Abstract
BackgroundCurrently, 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.MethodsData 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.ResultsThe 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%).ConclusionThe 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.
Highlights
More than 30% of the population in the gulf demonstrate a body mass index (BMI) exceeding 30
When looking at numbers around the world, in 2014, the International Federation for the Surgery of Obesity and Metabolic Surgery of Obesity and Metabolic Disorders (IFSO) was able to show that the number of bariatric and metabolic surgeries performed in the Asia–Pacific Chapter was about a 1/3 of those of the other three chapters [6]
The majority of patients were under the age of 35 years and this can be accounted for by the fact that Kuwait has a generally younger population compared to the rest of world
Summary
More than 30% of the population in the gulf demonstrate a body mass index (BMI) exceeding 30. When looking at numbers around the world, in 2014, the International Federation for the Surgery of Obesity and Metabolic Surgery of Obesity and Metabolic Disorders (IFSO) was able to show that the number of bariatric and metabolic surgeries performed in the Asia–Pacific Chapter was about a 1/3 of those of the other three chapters [6]. This number proved to have increased by 2.5-fold between the years 2011–2014 [6, 7]. This increase was especially noted in the Middle Eastern countries due to the increased burden of obesity, diabetes
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