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Article ; Online: Semaglutide and Tirzepatide for the Management of Weight Recurrence After Sleeve Gastrectomy: A Retrospective Cohort Study.

Jamal, Mohammad / Alhashemi, Mohsen / Dsouza, Carol / Al-Hassani, Sara / Qasem, Wafa / Almazeedi, Sulaiman / Al-Sabah, Salman

Obesity surgery

2024 Volume 34, Issue 4, Page(s) 1324–1332

Abstract: Background: Metabolic and bariatric surgery (MBS) is the most effective treatment for obesity and improvement of obesity-associated comorbidities. However, a proportion of these patients may suffer from weight recurrence and recurrence of obesity- ... ...

Abstract	Background: Metabolic and bariatric surgery (MBS) is the most effective treatment for obesity and improvement of obesity-associated comorbidities. However, a proportion of these patients may suffer from weight recurrence and recurrence of obesity-associated comorbidities. Method: A retrospective cohort study of patients who underwent SG between January 2008 and August 2022 and sought treatment for weight recurrence with semaglutide or tirzepetide from January 2022 onwards. Result: A total of 115 patients were included, of which 70 had SG and treated for weight recurrence with semaglutide and 45 had SG and treated with tirzepatide. The mean age of patients was 38.8 (10.4) and 80.9% of patients were female. The mean pre-treatment weight and BMI was 94.0 (23.8) kg and 35.1 (6.0) kg/m Conclusion: Short-term outcomes show that semaglutide and tirzepatide can be an effective treatment for managing weight recurrence after SG. Studies with longer follow-up are needed to determine the durability, as weight regain after discontinuation of the medication is highly likely, and the high cost of these medications can limit their use.
MeSH term(s)	Humans ; Female ; Male ; Obesity, Morbid/surgery ; Retrospective Studies ; Obesity/surgery ; Treatment Outcome ; Gastrectomy/adverse effects ; Weight Loss ; Glucagon-Like Peptide-2 Receptor ; Glucagon-Like Peptides ; Gastric Inhibitory Polypeptide
Chemical Substances	tirzepatide (OYN3CCI6QE) ; semaglutide (53AXN4NNHX) ; Glucagon-Like Peptide-2 Receptor ; Glucagon-Like Peptides (62340-29-8) ; Gastric Inhibitory Polypeptide (59392-49-3)
Language	English
Publishing date	2024-03-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-024-07137-0
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Zs.A 3381: Show issues

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Article ; Online: Outcome of Colorectal Robotic Surgery in Newly Established Robotic Surgery Center: A Case Series.

Alkhamis, Ahmed A / Soliman, Diaa M / Alsadder, Khaled A / Busalha, Hashem M / Alrashed, Ahmad S / Alshaban, Bader H / Alsafran, Salman K / Almazeedi, Sulaiman M

Medical principles and practice : international journal of the Kuwait University, Health Science Centre

2024

Abstract: Introduction: The robotic platform compared to laparoscopy has proven to have similar postoperative outcomes, however its adoption in the Middle East has been slow and there is limited data regarding outcomes with its use in small newly established ... ...

Abstract	Introduction: The robotic platform compared to laparoscopy has proven to have similar postoperative outcomes, however its adoption in the Middle East has been slow and there is limited data regarding outcomes with its use in small newly established robotic colorectal programs. Our aim was to report our experience and outcomes of robotic colorectal surgery performed by fellowship-trained robotic colorectal surgeons and compare them to larger, more experienced centers. Methods: This is retrospective review of data collected between November 2021 and March 2023 from a tertiary health care referral center. The series included 51 patients who had elective or urgent robotic colorectal surgery. Patients who had emergency surgery were excluded. The outcomes were overall morbidity, serious morbidity, mortality, conversion to open, length of hospital stay, and quality of oncological specimen. Results: The overall morbidity was 31.4% (n = 16 patients). Only 9.8% (n = 5) had serious morbidity of which three required interventions under general anesthesia. The median length of hospital stay was 6 days (IQR = 4), and there was no mortality. Of 17 rectal cancer resections, 88% had complete mesorectal excision, 15 of them were R0 resections, median lymph node harvested was 14 (IQR = 7) and two cases were converted to open. All the colon cancer resections had R0 resection, median lymph nodes harvested was 21 (IQR = 4) and none were converted to open. Conclusions: The implementation and integration of robotic colorectal surgery at a newly established center in a small country, when led by fellowship trained robotic colorectal surgeons, is safe and effective in terms of morbidity, mortality, conversion to open and specimen pathological quality.
Language	English
Publishing date	2024-04-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	645108-1
ISSN	1423-0151 ; 1011-7571
ISSN (online)	1423-0151
ISSN	1011-7571
DOI	10.1159/000538635
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Zs.A 2486: Show issues

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Article ; Online: Outcomes in robotic-assisted compared to laparoscopic-assisted colorectal surgery in a newly established colorectal tertiary center: a retrospective comparative cohort study.

