department of Clinical Biochemistry, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.
⁶Division of Clinical Biochemistry, Department of Basic Medical Sciences, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia
⁷Department of General Surgery, King Fahd Hospital, Al-Madinah Health Cluster, Al-Madinah Al-Munawwarah, Saudi Arabia. & Department of General Surgery, Aswan Faculty of Medicine, Aswan University, Aswan, Egypt.
⁸Division of Pediatric Surgery, Department of General Surgery, Al-Rayyan College of Medicine, Al-Rayyan Medical Colleges, Al-Madinah Al-Munawwarah, Saudi Arabia. & Department of Pediatric Surgery, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.
Abstract
Background: Obesity is a global public health concern associated with numerous comorbidities in adolescent children and in adults. Bariatric surgery has emerged as an effective intervention for weight loss. Limited data exist on the prevalence of metabolic and respiratory comorbidities after bariatric surgery in Western Saudi Arabia. Objective: This study aimed at determining the prevalence of co-morbidities in obese patients after bariatric surgery compared to before it in Al-Madinah region. Patients and methods: A retrospective analysis was conducted on the medical records of obese patients who underwent bariatric surgery in Al-Madinah region. Data was collected and compared on diabetes mellitus, hypertension, hypercholesterolemia and asthma before and after surgery using Chi square. Results: A total of 170 patients were included in this study. Statistically significant differences (p<0.05) were observed in the percentage prevalence of diabetes mellitus 79 (46.5%) pre-bariatric surgery versus 12 (7.1%) post-bariatric surgery, hypertension 73 (42.9%) pre-bariatric surgery versus 16 (9.4%) post-bariatric surgery, and asthma 20 (11.8%) pre-bariatric surgery versus 4 (2.6%) post-bariatric surgery. Although bariatric surgery decreased hypercholesterolemic condition, that was not significant (p >0.05) using Chi square. The impact of bariatric surgery on diabetes mellitus and hypertension according to levels of obesity showed that among cases with a BMI of 40 kg/m² or higher, there was a higher rate of clinical improvement and a greater likelihood of reducing medication dosages compared to cases with BMI < 40 kg/m². Conclusion: Bariatric surgery reduced metabolic and respiratory co-morbidities prevalence in western Saudi Arabia.
Keywords
Bariatric surgery; BMI; Comorbidity, obesity; Western Saudi Arabia


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