Long-Term Weight Outcomes after Bariatric Surgery: A Single Center Saudi Arabian Cohort Experience

Background: Obesity is considered a global chronic disease requiring weight management through lifestyle modification, pharmacotherapy, or weight loss surgery. The dramatic increase in patients with severe obesity in Saudi Arabia is paralleled with those undergoing bariatric surgery. Although known...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Assim A. Alfadda, Mohammed Y. Al-Naami, Afshan Masood, Ruba Elawad, Arthur Isnani, Shaik Shaffi Ahamed, Nora A. Alfadda
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	weight regain bariatric surgery obesity long-term follow-up weight loss Medicine R
Acceso en línea:	https://doaj.org/article/f128844b00694b5d82e2ea0d8f7041f0
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f128844b00694b5d82e2ea0d8f7041f0
record_format	dspace
spelling	oai:doaj.org-article:f128844b00694b5d82e2ea0d8f7041f02021-11-11T17:33:42ZLong-Term Weight Outcomes after Bariatric Surgery: A Single Center Saudi Arabian Cohort Experience10.3390/jcm102149222077-0383https://doaj.org/article/f128844b00694b5d82e2ea0d8f7041f02021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4922https://doaj.org/toc/2077-0383Background: Obesity is considered a global chronic disease requiring weight management through lifestyle modification, pharmacotherapy, or weight loss surgery. The dramatic increase in patients with severe obesity in Saudi Arabia is paralleled with those undergoing bariatric surgery. Although known to be beneficial in the short term, the long-term impacts of surgery within this group and the sustainability of weight loss after surgery remains unclear. Objectives: We aimed to assess the long-term weight outcomes after bariatric surgery. Setting: The study was conducted at King Khalid University Hospital (KKUH), King Saud University Medical City (KSUMC) in Riyadh, Saudi Arabia. Methods: An observational prospective cohort study on adult patients with severe obesity undergoing bariatric surgery (sleeve gastrectomy (SG) or Roux-en Y gastric bypass (RYGB)) during the period between 2009 and 2015 was conducted. Weight loss patterns were evaluated pre- and post-surgery through clinical and anthropometric assessments. Absolute weight loss was determined, and outcome variables: percent excess weight loss (%EWL), percent total weight loss (%TWL), and percent weight regain (%WR), were calculated. Statistical analysis using univariate and multivariate general linear modelling was carried out. Results: A total of 91 (46 males and 45 females) patients were included in the study, with the majority belonging to the SG group. Significant weight reductions were observed at 1 and 3 years of follow-up (<i>p</i> < 0.001) from baseline. The %EWL and %TWL were at their maximum at 3 years (72.4% and 75.8%) and were comparable between the SG and RYGB. Decrements in %EWL and %TWL and increases in %WR were seen from 3 years onwards from bariatric surgery until the study period ended. The yearly follow-up attrition rate was 20.8% at 1 year post-surgery, 26.4% at year 2, 31.8% at year 3, 47.3% at year 4, 62.6% at year 5, and 79.1% at end of study period (at year 6). Conclusion: The major challenge to the successful outcome of bariatric surgery is in maintaining weight loss in the long-term and minimizing weight regain. Factors such as the type of surgery and gender need to be considered before and after surgery, with an emphasis on the need for long-term follow-up to enssure the optimal benefits from this intervention.Assim A. AlfaddaMohammed Y. Al-NaamiAfshan MasoodRuba ElawadArthur IsnaniShaik Shaffi AhamedNora A. AlfaddaMDPI AGarticleweight regainbariatric surgeryobesitylong-term follow-upweight lossMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4922, p 4922 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	weight regain bariatric surgery obesity long-term follow-up weight loss Medicine R
spellingShingle	weight regain bariatric surgery obesity long-term follow-up weight loss Medicine R Assim A. Alfadda Mohammed Y. Al-Naami Afshan Masood Ruba Elawad Arthur Isnani Shaik Shaffi Ahamed Nora A. Alfadda Long-Term Weight Outcomes after Bariatric Surgery: A Single Center Saudi Arabian Cohort Experience
