Metabolic and respiratory co-morbidities in obese patients before and after bariatric surgery in Al-Madinah Region, (western Saudi Arabia): A tertiary center experience

Abstract

Background: Obesity is a global public health concern associated with numerous comorbidities in adolescent children and in adults. Bariatric surgery has emerged as an effective intervention for weight loss. Limited data exist on the prevalence of metabolic and respiratory comorbidities after bariatric surgery in Western Saudi Arabia. Objective: This study aimed at determining the prevalence of co-morbidities in obese patients after bariatric surgery compared to before it in Al-Madinah region. Patients and methods: A retrospective analysis was conducted on the medical records of obese patients who underwent bariatric surgery in Al-Madinah region. Data was collected and compared on diabetes mellitus, hypertension, hypercholesterolemia and asthma before and after surgery using Chi square. Results: A total of 170 patients were included in this study. Statistically significant differences (p0.05) using Chi square. The impact of bariatric surgery on diabetes mellitus and hypertension according to levels of obesity showed that among cases with a BMI of 40 kg/m2 or higher, there was a higher rate of clinical improvement and a greater likelihood of reducing medication dosages compared to cases with BMI < 40 kg/m2. Conclusion: Bariatric surgery reduced metabolic and respiratory co-morbidities prevalence in western Saudi Arabia.

Keywords

• bariatric surgery bmi comorbidity
• obesity
• western saudi arabia