Caspian Journal of Internal Medicine
Babol University of Medical Sciences
Mon, Sep 16, 2024
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Volume 15, Issue 1 (Winter 2024)
Caspian J Intern Med 2024, 15(1): 52-57 |
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Soori M, Mirhashemi S H, Rashnoo F, Faghih G, Ehrahimi F, Zamani A et al . Surgical Complications of Bariatric Surgery among Patients with Rheumatic Diseases. Caspian J Intern Med 2024; 15 (1) :52-57
URL: http://caspjim.com/article-1-3450-en.html
URL: http://caspjim.com/article-1-3450-en.html
Mohsen Soori 
, Seyed Hadi Mirhashemi , Fariborz Rashnoo , Gholamhosein Faghih * , Fatemeh Ehrahimi , Amir Zamani , Azadeh Hakakzadeh
, Seyed Hadi Mirhashemi , Fariborz Rashnoo , Gholamhosein Faghih * , Fatemeh Ehrahimi , Amir Zamani , Azadeh Hakakzadeh
Department of the General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran , ahakakzade@gmail.com
Abstract: (710 Views)
Background: Obesity is one the most prevalent diseases all around the world. Some studies have shown a relationship between obesity and the worsening of rheumatic disorders. Higher rates of surgical complications might also be seen among these patients.
Methods: This retrospective-descriptive study was performed on 25 patients with rheumatic disease referred to Loghman Hakim Hospital (Tehran- Iran) and candidates for bariatric surgery (laparoscopic Roux-en-Y gastric and laparoscopic sleeve gastrectomy) from 2018 to 2020. Duration of hospitalization after surgery and history of post-operation surgical and rheumatic complications were assessed. Patients were followed through 6 months after surgery.
Results: The age (Mean±SD) of recruited patients was (38.4 ±10.0) years. The mean body mass index was 45.54 kg/m2 with the minimum and maximum values of 37.5 kg/m2 and 56.5 kg/m2. Among them, the prevalence of rheumatic disorders was rheumatoid arthritis 32%, psoriasis 28%, gout 16%, lupus erythematosus 8%, and other rheumatologic disorders 16%, respectively. One patient had a surgical complication that was a port site infection. One patient had a relapse of gout and other patients had remission and also, their therapeutic drugs were discontinued or reduced.
Conclusion: Patients with rheumatic disorders revealed no higher surgical complication rate after bariatric surgery, and bariatric surgery helped disease remission among these patients.
Methods: This retrospective-descriptive study was performed on 25 patients with rheumatic disease referred to Loghman Hakim Hospital (Tehran- Iran) and candidates for bariatric surgery (laparoscopic Roux-en-Y gastric and laparoscopic sleeve gastrectomy) from 2018 to 2020. Duration of hospitalization after surgery and history of post-operation surgical and rheumatic complications were assessed. Patients were followed through 6 months after surgery.
Results: The age (Mean±SD) of recruited patients was (38.4 ±10.0) years. The mean body mass index was 45.54 kg/m2 with the minimum and maximum values of 37.5 kg/m2 and 56.5 kg/m2. Among them, the prevalence of rheumatic disorders was rheumatoid arthritis 32%, psoriasis 28%, gout 16%, lupus erythematosus 8%, and other rheumatologic disorders 16%, respectively. One patient had a surgical complication that was a port site infection. One patient had a relapse of gout and other patients had remission and also, their therapeutic drugs were discontinued or reduced.
Conclusion: Patients with rheumatic disorders revealed no higher surgical complication rate after bariatric surgery, and bariatric surgery helped disease remission among these patients.
Type of Study: Original Article |
Subject:
Surgery
Received: 2022/04/18 | Accepted: 2022/11/5 | Published: 2024/01/19
Received: 2022/04/18 | Accepted: 2022/11/5 | Published: 2024/01/19
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