Association between preoperative hemoglobin and weight loss after bariatric surgery: a retrospective study at King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia

ABSTRACT BACKGROUND: Data are lacking on trends in bariatric surgery and the frequency of incidental findings in Saudi Arabia. OBJECTIVE: Report on trends in bariatric surgery as well as our experience in incidental findings along with a literature review (mainly on gastrointestinal stromal tumor). DESIGN: Retrospective chart and literature review. SETTINGS: Academic tertiary care center. PATIENTS AND METHODS: We conducted a retrospective study at King Khalid University Hospital and analyzed the data collected from 2009 to 2019. We collected data on age, body mass index (BMI), H pylori infection, type of bariatric surgery performed, and type and location of incidental findings. MAIN OUTCOME MEASURES: Incidental findings during or after bariatric surgery (in pathology specimen). SAMPLE SIZE: 3052 bariatric surgeries, 46 patients with incidentalomas. RESULTS: The mean and standard deviation for the age of the 46 patients with incidentalomas was 42.1 (13.9) years and the mean (SD) preoperative BMI was 43.4 (6.4) kg/m 2 . Of 3052 bariatric surgeries performed, the most common type was sleeve gastrectomy (93.9%), followed by gastric bypass surgery (4.58%) and gastric banding (1.47%). The total frequency of incidentalomas was 1.5%; 10.8% of patients had gastrointestinal stromal tumors (GIST), with the stomach being the commonest site for incidental findings. Eighty percent of the patients with GIST were positive for H pylori ( P =.01 vs negative patients). CONCLUSION: The number of incidentalomas and other findings were consistent with other reports. All these findings suggest that bariatric surgeons should take special care before, during, and after a laparoscopic operation in obese patients. LIMITATIONS: Since this is a single-center, retrospective study, we did not collect data on important variables such as gender, socioeconomic status of the patient, and family history of obesity, and we did not perform a preoperative esophagogastroduodenoscopy. CONFLICT OF INTEREST: None.

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Pulmonary and meningeal tuberculosis patterns in children at King Abdul-Aziz university hospital in Jeddah, Saudi Arabia: A retrospective study

Global Journal of Infectious Diseases and Clinical Research ◽

10.17352/2455-5363.000032 ◽

2020 ◽

Vol 6 (1) ◽

pp. 031-036

Author(s):

Fida Nadia M ◽

Farouq Mohammed ◽

Daghistani Razan ◽

Alnajar Abeer ◽

Alamawi Duha

Keyword(s):

Saudi Arabia ◽

Retrospective Study ◽

University Hospital ◽

Meningeal Tuberculosis

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Common Bacterial Isolates Associated With Neonatal Sepsis and Their Antimicrobial Profile: A Retrospective Study at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Cureus ◽

10.7759/cureus.21107 ◽

2022 ◽

Author(s):

Azzah S Alharbi

Keyword(s):

Saudi Arabia ◽

Retrospective Study ◽

Neonatal Sepsis ◽

University Hospital ◽

Bacterial Isolates ◽

King Abdulaziz University

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Adequacy of the Endometrial Samples Obtained by the Uterine Explora Device and Conventional Dilatation and Curettage: A Comparative Study

International Journal of Reproductive Medicine ◽

10.1155/2014/578193 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Maria Abdulrahim Arafah ◽

Ammar Cherkess Al-Rikabi ◽

Rakia Aljasser ◽

Yaser Adi

Keyword(s):

