Objectives Weight loss is a key component in the management of type 2 diabetes mellitus (T2DM). This outcome can be potentially achieved by laparoscopic sleeve gastrectomy (LSG). This study aims to determine the efficacy of LSG in reducing weight and to evaluate its impact on controlling T2DM by measuring HbA1c and body mass index (BMI) preoperatively and during the first year following the procedure. Methods This retrospective study was carried out on 340 patients aged ≥15 years who had T2DM and a BMI of ≥ 35 kg/m 2 . These patients had LSG at King Fahad Hospital Almadinah Almunawwarah KSA between January 2015 and July 2019. Their HbA1c and BMI were measured preoperatively and then postoperatively at less than one month, 1–3, 4–6, 7–9, and 10–12 months as well as after one year. Results Average BMI dropped consistently from a preoperative BMI of 49.27 kg/m 2 to 32.72 kg/m 2 at 10–12 months following LSG. A reduction in HbA1c from 8.38% to 6.43% was observed over one year ( p = 0.0001). Seventy-five percent of the patients achieved the HbA1c target of 6.5% or less within one year. The remaining 25% of the patients showed improvement in their HbA1c but did not reach the target level. Conclusion This study endorses a positive impact of LSG on both weight loss and diabetic status. There was a significant reduction of both BMI (up to the first year) and HbA1c levels postoperatively.
Background: Gallstone disease is common, and it is asymptomatic, patients may need an operative. Laparoscopic cholecystectomy becomes the choice for symptomatic gallstone disease intervention; open surgery was replaced by Laparoscopic cholecystectomy in the cholecystolithiasis treatment, open surgery has different complications. Laparoscopic cholecystectomy has several advantages over open surgery, but it has several complications also. Aim: To investigate the prevalence and risk factors of postoperative complications of open and lab cholecystectomy in AL-Madinahcitizen. Method: This retrospective cross-section study included 205 patients from king Fahad hospital in Al-Madinah AL-Munwwarah. A questionnaire was conducted on the participant by interview to investigate different variables.Results: The percent of a female was 73.7%, and percent of a male was 26.3%, the bleeding complication represented 19.5%, infection was 3.9%, biliary leakage was 3.9%, and wound infection was 1.5%. The mean duration of recovery was 3.56 days while the mean duration for returning back to work was 12.37 days. Lap operation had less duration for recovery than an open operation. Conclusion: Bleeding was the most common complication among patients, lap group patients experienced complications less than the open group. Male gender, age, obesity, the emergency of operation, diabetes mellitus, hypertension, thyroid and heart disease were not risked factors for complications.
Background: Obesity is established worldwide health problem. One of the methods to manage it is bariatric surgery. Our study aim is to determine the complications of bariatric surgery at Medina, KFH from surgical overview and compare the results with other studies. Objectives: To identify the most common health needs indicating bariatric surgery and the health impact of these procedures on them. And to determine the types of intra and postoperative complications can occur due to bariatric surgery. Methodology: This is an analytical retrospective study of the patients who underwent bariatric surgery in KFH, Medina, K.S.A, from 2010-2017. Data was gained from the hospital medical records between 8th – 16th April 2018. It had been typed into an excel 2010 program, and statistical analysis done by statistical package for the social sciences (SPSS v.21) for windows. Results: 154 patients underwent bariatric surgery in KFH, 78.6% of them are female and 21.4% are male. The mean BMI is 49.69 ± 9.386. 29.9% of them are previously diagnosed with chronic illnesses HTN 38.7%, DM 30.1%, IHD 2,2%, and others 29.0%. Regarding the type of operation gastric sleeve done approximately 96.1%, adjustable gastric banding approximately 3.3%, Roux en Y gastric bypass approximately 0.7%. With 0.0% intraoperative complication and 3.8% postoperative complications. Conclusion:In KFH Medina, bariatric surgery had a good effect on gynecological conditions. No mortalities or intraoperative complications. We recommend more studies to study the effect of bariatric surgery on DM and HTN in Medina in a longer period.
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