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Article: Endoscopic versus laparoscopic management of an eroded mesh in vertical banded gastroplasty: video case series and literature review.

Alsabah, Salman / Elabd, Rawan / Vaz, Jonathon D

Journal of surgical case reports

2019 Volume 2019, Issue 3, Page(s) rjz060

Abstract: Vertical banded gastroplasty (VBG) was one of the most common bariatric surgeries worldwide in the beginning of the 21st century. However, recently we have increasingly encountered its long-term complications. We present two cases of VBG mesh erosion, ... ...

Abstract	Vertical banded gastroplasty (VBG) was one of the most common bariatric surgeries worldwide in the beginning of the 21st century. However, recently we have increasingly encountered its long-term complications. We present two cases of VBG mesh erosion, alongside videos for their management. The first is of a 35-year-old female that presented 10 years after her VBG, while the second is of a 38-year-old female presenting 9-years post hers. Patient one presented with weight regain, regurgitation, epigastric pain, and dysphagia. CT imaging showed staple-line dehiscence and foreign body inside the stomach. Patient 2's presentation was of weight regain. Upon further workup, she was diagnosed with mesh erosion. In case 1, an endoscopic approach was taken using Soehendra lithotriptor device, while for case 2, a laparoscopic approach was undertaken. Endoscopic management of mesh erosion post-VBG is not only safe and feasible but also less invasive and time-consuming than the laparoscopic technique.
Language	English
Publishing date	2019-03-12
Publishing country	England
Document type	Case Reports
ISSN	2042-8812
ISSN	2042-8812
DOI	10.1093/jscr/rjz060
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Article ; Online: The Impact of the COVID-19 Pandemic on Surgeons' and Surgical Residents' Caseload, Surgical Skills, and Mental Health in Kuwait.

Alsafran, Salman / Albloushi, Dalia / Quttaineh, Danah / Alfawaz, Abdullah A / Alkhamis, Ahmed / Alkhayat, Ali / Alsejari, Maha / Alsabah, Salman

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

2022 Volume 31, Issue 3, Page(s) 224–230

Abstract: Introduction: The onset of the COVID-19 pandemic resulted in governments implementing new regulations to divert healthcare resources, which in return led to the postponement of elective and semi-elective surgical procedures. Therefore, many surgeons and ...

Abstract	Introduction: The onset of the COVID-19 pandemic resulted in governments implementing new regulations to divert healthcare resources, which in return led to the postponement of elective and semi-elective surgical procedures. Therefore, many surgeons and as well as surgeons in training reported feeling redundant, which eventually resulted in psychological distress. This study aimed to assess the sociodemographic differences in the psychological impact resulting from the COVID-19 pandemic and outline the effect it had on surgical training. Methods: This is a cross-sectional study conducted in Kuwait. Data were collected by distributing a questionnaire electronically to surgeons and surgeons in training. The survey included questions aimed at assessing both the effect of the pandemic on surgical training and the psychological impact it had on surgeons, assessing the latter using the Depression, Anxiety and Stress Scale-21 screening tool. Results: The response rate for the study was 52%, with the majority being junior male surgeons. A majority of surgeons in training reported postponement of their scheduled academic teaching sessions (78.9%) and pre-assigned surgical rotations (65.8%). In terms of the psychological impact of the pandemic, a majority of the participants reported an element of depression and stress, 61.2% and 55%, respectively, while approximately half, 48.1%, had symptoms associated with anxiety. Conclusion: The COVID-19 pandemic had a negative association with the psychological well-being of a significant proportion of surgeons and associated surgical training programs.
MeSH term(s)	COVID-19/epidemiology ; Cross-Sectional Studies ; Humans ; Internship and Residency ; Kuwait/epidemiology ; Male ; Mental Health ; Pandemics/prevention & control ; SARS-CoV-2 ; Surgeons/psychology ; Surveys and Questionnaires
Language	English
Publishing date	2022-04-05
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	645108-1
ISSN	1423-0151 ; 1011-7571
ISSN (online)	1423-0151
ISSN	1011-7571
DOI	10.1159/000524436
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Article: Nutritional Status of Bariatric Surgery Candidates

Al-Mutawa, Aliaa / Anderson, Alfred Kojo / Alsabah, Salman / Al-Mutawa, Mohammad

Nutrients. 2018 Jan. 11, v. 10, no. 1

2018

Abstract: Obesity is a global epidemic affecting populations globally. Bariatric surgery is an effective treatment for morbid obesity, and has increased dramatically. Bariatric surgery candidates frequently have pre-existing nutritional deficiencies that might ... ...

