Effects of Bariatric Surgery on Hormonal and Joint Co-morbidities in Obese Patients in Al-Madinah Region (Western Saudi Arabia): A tertiary Hospital Experience | ||
| SVU-International Journal of Medical Sciences | ||
| Article 73, Volume 7, Issue 2, July 2024, Pages 832-841 PDF (425.05 K) | ||
| Document Type: Original research articles | ||
| DOI: 10.21608/svuijm.2024.325163.1989 | ||
| Authors | ||
| Asim Mukhideer Almughamsi1; Mohamed Abdelnaem Aly2; Muayad Ahmed Alfarsi1; Ahmed Modawi Alahmari3; Rema Mohammed Alhazmi4; Shaden Mohammed Alhazmi4; Raghad Abdulrazaq Makhdom4; Reema Ahmed Alfadhli4; Lujain abdulaziz Aljohani4; Ghaidaa Salem Elmehallawy4; Salah Mohamed El Sayed* 5; Alfarazdeg Ageed Saad6; Mohamed Ramadan Abdallah7; Momen El-Shazley8; Magdy A. Mohamed9; Yasir Elhassan10; Tarik Mohamed Afifi11; Abdel-Raheem Donkol12 | ||
| 1Department of General surgery, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia. | ||
| 2Department of General surgery, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.& Department of General surgery, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt. | ||
| 3Department of General surgery, King Salman bin Abdulaziz Medical City hospital, Al-Madinah Al-Munawwarah, Saudi Arabia. | ||
| 4MBBS, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia. | ||
| 5Department of Clinical Biochemistry, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia . & Department of Clinical Biochemistry, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt. | ||
| 6Department of Clinical Biochemistry, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia | ||
| 7Division of Pediatric Surgery, Department of General Surgery, Al-Rayyan College of Medicine, Al-Rayyan Medical Colleges, Al-Madinah Al-Munawwarah, Saudi Arabia.& Department of Pediatric Surgery, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt. | ||
| 8Pulmonology Unit, Department of Internal Medicine, King Salman Specialities Hospital, Hail Health Cluster, KSA. | ||
| 9OB/GYN Consultant, Maternity and Children Hospital, Hail Health Cluster, Hail, Saudi Arabia. & Department of Obstetrics and Gynecology, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt | ||
| 10Associate Professor, Medical Education Director & Clinical neuroanatomist, Department of Anatomy, Taibah college of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia | ||
| 11Thoracic Surgery Consultant, Department of Cardiothoracic Surgery, Najran Health Cluster, Ministry of Health, Najran, Saudi Arabia. & Department of Cardiothoracic Surgery, Faculty of Medicine, Sohag University, Sohag, Egypt. | ||
| 12Department of General Surgery, King Fahd Hospital, Al-Madinah Health Cluster, Al-Madinah Al-Munawwarah, Saudi Arabia. & Department of General Surgery, Aswan Faculty of Medicine, Aswan University, Aswan, Egypt. | ||
| Abstract | ||
| Background: As a major global public health concern, obesity is related to a number of hormonal comorbidities as well as a lower quality of life in older children and adults. Weight loss with bariatric surgery has proven to be a successful intervention. Few reports exist on hormonal and osteoarthritis comorbidities in Al-Madinah Region (western Saudi Arabia) before and after bariatric surgery. Objectives: This study aimed at determining the prevalence of hormonal and joint co-morbidities in obese patients before and after bariatric surgery in Al-Madinah region. Patients and methods: In older children (14-16 year) and adults, a retrospective analysis was carried out using data on hormonal co-morbidities prevalence as hypothyroidism, polycystic ovary syndrome and hyperprolactinemia in addition to joint osteoarthritis and quality of life post-bariatric surgery compared to the original conditions. Results: A total of 170 patients were included in this study. Statistically significant differences were observed in the prevalence of hypothyroidism using chi square test (p<0.05) (35 patients, 20.5% of the studied sample significantly decreased after bariatric surgery to 17 patients only, 10.0% of the studied sample) and polycystic ovary (23 individuals 13.5% of the sample under study dramatically dropped to 6 patients only, 3.5%) chi square test (p<0.01). Prevalence of hyperprolactinemia and joint osteoarthritis decreased strongly but not significantly after bariatric surgery. Quality of life improved after bariatric surgery. Conclusion: The prevalence of hormonal and joint co-morbidities declined after bariatric surgery while quality of life improved. This supports the advantages of bariatric surgery and obesity management while considering these comorbidities. | ||
| Keywords | ||
| Bariatric surgery; BMI; Hormonal comorbidity; Obesity; Osteoarthritis, Saudi Arabia | ||
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