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

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Abstract

Background

Bariatric surgery is common in the Middle East region. However, regional accreditation bodies and guidelines are lacking. We present the current peri-operative practice of bariatric surgery in the Middle East region.

Setting

Public and private practice in the Middle East region.

Methods

A questionnaire was designed to study trends of peri-operative care in bariatric surgery. It was sent to members of the Pan Arab Society for Metabolic and Bariatric Surgery (PASMBS).

Results

Ninety-three surgeons (88.6%) responded, 63.4% were in private practice, 68.5% have been in practice for more than 5 years, and 61.1% performed more than 125 cases per year. Laparoscopic sleeve gastrectomy (LSG) was the commonest procedure performed, then laparoscopic Roux-en-Y gastric bypass (LRYGB), one anastomosis gastric bypass/mini gastric bypass (OAGB/MGB), and laparoscopic adjustable gastric banding (LAGB). Pre-operatively as a routine, 65% referred patients for dietitian and (78.3%) for smoking cessation. In contrast as a routine, 22.6% referred patients to a psychologist, 30% screened for obstructive sleep apnea (OSA), and when they did, they did not use a questionnaire. For patients 50 years of age, 22% performed a screening colonoscopy and 33.7% referred patients to a cardiologist. Intra-operatively as a routine, 25.3% placed a drain and 42.2% placed urinary catheters. In contrast, 77.1% performed a leak test (82.7% as a methylene blue leak test). Post-operatively, 79.5% used chemoprophylaxis for venous thromboembolism and 89% required patients to take vitamins. In contrast, 25% prescribed ursodeoxycholic acid.

Conclusion

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.

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Authors and Affiliations

  1. Bariatric and Metabolic Institute Abu Dhabi, Sheikh Khalifa Medical City, Abu Dhabi, UAE

    Abdelrahman Nimeri, Ahmed Maasher & Talat Al Shaban

  2. Division of General, Thoracic and Vascular Surgery, Sheikh Khalifa Medical City, Abu Dhabi, UAE

    Abdelrahman Nimeri, Ahmed Maasher & Talat Al Shaban

  3. Dr Hadad Health Point Hospital, Abu Dhabi, UAE

    Mohammed Al Hadad

  4. Kuwait University, Kuwait City, Kuwait

    Mousa Khoursheed

  5. King Saud University, Riyadh, Saudi Arabia

    Aayed Al Qahtani

  6. Makassed General Hospital, Beirut, Lebanon

    Hayssam Fawal

  7. American University of Beirut Medical Center, Beirut, Lebanon

    Bassem Safadi

  8. Sulaimania Medical Complex, Beirut, Lebanon

    Amer Alderazi

  9. Mansoura University, Mansoura City, Egypt

    Emad Abdalla

  10. Jordan Hospital, Amman, Jordan

    Ahmad Bashir

Authors
  1. Abdelrahman Nimeri
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  2. Mohammed Al Hadad
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  4. Ahmed Maasher
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Correspondence to Abdelrahman Nimeri.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

This article does not contain any studies with human participants or animals performed by any of the authors.

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Nimeri, A., Al Hadad, M., Khoursheed, M. et al. The Peri-operative Bariatric Surgery Care in the Middle East Region. OBES SURG 27, 1543–1547 (2017). https://doi.org/10.1007/s11695-016-2503-7

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  • DOI: https://doi.org/10.1007/s11695-016-2503-7

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