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Keywords: Bariatric Surgery, Gastric sleeve surgery, Obesity, Comorbidity, Advantages, complications, Saudi Arabia, Egypt.
Background: Gastric sleeve surgery (GSS) is one of bariatric surgeries that improve obesity related comorbidities and more efficient than pharmacotherapy or lifestyle interventions. Aim: To estimate the benefits of GSS and the complications in patients among Saudis and Egyptians. Methods: A retrospective study was carried out among patients in Saudi Arabia and Egypt who underwent GSS, through interview with these patients postoperative. The interview questions were about Scio-demographic, advantages &disadvantages of GSS, obesity and comorbidity. Results: The total number of patients who underwent GSS was 426 who completed their data. About 182(42.7%) from KSA and 244(57.3%) from Egypt. Good results were observed in weight loss by 92.3% Vs 78.6%, control of diabetes (57.1% Vs 23.8%), control of lipid profile (62.6% Vs 49.2%), control of heart problem (45.1% Vs 18.9%), increased the fitness (79.1% Vs 43.4%), better social communication (57.1% Vs 73.8%), improve the ability to work (54.9% Vs 32.0%). On the other hand, our patients were suffering from acute & chronic complications due to gastric sleeve surgery such as bleeding by 30.8% Vs 31.9% (which is more predominant) followed by anaemia & Iron deficiency, stomach twisting, reduction in gastric juice, and pulmonary embolism among Saudi Vs Egyptian patients respectively. Weight gain was observed 2 and 3 years after GSS. Conclusion: The degree of satisfaction with GSS was higher in Saudis (67.0%) more than Egyptians (44.3%), and the benefits were more than complications, so, we advise to undergo GSS in obese patient who having more comorbidity due to obesity.
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