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December 2019 -
Volume 17, Issue 12

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From the Editor

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Original Contribution

Level of Patient Empathy among medical students of Saudi Medical College: A Cross-sectional Survey
[abstract]
[pdf]
Farzana Rizwan Arain
DOI: 10.5742MEWFM.2019.93706

Returnee’s Depression Epidemiology among Secondary School Students in Tikrit-Iraq after Internal Displacement
[abstract]
[pdf]
Islam AR Zaradwy
DOI: 10.5742MEWFM.2019.93707

Accuracy of Pap smear in cervical cancer screening
[abstract]
[pdf]
Zainab Ali Issa, Hamssa Hussein Aloan, Asan Ali Qasim Al Niyazee
DOI: 10.5742MEWFM.2019.93708

Prevalence of Dry Eye Disease in Rheumatoid Arthritis Patients
[abstract]
[pdf]
Hiba Abdelmageed Younis, Zinah Yahya Jawad Al-Quzweeni
DOI: 10.5742MEWFM.2019.93709

Knowledge and awareness of health practice during pregnancy among females of Jeddah City in Saudi Arabia
[abstract]
[pdf]
Rehab Alsaleh, Abdullah K. Alassiri, Asalah F. Hamad, Huda A. Bahasan, Nouf M. Alasiri, Maha A. Aljudaibi
DOI: 10.5742MEWFM.2019.93710

Knowledge and awareness of age related eye diseases in the population of the western region of Saudi Arabia
[abstract]
[pdf]
Intessar Sultan, Mohammed G. Alsaedi, Fatima A. Ahmed, Khalid F. Alharbi, Nouf M.Alasiri
DOI: 10.5742MEWFM.2019.93711

Fatigue in rheumatoid arthritis patients; association with mood status, Kingdom of Saudi Arabia: a cross-sectional study
[abstract]
[pdf]
Jamal A. Albishri, Anhar A. Algurashi, Ameenah A. Alkhaldi, Hadeel M. Assami, Shroug R. Almalki, Reema F. Aloufi
DOI: 10.5742MEWFM.2019.93712

Mid-Term Outcomes of Laparoscopic Sleeve Gastrectomy in a Single Private Institution
[abstract]
[pdf]
Alaa Jaber Othman , Nouf Alasiri, Yasser Tohme, Samer M AlAthath, Tariq M Awidah , Ahmed Bazuhair, Ahmed Alathath, Mohammed AlGabbani, Haytham Alabbas, Tahir Yunus
DOI: 10.5742MEWFM.2019.93713

Population and Community Health

Breastfeeding knowledge, attitude and practice among mothers attending Maternity Hospital at King Faisal Medical complex, Taif city, Saudi Arabia 2018
[abstract]
[pdf]
Afnan Faleh Alharthi, Rawan Nawar Al-Holaifi, Bayan Abdullah Alnemari, Asayel Abdullah Alosaimi, Asmaa Dhafer Alamri, Adil Ali Nassir Ahmed Ayed
DOI: 10.5742MEWFM.2019.93715

Knowledge, Attitude and Practice About Epilepsy among Elementary School teachers in Taif City, Saudi Arabia
[abstract]
[pdf]
Wardah M. Alharthi , Shrouq R. Almalki , MBBS, Ameenah A. Alkhaldi , Nouf M. Althobati, Ayman Abdelbaky Atalah, Naif Edah Alomairi
DOI: 10.5742MEWFM.2019.9371682

Awareness and knowledge of congenital infections (TORCH) among women and health care providers in Al Taif area Saudi Arabia
[abstract]
[pdf]
Manal A. Elnashar, Nisreen Kh. Aref, Ruba G. Qadi, Aishah A. Al-kabi, Jameela A. ALMathami
DOI: 10.5742MEWFM.2019.93714

School-entry Screening Program for Ear and Hearing Problems in Tikrit, Iraq
[abstract]
[pdf]
Islam AR Zaradwy
DOI: 10.5742MEWFM.2019.93717