Alkhamis, Ahmed / Soliman, Diaa / Alkandari, Omar / Alrashed, Ahmad / Alansari, Mohammad / Alsadder, Khaled / Chamkha, Zeinab / Souza, Dante / AlShaban, Bader / Alsafran, Salman / Almazeedi, Sulaiman

Journal of robotic surgery

2024 Volume 18, Issue 1, Page(s) 152

Abstract: The robotic platform matches or surpasses laparoscopic surgery in postoperative results. However, limited date and slow adoption are noticed in the middle east. We aimed to report outcomes of robotic and laparoscopic colorectal surgery performed by ... ...

Abstract	The robotic platform matches or surpasses laparoscopic surgery in postoperative results. However, limited date and slow adoption are noticed in the middle east. We aimed to report outcomes of robotic and laparoscopic colorectal surgery performed by fellowship-trained robotic colorectal surgeons and compare it to larger more experienced centers. Retrospective review of prospectively collected data between 2021 and 2023 of 107 patients who had robotic-assisted or laparoscopic-assisted colorectal surgery was included in the study. The outcomes were overall morbidity, serious morbidity, mortality, conversion to open, length of hospital stay, and the quality of oncological specimen. Of 107 patients, 57 were in the robotic and 50 were in the laparoscopic surgery groups. Overall, there were no significant differences in overall morbidity (46.8 vs. 53.2%, p = 0.9), serious morbidity (10.5 vs. 8%, p = 0.7), or mortality (0 vs. 4%, p = 0.2). Regarding oncological outcomes, there were no significant difference between the two groups regarding the number of lymph node harvested (17.7 ± 6.9 vs 19.0 ± 9.7, p = 0.5), R0 resections (92.7 vs. 87.1%, p = 0.5), and the rate of complete mesorectal excision (92.7 vs. 71.4%, p = 0.19). The study found that the robotic group had an 86% reduction in conversion rate to open surgery compared to the laparoscopic group, despite including more obese and physically dependent patients (OR = 0.14, 95% CI 0.03-0.7, p = 0.01). Robotic surgery appears to be a safe and effective as laparoscopic surgery in smaller colorectal surgery programs led by fellowship-trained robotic surgeons, with outcomes comparable to those of larger programs.
MeSH term(s)	Humans ; Robotic Surgical Procedures/methods ; Retrospective Studies ; Cohort Studies ; Colorectal Surgery ; Laparoscopy ; Colorectal Neoplasms/surgery
Language	English
Publishing date	2024-04-02
Publishing country	England
Document type	Journal Article
ZDB-ID	2268283-1
ISSN	1863-2491 ; 1863-2483
ISSN (online)	1863-2491
ISSN	1863-2483
DOI	10.1007/s11701-024-01908-8
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: GASTROGASTRIC FISTULA AFTER ROUX-EN-Y GASTRIC BYPASS: A CASE REPORT AND REVIEW OF LITERATURE.

Alyaqout, Khaled / Almazeedi, Sulaiman / Alhaddad, Mohanned / Efthimiou, Evangelos / Loureiro, Marcelo de Paula

Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

2020 Volume 33, Issue 2, Page(s) e1509

MeSH term(s)	Abdominal Pain/etiology ; Adult ; Anastomosis, Roux-en-Y/adverse effects ; Female ; Gastric Bypass/adverse effects ; Gastric Fistula/diagnostic imaging ; Gastric Fistula/surgery ; Gastroscopy/methods ; Humans ; Laparoscopy/methods ; Obesity, Morbid/surgery ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Postoperative Complications/therapy ; Reoperation ; Treatment Outcome ; Vomiting/etiology
Language	Portuguese
Publishing date	2020-08-24
Publishing country	Brazil
Document type	Case Reports ; Letter ; Review
ISSN	2317-6326
ISSN (online)	2317-6326
DOI	10.1590/0102-672020190001e1509
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Article ; Online: Innovative design of 3D-printed nasopharyngeal pediatric swab for COVID-19 detection.