Saudi Arabia ◽

Retrospective Study ◽

Comparative Study ◽

Outpatient Clinic ◽

Diagnostic Yield ◽

Age Groups ◽

University Hospital ◽

Dilatation And Curettage ◽

Clinical Indications ◽

The Difference

Aims. Our aim is to compare the adequacy and diagnostic yield of samples obtained by the endometrial Explora Sampler I-MX120 with endometrial specimens obtained by conventional dilatation and curettage (D&C).Methods. A total of 1270 endometrial samples were received in the histopathology laboratories at the King Khalid University Hospital, Riyadh, Saudi Arabia, between 2007 and 2010. In the outpatient clinic, the Uterine Explora Model I was used to obtain 996 samples. The remaining 274 samples were obtained by conventional D&C. Sample adequacy and the clustering of inadequate specimens according to age groups by the two different techniques were compared and statistically analyzed.Results. Out of 1270 endometrial samples, 253 (19.9%) were inadequate. The Uterine Explora was used in 88.5% of these inadequate samples (253 samples), and the remaining 11.5% were obtained by D&C. The insufficient tissue incidence was higher with the Explora (17.6%) than with the D&C (2.2%) and the difference was statistically significant(P<0.0001). The ages of the patients, as well as the clinical indications for the procedures, were recorded.Conclusion. This retrospective study demonstrated better specimen adequacy when D&C was used compared to the higher rate of sample insufficiency obtained with the Explora.

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IDIOPATHIC INTRACRANIAL HYPERTENSION IN UNIVERSITY HOSPITAL IN SAUDI ARABIA, RETROSPECTIVE STUDY

International Journal of Advanced Research ◽

10.21474/ijar01/13264 ◽

2021 ◽

Vol 9 (08) ◽

pp. 300-305

Author(s):

Faisal Al-Abass ◽

◽

Kawther Hadhiah ◽

Abdullah Al-Fajri ◽

Hanan AlHabib. ◽

...

Keyword(s):

Saudi Arabia ◽

Retrospective Study ◽

Intracranial Hypertension ◽

Idiopathic Intracranial Hypertension ◽

University Hospital ◽

Hormonal Contraceptives ◽

Common Symptom ◽

Blurred Vision ◽

High Index Of Suspicion ◽

The University

Background: Idiopathic intracranial hypertension (IIH) is one of headache syndromes that is female predominate and associated with increase intracranial pressure without obvious etiology, it has variable clinical presentation, and it needs high index of suspicion to reach diagnosis even with presence of well-established diagnostic criteria. Visual symptoms, which range from visual obscuration to blindness significantly,affect the outcome of this disease. Unfortunately, there is limited literature about IHH in Middle East and in Saudi Arabia in particular. In this retrospective study, we try to shed the light on pseudo-tumor cerebri in university hospital in Saudi Arabia. Methodology: This is a retrospective study conducted among 105 patients with IIH admitted to the university hospital in Saudi Arabia. Data on age, gender, as well as about symptoms, obesity, medication and surgeries, and CT/MRI results was collected. Results: The mean age of patients was 37.72 years old with standard deviation of 13.48 where 96.2 % of patients were females. Headache is the more common symptom presented by 96.2 % of patients followed with blurred vision and papilledema (85.7 %) and over weight (77.1 %). Considering medications taken by patients because of IIH, we found that main medications was Diamox which prescribed to 96.2 % with mean dose of 942.3 mg. Regarding surgical intervention, 4.8 % had a surgery of VP-shunt and 1.9 % had optic nerve fenestration Conclusion: We concluded that IIH incidence is higher among young women with higher body weight and associated with the use of hormonal contraceptives. The main symptoms of IIH are headache with papilledema and visual disturbances. Acetazolamide is the most common prescribed medication for IIH patients while 6.6 % of patients need surgical procedures.

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A Clinical and Pathological Study of Kikuchi–Fujimoto Disease in A University Hospital in Saudi Arabia

Journal of King Abdulaziz University-Medical Sciences ◽

10.4197/med.25-1.4 ◽

2018 ◽

Vol 25 (1) ◽

pp. 23-29

Author(s):

Fahad A. Alghamdi ◽

Mohammed S. Abdelwahed ◽

Abdulaziz Alghamdi ◽

Hani z. Marzouki ◽

Ghadeer A. Mokhtar ◽

...

