Results from the first Kuwait National Bariatric Surgery Report
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RESEARCH ARTICLE
Results from the first Kuwait National Bariatric Surgery Report Salman Al Sabah1,3*† , Eliana Al Haddad2†, Taleb Jumaa1†, Jasim Al Abbad1†, Fareed Salam1†, Mustafa Abbas1†, Mubarak Al Kandari1† and Aws Al Ozairi1†
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. Keywords: Bariatric surgery, National report, Kuwait, Sleeve gastrectomy, Bypass Background As of 2006, the number of overweight and obese people had overtaken the number of people with malnutrition in the world [1, 2]. In Europe alone, the prevalence of obesity has shown a threefold increase in the past 2 decades, with obesity currently affecting 150 million adults, 15 million children and causing 1 million deaths annually [3]. This brings into light the role of bariatric surgery in the management of this ever-growing epidemic. *Correspondence: [email protected] † All authors contributed equally to the production of this manuscript 1 Kuwait University, Kuwait City, Kuwait Full list of author information is available at the end of the article
Currently, all bariatric procedures have proven to be effective in the treatment of morbid obesity, as well as the comorbidities related to it as compared to its counter non-surgical interventions [4, 5]. When looking at numbers around the world, in 2014, the International Federation for the Surgery of Obesity and Metabolic Surgery o
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