Alazemi, Ameerah / AbdulHussain, Ghadeer / Alawwam, Abdullah / Al-Shatti, Ali / Alghounaim, Mohammad / Almazeedi, Sulaiman / Al Youha, Sarah / Al-Sabah, Salman

3D printing in medicine

2021 Volume 7, Issue 1, Page(s) 22

Abstract: 3-dimensional (3D) printing technology provides a solution to meet the high demand for producing adult nasal swabs. A smaller, more flexible nasopharyngeal swab needs to be developed for children and infants suspected of having coronavirus. The ... ...

Abstract	3-dimensional (3D) printing technology provides a solution to meet the high demand for producing adult nasal swabs. A smaller, more flexible nasopharyngeal swab needs to be developed for children and infants suspected of having coronavirus. The information shared here presents a novel 3D-printed pediatric swab for the purpose of collecting upper respiratory clinical specimens.
Language	English
Publishing date	2021-08-20
Publishing country	England
Document type	Journal Article
ISSN	2365-6271
ISSN (online)	2365-6271
DOI	10.1186/s41205-021-00113-9
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: COVID-19: Impact of obesity and diabetes on disease severity.

Al-Sabah, Salman / Al-Haddad, Mohannad / Al-Youha, Sarah / Jamal, Mohammad / Almazeedi, Sulaiman

Clinical obesity

2020 Volume 10, Issue 6, Page(s) e12414

Abstract: The coronavirus disease 2019 (COVID-19) pandemic is straining the healthcare system, particularly for patients with severe outcomes requiring admittance to the intensive care unit (ICU). This study investigated the potential associations of obesity and ... ...

Abstract	The coronavirus disease 2019 (COVID-19) pandemic is straining the healthcare system, particularly for patients with severe outcomes requiring admittance to the intensive care unit (ICU). This study investigated the potential associations of obesity and diabetes with COVID-19 severe outcomes, assessed as ICU admittance. Medical history, demographic and patient characteristics of a retrospective cohort (1158 patients) hospitalized with COVID-19 were analysed at a single centre in Kuwait. Univariate and multivariate analyses were performed to explore the associations between different variables and ICU admittance. Of 1158 hospitalized patients, 271 had diabetes, 236 had hypertension and 104 required admittance into the ICU. From patients with available measurements, 157 had body mass index (BMI) ≥25 kg/m
MeSH term(s)	Adult ; Betacoronavirus ; Body Mass Index ; COVID-19 ; Comorbidity ; Coronavirus Infections/complications ; Diabetes Mellitus/virology ; Female ; Hospitalization/statistics & numerical data ; Humans ; Intensive Care Units ; Kuwait ; Male ; Middle Aged ; Obesity/complications ; Obesity, Morbid/complications ; Overweight/complications ; Pandemics ; Pneumonia, Viral/complications ; Retrospective Studies ; Risk Factors ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-10-20
Publishing country	England
Document type	Journal Article
ZDB-ID	2625816-X
ISSN	1758-8111 ; 1758-8103
ISSN (online)	1758-8111
ISSN	1758-8103
DOI	10.1111/cob.12414
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Zs.A 6918: Show issues

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Article: Intragastric balloon insertion and pancreatitis: Case series.

Alqabandi, Omar / Almutawa, Yousef / AlTarrah, Dana / Alhajeri, Mufarrej / Jamal, Mohammad H / Almazeedi, Sulaiman

International journal of surgery case reports

2020 Volume 74, Page(s) 263–267

Abstract: Introduction: Obesity is a complex multifactorial disease that affects populations worldwide. In Kuwait, the prevalence of obesity is a major public health problem. Intra-Gastric Balloon (IGB) is commonly used as a non-operative strategy among bariatric ...

