The prevalence of weight regain after sleeve gastrectomy in the middle east

IF 0.8 Q4 SURGERY

Surgery in practice and science Pub Date : 2025-09-01 DOI:10.1016/j.sipas.2025.100306

Raad Dowais , Nour Shatnawe, Sondos Ahmad, Alaa Hayajneh, Amneh Abu-Asbeh, Dania Odat, Batool Jaradat

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Abstract

Background

Sleeve gastrectomy is one of the most commonly performed bariatric procedures worldwide, particularly in the Middle East, where obesity rates are among the highest globally. However, despite being effective for initial weight loss, a significant proportion of patients experiences weight regain after some time. We analyzed the prevalence of weight regain after sleeve gastrectomy in the Middle East and its association with patients' demographic characteristics, preoperative body mass index (BMI), and comorbidities.

Methods

A quantitative cross-sectional study conducted between 2023 and 2024 using an online questionnaire distributed via social media platforms, and through personal networks, targeted adults from Arabic-speaking Middle Eastern countries who had undergone sleeve gastrectomy 12+ months ago. Data collected included sociodemographics, medical conditions, country of residency, highest and lowest weight before and after surgery, current weight, and time required to reach lowest weight after surgery.

Result

Among 225 participants, mean BMI dropped in 1 year from 43.8 to 28.7. Younger patients achieved higher excess weight loss compared to those >45 years old (74.1% vs 61.2 %). the average was 72.9 % at 12 months after the surgery, but declined to 66.6 % as time progressed. While 22.7 % were still losing weight and 31.8 % maintained their weight 12 months postoperatively, weight regain was observed in 45.5 % and was higher in those >45 years old.

Conclusion

Despite favorable short-term outcomes, around half of the patients experienced weight regain within the first year, which was shown to be correlated with older age group, while preoperative BMI and gender showed no significant impact. These findings highlight the multifactorial nature of weight regain and emphasize the need for long-term follow-up. Conducting future studies with a larger population and longer follow up periods is expected to gain more accurate results.

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中东地区袖式胃切除术后体重恢复的发生率

背景袖式胃切除术是世界范围内最常用的减肥手术之一，特别是在全球肥胖率最高的中东地区。然而，尽管对最初的减肥有效，但相当一部分患者在一段时间后体重会反弹。我们分析了中东地区袖胃切除术后体重恢复的发生率及其与患者人口统计学特征、术前体重指数（BMI）和合并症的关系。方法在2023年至2024年期间进行了一项定量横断面研究，通过社交媒体平台和个人网络分发在线问卷，目标是来自阿拉伯语中东国家的12个多月前接受过袖式胃切除术的成年人。收集的数据包括社会人口统计、医疗条件、居住国家、手术前后最高和最低体重、目前体重以及手术后达到最低体重所需的时间。结果225名参与者的平均BMI在一年内从43.8下降到28.7。与45岁的患者相比，年轻患者的体重减轻率更高（74.1%对61.2%）。术后12个月平均为72.9%，但随着时间的推移下降到66.6%。术后12个月，22.7%的患者体重仍在下降，31.8%的患者体重保持不变，45.5%的患者体重恢复，45岁的患者体重恢复的比例更高。结论尽管短期预后良好，但约有一半的患者在一年内体重反弹，这与年龄较大的年龄组有关，而术前BMI和性别无显著影响。这些发现强调了体重恢复的多因素性质，并强调了长期随访的必要性。在未来进行更大的人群和更长的随访期的研究有望获得更准确的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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