Knowledge and awareness of community about pediatric nocturnal enuresis in Taif city, 2018
[abstract]
[pdf]
Amjaad F. Algethami , Norah M. Alotaibi , Hanaa A. Alrbeeai , Hind A. Al humayani , Najmah A. Alotaibi, Nada E. Algethami
DOI: 10.5742MEWFM.2019.93718

Knowledge of diabetes mellitus risk factors and complications among the students at Taif University
[abstract]
[pdf]
Abdullah S. Almalki, Nada A. Almalki, Asrar A. Althubaiti, Ghadder F. Althubaiti, Najwa S. Alotaibi, Hanan A. Alshahrani
DOI: 10.5742MEWFM.2019.93721

Case Report

CDH3 mutation associated with ectodermal dysplasia and hair abnormalities
[abstract]
[pdf]
Afnan Hasanain, Mohammed G. Alsaedi , Maram A. Aljohani, Shereen M. Abd El-Ghany, Abdulmonem Almutawa
DOI: 10.5742MEWFM.2019.93720



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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December 2019 - Volume 17, Issue 12

Mid-Term Outcomes of Laparoscopic Sleeve Gastrectomy in a Single Private Institution

(1) Department of surgery, International Medical Center, Jeddah, Kingdom of Saudi Arabia.
(2) Ibn Sina National College for Medical Studies, Jeddah, Kingdom of Saudi Arabia

Corresponding author:
Haytham Alabbas, MD, MSc, FRCSC, FACS, DABS
Associate consultant of General Surgery
Department of Surgery
Division of General Surgery
International Medical Center
Jeddah, Saudi Arabia
Email: halabbas@imc.med.sa

Received: October 2019; Accepted: November 2019; Published: December 1, 2019. Citation: Haytham Alabbas et al. Mid-Term Outcomes of Laparoscopic Sleeve Gastrectomy in a Single Private Institution. World Family Medicine. 2019; 17(12): 53-57. DOI: 10.5742MEWFM.2019.93713

Abstract


Background:
Overweight and Obesity prevalence in Saudi Arabia is estimated to be more than 75%. This has not really deviated from the prevalence worldwide as the World Health Organization reported that obesity has increased three folds in nearly 40 years. Obesity is a disease of ongoing process with a magnitude of effects on different body systems. There are different approaches to deal with obesity and surgery is one of them. Obesity has been approached vigorously with different types of surgeries such as Laparoscopic Sleeve Gastrectomy (LSG), Laparoscopic Roux-en-Y gastric bypass and band insertion. LSG has gained much popularity pursuant to its safety and having more anatomical and physiological similarity to the body.

Objectives: The aim of this paper is to report the midterm outcomes of LSG in a single private institution in Saudi Arabia.

Subjects and Methods: This is a consecutive retrospective chart review from October 2013 to December 2017 for patients who underwent LSG in a single private institution by a single surgeon. We evaluated patients’ demographics, preoperative and postoperative medical conditions, Body Mass Index (BMI), medications, length of hospital stay and short and long-term complications.

Results: A total of 464 obese patients who underwent bariatric surgery were evaluated. Most of our patients were females (57.23%). The mean age at operation was 38.2 years old (11-66). Patients’ preoperative mean BMI and mean excess body weight (EBW) were 43.27 (27-77), and 57.58 (23-144), respectively. The overall morbidity in this series was 1.73%. Nearly, 27% of diabetic patients became able to maintain a normoglycemic level without using their treatment. In regard to gastro esophageal reflux disease 42% of our patients were symptomatically free postoperative. From those patients who had obstructive sleep apnea, 46% of them were eased from it post operatively.

Conclusion: LSG exhibits an efficient measure for controlling obesity. Midterm outcomes of this procedure revealed a significant reduction in multiple chronic advanced conditions.

Key words: Bariatric surgery; Sleeve gastrectomy; Morbid obesity; Co-morbidities; Outcomes.



 


 

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