description	Background: Obesity is considered a global chronic disease requiring weight management through lifestyle modification, pharmacotherapy, or weight loss surgery. The dramatic increase in patients with severe obesity in Saudi Arabia is paralleled with those undergoing bariatric surgery. Although known to be beneficial in the short term, the long-term impacts of surgery within this group and the sustainability of weight loss after surgery remains unclear. Objectives: We aimed to assess the long-term weight outcomes after bariatric surgery. Setting: The study was conducted at King Khalid University Hospital (KKUH), King Saud University Medical City (KSUMC) in Riyadh, Saudi Arabia. Methods: An observational prospective cohort study on adult patients with severe obesity undergoing bariatric surgery (sleeve gastrectomy (SG) or Roux-en Y gastric bypass (RYGB)) during the period between 2009 and 2015 was conducted. Weight loss patterns were evaluated pre- and post-surgery through clinical and anthropometric assessments. Absolute weight loss was determined, and outcome variables: percent excess weight loss (%EWL), percent total weight loss (%TWL), and percent weight regain (%WR), were calculated. Statistical analysis using univariate and multivariate general linear modelling was carried out. Results: A total of 91 (46 males and 45 females) patients were included in the study, with the majority belonging to the SG group. Significant weight reductions were observed at 1 and 3 years of follow-up (<i>p</i> < 0.001) from baseline. The %EWL and %TWL were at their maximum at 3 years (72.4% and 75.8%) and were comparable between the SG and RYGB. Decrements in %EWL and %TWL and increases in %WR were seen from 3 years onwards from bariatric surgery until the study period ended. The yearly follow-up attrition rate was 20.8% at 1 year post-surgery, 26.4% at year 2, 31.8% at year 3, 47.3% at year 4, 62.6% at year 5, and 79.1% at end of study period (at year 6). Conclusion: The major challenge to the successful outcome of bariatric surgery is in maintaining weight loss in the long-term and minimizing weight regain. Factors such as the type of surgery and gender need to be considered before and after surgery, with an emphasis on the need for long-term follow-up to enssure the optimal benefits from this intervention.
format	article
author	Assim A. Alfadda Mohammed Y. Al-Naami Afshan Masood Ruba Elawad Arthur Isnani Shaik Shaffi Ahamed Nora A. Alfadda
author_facet	Assim A. Alfadda Mohammed Y. Al-Naami Afshan Masood Ruba Elawad Arthur Isnani Shaik Shaffi Ahamed Nora A. Alfadda
author_sort	Assim A. Alfadda
title	Long-Term Weight Outcomes after Bariatric Surgery: A Single Center Saudi Arabian Cohort Experience
title_short	Long-Term Weight Outcomes after Bariatric Surgery: A Single Center Saudi Arabian Cohort Experience
title_full	Long-Term Weight Outcomes after Bariatric Surgery: A Single Center Saudi Arabian Cohort Experience
title_fullStr	Long-Term Weight Outcomes after Bariatric Surgery: A Single Center Saudi Arabian Cohort Experience
title_full_unstemmed	Long-Term Weight Outcomes after Bariatric Surgery: A Single Center Saudi Arabian Cohort Experience
title_sort	long-term weight outcomes after bariatric surgery: a single center saudi arabian cohort experience
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f128844b00694b5d82e2ea0d8f7041f0
work_keys_str_mv	AT assimaalfadda longtermweightoutcomesafterbariatricsurgeryasinglecentersaudiarabiancohortexperience AT mohammedyalnaami longtermweightoutcomesafterbariatricsurgeryasinglecentersaudiarabiancohortexperience AT afshanmasood longtermweightoutcomesafterbariatricsurgeryasinglecentersaudiarabiancohortexperience AT rubaelawad longtermweightoutcomesafterbariatricsurgeryasinglecentersaudiarabiancohortexperience AT arthurisnani longtermweightoutcomesafterbariatricsurgeryasinglecentersaudiarabiancohortexperience AT shaikshaffiahamed longtermweightoutcomesafterbariatricsurgeryasinglecentersaudiarabiancohortexperience AT noraaalfadda longtermweightoutcomesafterbariatricsurgeryasinglecentersaudiarabiancohortexperience
_version_	1718432094941609984

Long-Term Weight Outcomes after Bariatric Surgery: A Single Center Saudi Arabian Cohort Experience

Ejemplares similares