Keyword(s):

Saudi Arabia ◽

Retrospective Study ◽

Histopathological Examination ◽

Complete Recovery ◽

Benign Disease ◽

University Hospital ◽

Pathological Features ◽

Pathological Study ◽

King Abdulaziz University ◽

Clinical And Pathological Features

Kikuchi–Fujimoto disease is a benign disease of self-limiting course characterized by lymphadenopathy that is often mistaken clinically as lymphoma or infectious lymphadenitis. To prevent such a mistake, a clinical and pathological correlation is recommended. In this retrospective study, we are documenting the clinical and pathological features of this disease through the last 15 years (2001-2016) in King Abdulaziz University Hospital; and comparing results with that of international findings. From a total number of 1805 lymph nodes sent for histopathological examination during that period, only 9 cases had been diagnosed as Kikuchi–Fujimoto disease. Three (33%) cases were 20 years old and under; five (56%) cases were in the ages between 20 to 40 years old and only one (11%) was above 40 years old. Eight (89%) cases were females. Regarding the outcome, all cases showed complete recovery and there was no recurrence. Only two histological phases were seen, namely proliferative and necrotizing phases.

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Preoperative Hemoglobin A1c Predicts Postoperative Weight Loss following Bariatric Surgery in Patients with Diabetes

Diabetes ◽

10.2337/db18-2045-p ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 2045-P ◽

Cited By ~ 1

Author(s):

CAMILA B. ORTEGA ◽

HUI-JIE LEE ◽

DANA PORTENIER ◽

ALFREDO D. GUERRON ◽

JENNY TONG

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Hemoglobin A1c ◽

Postoperative Weight Loss ◽

Preoperative Hemoglobin ◽

Patients With Diabetes

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

Journal of Clinical Medicine ◽

10.3390/jcm10214922 ◽

2021 ◽

Vol 10 (21) ◽

pp. 4922

Author(s):

Assim A. Alfadda ◽

Mohammed Y. Al-Naami ◽

Afshan Masood ◽

Ruba Elawad ◽

Arthur Isnani ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Saudi Arabia ◽

Weight Regain ◽

Severe Obesity ◽

Successful Outcome ◽

Post Surgery ◽

Weight Outcomes

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 (p < 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.

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Weight Loss Failure after Sleeve Gastrectomy and its Management

QJM ◽

10.1093/qjmed/hcab097.028 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Alaa Abbas Sabry Moustafiz ◽

Mohamed Abd Elmoniem Marzouk ◽

Basem Helmy El Shayeb ◽

Karim Al Amir Mohamed Tawfik

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Sleeve Gastrectomy ◽

Laparoscopic Sleeve Gastrectomy ◽

Revisional Surgery ◽

University Hospital ◽

Controlled Study ◽

Excess Body Weight ◽

Morbidly Obese ◽

Weight Loss Failure

Abstract Background Obesity has become an increasingly important global health problem. Laparoscopic sleeve gastrectomy is the most widely performed bariatric surgery. Aim of the Work To evaluate patients who failed to lose weight or regained weight after perfonning sleeve gastrectomy and how to manage them. Patients and Methods This study has been conducted at Ain Shams university hospital (Al Demerdash hospital) Ain Shams University. This is a prospective randomized controlled study (RCT) where 30 patients (20 females and 10 males) attended the outpatient clinic of the bariatric surgery unit complaining of failure of sleeve gastrectomy defined as: (failure to lose 500 0 of excess body weight or regain up to 200 0 of lost excess weight within one year or more from sleeve gastrectomy). Results All three operations have promising outcomes regarding weight loss and comorbidities resolution like diabetes mellitus and hypertension in morbidly obese patients. When compared to RE-LSG, SADI and OAGB have better results regarding weight loss. Conclusion Weight loss failure and revisional surgery remain primary long term concern after laparoscopic sleeve gastrectomy. There are currently no guidelines or systemic reviews directing the standered of practice tör revisional surgery in patients with failed primary sleeve gastrectomy.

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