Bariatric surgeries: Outcome throughout an annum at a specialist center in Malaysia

Bariatric surgeries: Outcome throughout an annum at a specialist center in Malaysia

Malaysia has the highest number of obese and overweight individuals in South-east Asia. The 2019 National Health & Morbidity survey found 50.1% of Malaysians to be overweight or obese with 30.4% being overweight and 19.7% being obese. This has led to the high rise of the bariatric surgeries dema...

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Bibliographic Details
Published in:PloS one Vol. 18; no. 5; p. e0285196
Main Authors: Taher, Mustafa Mohammed, Abdalqader, Mohammed A, Jahanath, Subhashini, Paramasivam, Prrasana, Gendeh, Hardip Singh
Format: Journal Article
Language:English
Published: United States Public Library of Science 09-05-2023
Subjects:
Adult
Antihypertensives
Apnea
Bariatric Surgery
Biology and Life Sciences
Blood Glucose
Blood pressure
Body mass
Body mass index
Body size
Body weight
Cardiovascular disease
Care and treatment
Diabetes
Fasting
Gastric bypass
Gastrointestinal surgery
Health care facilities
Humans
Hypertension
Malaysia - epidemiology
Male
Medicine and Health Sciences
Middle Aged
Morbidity
Obesity
Obesity - surgery
Overweight
Parameters
Patient outcomes
Patients
Remission (Medicine)
Sleep
Sleep apnea
Sleep Apnea, Obstructive - epidemiology
Sleep Apnea, Obstructive - surgery
Sleep disorders
Sleeves
Sugar
Surgeons
Surgery
Weight control
Weight reduction
Malaysia
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Summary:Malaysia has the highest number of obese and overweight individuals in South-east Asia. The 2019 National Health & Morbidity survey found 50.1% of Malaysians to be overweight or obese with 30.4% being overweight and 19.7% being obese. This has led to the high rise of the bariatric surgeries demand and needs within the nation. To assess the level of fasting blood sugar (FBS), systolic, diastolic blood pressure, stop BANG score for obstructive sleep apnoea (OSA) and BMI (Body Mass Index) for the patients before and after bariatric surgeries (sleeve/gastric bypass) for a one year follow up period. The study was conducted among 1000 patients who underwent a single weight reduction surgery (sleeve/gastric bypass) by a single surgeon at the Cengild Medical Centre between January 2019 to January 2020. They were followed up for a one-year period through recording the parameters of fasting blood sugar (FBS), systolic, diastolic blood pressure, stop BANG score for obstructive sleep apnoea (OSA) and BMI (Body Mass Index). Study was conducted using universal sampling including all subjects visited the centre and a written consent was obtained from each participant. Descriptive statistics with mean was used and paired t-test was used for comparison and test the difference. The STOP-BANG acronym stands for: Snoring history, Tired during the day, Observed stop breathing while sleep, High blood pressure, BMI more than 35 kg/m2, Age more than 50 years, Neck circumference more than 40 cm and male Gender. The mean age of patients was 38 years old. Mean FBS for the patients one month before the operation was 10.42 mmol/L and 5.84 three months post procedure. The systolic blood pressure one month before the operation and 3 months after was 139.81 mmHg and 123.79 mmHg, while diastolic blood pressure was 86.84 mmHg and 81.07 mmHg respectively. BMI was reduced from 39.69 to 27.99 after one year from the weight reduction operation. All the above parameters showed a significant reduction between one-month pre operation as compared to 3 months and 12 months post operation and that improved the health parameters of the patients significantly. The weight reduction operations showed a significant reduction in the FBS, blood pressure, OSA scores and BMI at 3, 12 months after the operation These patients had better overall health after the significant reduction in these parameters.
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Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0285196