Abstract
Introduction:
Morbidity and mortality after bariatric surgery improved worldwide. We aimed to study morbidity and mortality of bariatric surgery in the Middle East.
Methods:
A two-part survey to study morbidity and mortality after bariatric surgery was sent to all 136 members of Pan-Arab Society for Metabolic and Bariatric Surgery (PASMBS).
Results:
Response rate was 63%. The most common operation was sleeve gastrectomy (SG; 56%). In detailed section, 70 patients had morbidity (33/70 leak, 23/70 venous thromboembolism [VTE], and 15/70 complication requiring reoperation) or mortality (14/70). Overall leak, VTE, reoperations and mortality rates were 1.96%, 1.2% 1.5%, and 0.5% (49% of surgeons had 0% mortality). Mortality was likely after complications (46.9% after any complication, 53.8% after reoperation, 42.9% after VTE, and 24.1% after leak). SG was the most common procedure associated with complications (58.6%), but had the lowest associated mortality after any complication (35% vs. 57–60% in other). Regarding experience, 37.3% of surgeons were in practice <5 years, but 55% surgeons with a mortality were in practice <5 years. Complication rates were higher for surgeons who reported at least one mortality and did not participate in registries.
Conclusion:
Registry use is needed in the Middle East. Mortality was higher if patients develop complications.
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