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September 2022 -
Volume 20, Issue 9


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From the Editor

Editorial
A. Abyad (Chief Editor)
Mobile: 961-3-201901
Email: amcmeli@gmail.com, aabyad@cyberia.net.lb

Publisher
Lesley Pocock
lesleypocock@mediworld.com.au
publishermwi@gmail.com
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Original Contribution

Trends in Herpes Zoster Infection in Saudi Arabia; A Call for Expanding Access to Shingles Vaccination
[Abstract]
[pdf]
Saleh F. Alqifari, Rahaf F. Aldawish, ,Maha A. Binsaqr, Asmaa A. Khojah, Mai R. Alshammari, Aya K.Esmail, Mabrouk Al-Rasheedi
DOI: 10.5742/MEWFM.2022.9525130

Prevalence of depressive symptoms in hypertensive patients in Taif city
[Abstract]
[pdf]
Ayman A. Atalla, Rana S. AlQarni, Reema S. Althubaiti, Kholoud A. Alhasani, Bushra S. Alghamdi, Hadeel S. Alghamdi
DOI: 10.5742/MEWFM.2022.9525131

Patient Awareness about the indications for and complications of sleeve gastrectomy in the western region of Saudi Arabia
[Abstract]
[pdf]
Khalid M. Alzahrani, Jamal Amin Faydh, Saad Eidhah Althuwaybi, Saud Saeed Alzahrani, Fayez Dakhil Allah Althobaiti, Bader Abed Althagafi
DOI: 10.5742/MEWFM.2022.9525132

Prevalence of Obstructive Sleep Apnea among Patients with Cardiovascular Diseases
[Abstract]
[pdf]
Reda Abdelmoaty Goweda, Mahmoud Elshahat Elsayed, Asmhan Saadeldin Rady, Faisal Saleh Alnahdi, Anas Mohammad Alqurashi,
Turki Talal Alessa, Bassam Musleh Bin Laswad, Azzam Musleh Bin Laswad, Omar Abdulaziz Althobity, Ammar Safran Alhothali, Abdullah Khafagy,
Ahmed Metwally, Wael Zeid
DOI: 10.5742/MEWFM.2022.9525133

Efficacy of oral isotretinoin in the treatment of acne vulgaris
[Abstract]
[pdf]
Amer Bin Al-Zou, Asia Hassan Abdulla Saleh, Mohamed Saeed Bafadhl, Fathi Elkasah
DOI: 10.5742/MEWFM.2022.9525134

Leakage Management after Laparoscopic Sleeve Gastrectomy: A Tertiary Center Experience in Saudi Arabia
[Abstract]
[pdf]
Khalid M. Alzahrani, Tamer M. Abdelrahman, (Sumayyah A. Jafri, Mohammed Abdo, Khalid A. Alsharif
DOI: 10.5742/MEWFM.2022.9525135

Population and Community Studies

The monitoring of DOACs in primary care, a quality improvement project
[Abstract]
[pdf]
Abdul Muhid, Javed Khan
DOI: 10.5742/MEWFM.2022.9525136

The level of knowledge and awareness about diabetes and diabetic foot among the Taif general population
[Abstract]
[pdf]
Haifa Alotaibi, Areej M. Abdullah, Rawan I. Alqurashi, Kholood S. Althobaiti, Sarah A. Khan, Shumukh G. Althobaiti
DOI: 10.5742/MEWFM.2022.9525137

Hypertensive and Diabetic Patients' Knowledge of Myocardial Ischemia and Stroke Symptoms in Al-Ahsa, Saudi Arabia
[Abstract]
[pdf]
Abdullah AI Ali, Fatimah Aledili, Fatimah Albahrani, Heba Albisher, Fatimah Bomouzah, Fatimah Aleliwi, Ghadeer Alghasham, Laila Alalawi
DOI: 10.5742/MEWFM.2022.9525138

Health-related behaviors of undergraduate medical students of public sector university, Karachi 2022
[Abstract]
[pdf]
Sahar Aijaz, ,Ali Jawwad Karim, ,Fatima Abid, ,Aarfa Azhar, Maha Noor,
Summaiya Ali Muhammad
DOI: 10.5742/MEWFM.2022.9525139

Awareness of benign paroxysmal positional vertigo among the population of Taif city
[Abstract]
[pdf]
Mohammed A. Basurrah, Yahya A.Fageeh, Sultan H. Alziyadi, Abdulsalam M. Alshehri, Waleed Khalid Alrabie, Meshari M. Alruways, Ahmad S. Alosaimi, Faisal M. Alfadli
DOI: 10.5742/MEWFM.2022.9525140

Knowledge, Attitude, and Practice of Pregnant Women Regarding the Possible Effects of Obesity on Maternal and Fetal Health
[Abstract]
[pdf]
Sahar Ali Sari, Yahia Mater Al-Khaldi, Amal Mohammed Surrati, Ajaeb Meshal Alharbi
DOI: 10.5742/MEWFM.2022.9525144

Assessment of satisfaction level among patients toward services provided by dental clinics: A cross-sectional study
[Abstract]
[pdf]
Nada Fahad Saleh Al Ateeq, Budur Abdullah Mohammad Aljalban, Nawal Fahad Saleh Alazmi, Ashwaq Abdullah Mohammad Aljalban, Talal Awad A Alharbi, Mona Rubayyi R Alanazi
DOI: 10.5742/MEWFM.2022.9525156