Abstract	Introduction: Obesity is a complex multifactorial disease that affects populations worldwide. In Kuwait, the prevalence of obesity is a major public health problem. Intra-Gastric Balloon (IGB) is commonly used as a non-operative strategy among bariatric patients. However, with the increasing use of IGB, life-threatening adverse outcomes are widely reported. Presentation of cases: A case series five patients presenting with pancreatitis from IGB in Kuwait is reported to better investigate the emerging complications of IGB. Three types of IGB were inserted, these include the Orbera Intragastric Balloon System, Orbera365 Intragastric Balloon System, and the Spatz Adjustable Gastric. The clinical course of balloon pancreatitis is described. Discussion: The case series examined existing case reports of IGB associated pancreatitis in the literature, in addition to the investigated clinical outcomes. Patients presented with mild pancreatitis, and removal of balloon resulted in significant improvement in symptoms. Pathogenesis of balloon pancreatitis could be secondary to the pancreas compression by the IGB. Conclusion: Despite the rarity of balloon pancreatitis, it needs to be recognized as a complication of IGB insertion. Further research is needed to better understand the implications of the balloon size, shape, volume and location of balloon insertion in order to prevent this fatal complication.
Language	English
Publishing date	2020-08-29
Publishing country	Netherlands
Document type	Journal Article
ISSN	2210-2612
ISSN	2210-2612
DOI	10.1016/j.ijscr.2020.08.043
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Applying augmented reality to treat Fournier's gangrene in COVID-19 positive patients whilst safeguarding the multi-disciplinary surgical team: A case series.

Alyaqout, Khaled / AlQinai, Shamlan / Almazeedi, Sulaiman / Karim, Jamila S / Al-Youha, Sarah / Al-Sabah, Salman

International journal of surgery case reports

2021 Volume 79, Page(s) 335–338

Abstract: Introduction: COVID-19 has presented the surgical community with a multitude of challenges. Patients requiring surgical intervention who are positive for COVID-19 are not only more likely to develop complications post-operatively, but also pose an ... ...

Abstract	Introduction: COVID-19 has presented the surgical community with a multitude of challenges. Patients requiring surgical intervention who are positive for COVID-19 are not only more likely to develop complications post-operatively, but also pose an increased infection risk to the surgical team involved in their care. The infection control concerns raised at the peak of the pandemic persist in the post-pandemic era as patients continue to test positive for COVID-19 and the risk of a 'second wave' looms. Methods: We present a case series (compliant with SCARE [4] and PROCESS [5] criteria) to demonstrate the effective use of an AR technology platform during the intraoperative treatment of two complex COVID positive patients diagnosed with Fournier's gangrene.Retrospective review of prospectively collected data of all patients that required surgery involving multiple specialties during the COVID-19 pandemic at Jaber AlAhmad hospital in Kuwait between March 2020 to October 2020. Presentation of case: We present two cases to highlight the use of an augmented reality (AR) platform during the treatment of COVID-19 positive patients with Fournier's gangrene in order to safeguard surgical teams whilst simultaneously enabling these complex cases to benefit from multi-specialty input intraoperatively. Outcome: Augmented reality is a feasible option to minimize surgeons' exposure during surgery without compromising the patients safety. Discussion: This case series demonstrates how AR solutions can be employed to bolster infection control measures and may be useful in the treatment of surgical patients who test positive for COVID-19. Conclusion: AR solutions could be considered as an infection control strategy to safeguard surgical teams operating on COVID-19 positive patients.
Language	English
Publishing date	2021-01-19
Publishing country	Netherlands
Document type	Journal Article ; Review
ISSN	2210-2612
ISSN	2210-2612
DOI	10.1016/j.ijscr.2021.01.055
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Innovative design of 3D-printed nasopharyngeal pediatric swab for COVID-19 detection

Ameerah Alazemi / Ghadeer AbdulHussain / Abdullah Alawwam / Ali Al-Shatti / Mohammad Alghounaim / Sulaiman Almazeedi / Sarah Al Youha / Salman Al-Sabah

3D Printing in Medicine, Vol 7, Iss 1, Pp 1-

2021 Volume 6

Abstract: Abstract 3-dimensional (3D) printing technology provides a solution to meet the high demand for producing adult nasal swabs. A smaller, more flexible nasopharyngeal swab needs to be developed for children and infants suspected of having coronavirus. The ... ...

Abstract	Abstract 3-dimensional (3D) printing technology provides a solution to meet the high demand for producing adult nasal swabs. A smaller, more flexible nasopharyngeal swab needs to be developed for children and infants suspected of having coronavirus. The information shared here presents a novel 3D-printed pediatric swab for the purpose of collecting upper respiratory clinical specimens.
Keywords	COVID19 ; Three-dimensional printing ; Nasal swabs ; Pediatric ; Coronavirus ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
Language	English
Publishing date	2021-08-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Polyester tipped 3-dimensionally printed swab that costs less than US$0.05 and can easily and rapidly be mass produced

Alyouha, Sarah / AlMazeedi, Sulaiman / Alghounaim, Mohammad / Al-Mutawa, Yousef / AlSabah, Salman

Practical Neurology (BMJ Publishing Group)

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #868324
Database	COVID19

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