Abstract
BackgroundConservative methods for weight loss are usually disappointing. Therefore, surgeries such as Laparoscopic Sleeve Gastrectomy (LSG) should be considered. We aimed to evaluate the outcomes (body mass index; BMI) of LSG among obesity patients in the Northern West Bank.MethodsHospital records were reviewed for all patients who had undergone LSG since 2010 in Arab specialized hospital in Nablus and Palestinian Red Crescent society hospital in Tulkarem. Then, patients have been invited again to participate in the study and asked to self-report further pre-/post-operative measures. The primary study outcome was the change in BMI while secondary outcomes included obesity associated co-morbidities’ measures; hypertension (HTN) and diabetes mellitus (DM).ResultsThe mean age (standard deviation; SD) of the study participants (n = 30; 20 women and 10 men) was 34.06 (10.71) years. The mean (SD) follow-up time was 7.16 (5.05) months. The mean ± SD of the pre-operative BMI was 47.23 ± 7.89 kg/m2 while 36.74 ± 7.74 kg/m2 post-operatively (95% CI for mean differences and P-value; 8.83-12.14 and 0.001). For the clinically diagnosed hypertensive patients, there was a mean (SD) reduction of 27.50 (9.87) mm Hg in systolic pressure (P < 0.026) and 18.33 (13.66) of the diastolic blood pressure (P < 0.042). For diabetics, there were clinically and biologically clear mean (SD) reductions in fasting blood sugar and glycated hemoglobin A1c of about 82.00 (22.70) mg/dl and 1.90 (0.78) %; respectively. Only practicing sports or exercise (no/yes) remained significant with post-operative BMI (regression coefficient B = −7.33; P-value and 95% CI for B; 0.009 and −12.68- -1.98).ConclusionsLSG can significantly improve BMI and could improve or resolve obesity associated co-morbidities like HTN and DM. LSG could be recommended for co-morbid obesity patients who fail to reach beneficial results from a structured weight loss programs.
Highlights
Conservative methods for weight loss are usually disappointing
In Palestine, a study was conducted in the rural community in Ramallah city among the adults aged 30– 65 years, the results showed that obesity and overweight were about 58.7% in men and 71.3% in women [2]
Of the overall (30 patients), nearly equal percentages of patients were from each hospital (47% from Arab specialized hospital and 53% from Palestinian Red Crescent Society hospital in Tulkarem)
Summary
Conservative methods for weight loss are usually disappointing Surgeries such as Laparoscopic Sleeve Gastrectomy (LSG) should be considered. In the past few decades, the incidence of obesity has raised dramatically in low and middle income countries, in urban setting [1]. This emerges an increase in the incidence of diseases that. In Palestine, a study was conducted in the rural community in Ramallah city among the adults aged 30– 65 years, the results showed that obesity and overweight were about 58.7% in men and 71.3% in women [2]. Another study showed that the prevalence of obesity in urban Palestinian population was 41% (49% and 30% for women and men; respectively) [3]
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