Regional Covid

Concomitant COVID 19 Infection And NTDS: 68 Patient Case Series
[Abstract]
[pdf]
Sarab K. Abedalrahman, Fatima K. Khalid, Mahabad. S. Ali, Sheelan MS. Hasan
DOI: 10.5742/MEWFM.2022.9525142

Psychoneurotic symptoms among COVID infected patients; case series study
[Abstract]
[pdf]
Mohammed Khalil Ibraheem, Sarab K. Abedalrahman, Ashoor R Sarhat
DOI: 10.5742/MEWFM.2022.9525143

Review

Clinical Aspects of Breast Cancer
[Abstract]
[pdf]
Hani Raka Karrar, Mahmoud Ismail Nouh, Badriah Mohammed Alanazi,
Amro Othman Ahmed Hakami, Wejdan Jamaan S Alzahrani,
Waleed Khalid Aldoweirah, Waleed Salman Alanazi, Nasser Emad Alshammari, Bassam Mohammed Alanazi, Rahaf abed Alharbi, Njood Hamad Alshammari, Hadeel Saleh Alzahrani, Abdullah Salem A Alghamdi, Fahad Wadi Alanazi
DOI: 10.5742/MEWFM.2022.9525148

Over time prevalence of illicit substance use in Saudi Arabia
[Abstract]
[pdf]
Abdulrahman Alfaifi, Maged El-Setouhy
DOI: 10.5742/MEWFM.2022.9525150

Case Report

Osteoid osteoma of the proximal femur: A case report
[Abstract]
[pdf]
Ameena Khalid Bughamar, Noora Hamad Alaazmi, Fahad Alkhalifa
DOI: 10.5742/MEWFM.2022.9525152

HEADACHE - Common symptom with Rare Diagnosis in UK Primary Care - A Case report
[Abstract]
[pdf]
Syed Mohsin Raza, Syed Shahinul Haque
DOI: 10.5742/MEWFM.2022.9525153

Original Clinical Research

Necrotizing Fasciitis of Spine: The knowledge of physicians in Saudi Arabia toward this rare condition
[Abstract]
[pdf]
Alshehri A. Mohammed
DOI: 10.5742/MEWFM.2022.9525156

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Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
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PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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September 2022 - Volume 20, Issue 9

Leakage Management after Laparoscopic Sleeve Gastrectomy: A Tertiary Center Experience in Saudi Arabia

Khalid M. Alzahrani (1)
Tamer M. Abdelrahman (1,2)
Sumayyah A. Jafri (3)
Mohammed Abdo (4)
Khalid A. Alsharif (4)

(1) Surgery Department, College of Medicine, Taif University, Taif, Saudi Arabia
(2) Surgery Department, Benha Teaching Hospital, General Organization of Teaching Hospital and Institutes, Egypt
(3) Department of Surgery, Al Hada Armed Forces Hospital, Taif, Saudi Arabia
(4) Department of Surgery, King Abdul Aziz Specialist Hospital (KAASH), Taif, Saudi Arabia

Corresponding author:
Khalid M. Alzahrani
ORCID: https://orcid.org/0000-0001-8231-4545
Assistant Professor, Department of Surgery, College of Medicine, Taif University
Alseteen Street, Alhaweyia, Al-Taif 21944, Saudi Arabia
Tel: + (966) 27242295 (2476); FAX: + (966) 27250528
Email: dr.k.al_zahrani@tu.edu.sa

Received: July 2022 Accepted: August 2022; Published: September 1, 2022. Citation: Khalid M. Alzahrani et al. Leakage Management after Laparoscopic Sleeve Gastrectomy: A Tertiary Center Experience in Saudi Arabia. World Family Medicine. 2022; 20(9): 51-59. DOI: 10.5742/MEWFM.2022.9525135

Abstract


Purpose: The goal of this study was to determine the optimal method for treating gastric leaks in terms of resolution rate, complications, admission to the intensive care unit (ICU), conversion to other surgical techniques, and mortality.

Methods: A retrospective analysis of patients treated at King Abdul-Aziz Specialist Hospital between 2017 and 2021 for post-LSG leaks. Age, gender, body mass index (BMI), preoperative comorbidities, leak rate, the interval between surgery and leak, the onset and site of leak, as well as the management lines and outcomes, were collected.

Results: The leak rate following Laparoscopic Sleeve Gastrectomy (LSG) at our hospital was 0.53 percent, and there were no statistically significant differences in the demographic characteristics of patients with and without leaks. Despite the fact that 87.5 percent of patients were women, this was not statistically significant (P-value:0.09). The mean± SD interval between surgery and leak is 14 ±18.4, with early and acute leaks being the most common. Failure of first-line management, stent migration, and esophageal stricture were the most commoncomplications of leak management in our study. The mean length of hospital stays was 42.4 ±17.1 days, and the mortality rate was 12.5%.

Conclusions: Leak after LSG is a drastic complication associated with substantial morbidity and mortality if diagnosis and treatment are delayed. Depending on the patient’s condition, location of the leak, and the time of diagnosis,; leak management may involve conservative, endoscopic, or surgical approaches. There are numerous measures that could be taken to reduce the leak incidence rate.

Keywords: Bariatric surgery; Sleeve Gastrectomy; Leak; Treatment; Outcomes







 


 
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