Document Type : Original research articles
Authors
1
Department of General surgery, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.
2
Department 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.
3
Department of General surgery, King Salman bin Abdulaziz Medical City Hospital, Ministry of Health, Al-Madinah Al-Munawwarah, Saudi Arabia.
4
MBBS, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.
5
Division 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.
6
Division of Clinical Biochemistry, Department of Basic Medical Sciences, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia
7
Department 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.
8
Division 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.
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