Results from the first Kuwait National Bariatric Surgery Report

Abstract

Background Currently, more than 30% of the population in the gulf demonstrate a body mass index (BMI) exceeding 30. This burden of obesity has proven to take a toll on the population; therefore, we created the first Kuwait National Bariatric Surgery Database to report on bariatric surgeries performed in Kuwait. Methods Data was collected from the six public hospitals in Kuwait. This data was then submitted to a merged National Registry. Data web portal were used to upload, merge, and analyze the data. Results The average age for participants was 32.6 years. The average preoperative BMI was 45.9 kg/m2 for males and 43.3 kg/m2 for females. 16.4% of males and 12.3% of females presented with type 2 diabetes, while the most prevalent obesity related disease was a poor functional status in both males and females (90.8% and 90.5%, respectively). Most procedures performed in Kuwait are sleeve gastrectomy. The most encountered in-hospital complication after primary bariatric surgery was bleeding (1.5%), with Roux-en-Y gastric bypass (RYGB) having the highest recorded rate of post-operative complications (3.6% bleeding). The overall rate of operative complications was 2.6%, which was most prevalent post-RYGB (10.3%) and lowest post-sleeve gastrectomy (2.5%). Conclusion The importance of tracking and documenting the journey and change in the rates of obesity and effectiveness of bariatric procedures in individual countries with significantly high obesity rates is imperative to be able to create a plan of action to tackle this worldwide epidemic. This report will be able to provide the population with an accurate accounting that demonstrates further the safety of bariatric/metabolic surgery.

Brazilian national bariatric registry - pilot study

“…8 . In the Kuwait report, 73.6% of the population was female, with an average age of 32.6 years, and an average BMI of 45.9 kg/m 2 for men and 43.4 kg/m 2 for women 21 .…”

“…In some countries, the profile of surgeries performed is different. In Kuwait, most procedures are SG, followed by single anastomosis gastric bypass (OAGB), and only about 1% are RYGB 21 . In Israel, OAGB went from 0.1% in 2014 to 46.1% in 2018, becoming the most performed surgery that year.…”

“…In some countries, the profile of surgeries performed is different. In Kuwait, most procedures are SG, followed by single anastomosis gastric bypass (OAGB), and only about 1% are RYGB 21 .…”

Effectiveness and tolerability of liraglutide for the management of weight regain following sleeve gastrectomy

“…Sleeve gastrectomy (SG) is the most common MBS procedure performed in Kuwait, reflecting global trends 3 . Evidence shows that, on average, patients achieve 30%–45% weight loss with MBS 4 . However, evidence from literature has also demonstrated that a substantial proportion (up to 20%) of patients do not achieve long‐term desirable weight reduction goals or regain weight even after successful MBS procedures 5 .…”

“… 3 Evidence shows that, on average, patients achieve 30%–45% weight loss with MBS. 4 However, evidence from literature has also demonstrated that a substantial proportion (up to 20%) of patients do not achieve long‐term desirable weight reduction goals or regain weight even after successful MBS procedures. 5 In addition to the likelihood of inadequate weight loss or weight regain, MBS has also been associated with the risk of surgical complications and the need for additional surgical procedures.…”