Abstract	Obesity is a global epidemic affecting populations globally. Bariatric surgery is an effective treatment for morbid obesity, and has increased dramatically. Bariatric surgery candidates frequently have pre-existing nutritional deficiencies that might exacerbate post-surgery. To provide better health care management pre- and post-bariatric surgery, it is imperative to establish the nutritional status of prospective patients before surgery. The aim of this study was to assess and provide baseline data on the nutritional status of bariatric candidates. A retrospective study was conducted on obese patients who underwent bariatric surgery from 2008 to 2015. The medical records of 1538 patients were reviewed for this study. Pre-operatively, the most commonly observed vitamin deficiencies were Vitamin D (76%) and Vitamin B<inf>12</inf> (16%). Anemia and iron status parameters were low in a considerable number of patients before surgery, as follows: hemoglobin 20%, mean corpuscular volume (MCV) 48%, ferritin 28%, serum iron 51%, and transferrin saturation 60%. Albumin and transferrin were found to be low in 10% and 9% of the patients, respectively, prior to surgery. In addition to deficiencies, a great number of patients had hypervitaminosis pre-operatively. Excess levels of Vitamin B<inf>6</inf> (24%) was the most remarkable. The findings in this study advocate a close monitoring and tailored supplementation pre- and post-bariatric surgery.
Keywords	albumins ; bariatric surgery ; blood serum ; ferritin ; health services ; hemoglobin ; iron ; medical records ; monitoring ; nutritional status ; obesity ; patients ; retrospective studies ; transferrin ; vitamin D ; vitamin deficiencies
Language	English
Dates of publication	2018-0111
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article
ZDB-ID	2518386-2
ISSN	2072-6643
ISSN	2072-6643
DOI	10.3390/nu10010067
Database	NAL-Catalogue (AGRICOLA)

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Article: Predictors of intensive care unit admission and mortality in SARS-CoV-2 infection: A cross sectional study at a tertiary care hospital.

Alkhamis, Ahmed / Alshamali, Yousef / Chehadeh, Wassim / Jasem, Amar / Omar, Abdulaziz Alsayed / Alghounaim, Mohammad / Elsaaran, Hussein / Al-Youha, Sarah / Almazeedi, Sulaiman / Alkhamis, Moh A / Alsabah, Salman

Annals of medicine and surgery (2012)

2022 Volume 80, Page(s) 104097

Abstract: Background: The transmissibility and associated morbidity and mortality of severe acute respiratory syndrome-related coronavirus (SARS-Cov-2), have overwhelmed worldwide healthcare systems, resulting in an urgent need to understand this virus and its ... ...

Abstract	Background: The transmissibility and associated morbidity and mortality of severe acute respiratory syndrome-related coronavirus (SARS-Cov-2), have overwhelmed worldwide healthcare systems, resulting in an urgent need to understand this virus and its associated effects. The aim of our study was to identify patient symptoms, clinical characteristics, laboratory, and radiology findings that are associated with serious morbidity and mortality in COVID-19 patients. Methods: A cross sectional study was conducted in Jaber Al Ahmad Hospital, the designated COVID-19 center in Kuwait between August 1st, 2020 and January 31st, 2021. The main outcomes measured in this study were to identify variables associated with intensive care unit (ICU) admission, as proxy for serious morbidity, and in hospital mortality. Results: Two hundred and seventy-six patients were included in the study. Thirty-six (13%) patients were admitted to intensive care unit (ICU) and 33 (12%) patients expired. On multivariate analysis we found having elevated fibrinogen [OR 1.39, 95% CI 1.08-1.64, P = 0.04], low estimated glomerular filtration rate (eGFR) [OR 0.89, 95% CI 0.81-0.95, P = 0.02], and having bilateral patchy lung shadowing [OR 6.68, 95% CI 1.85-15.28, P < 0.01] to be significantly associated with increase odds of ICU admission. Elevated CRP [OR 1.25, 95% CI 1.10-1.98, P < 0.01], low eGFR [OR 0.95, 95% CI 0.90-0.99, P = 0.05] and having ischemic heart disease [OR 7.03, 95% CI 1.60-46.42, P = 0.04] were independently associated with increased odds of mortality. Conclusion: Certain inflammatory and coagulopathy markers, and having certain lung radiological features, in addition to having medical comorbidities, specifically, ischemic heart disease and renal impairment are key predictors for serious morbidity and mortality in patients infected with COVID-19. These should be incorporated into medical institutes risk assessment tools used by physicians and policy makers to instigate, prioritize, and reprioritize care in patients with COVID-19 and instigate preventative strategy to reduce the impact of future outbreak.
Language	English
Publishing date	2022-07-06
Publishing country	England
Document type	Journal Article
ZDB-ID	2745440-X
ISSN	2049-0801
ISSN	2049-0801
DOI	10.1016/j.amsu.2022.104097
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Article ; Online: Changing the quality of life in old age bariatric patients. Cross-sectional study for 79 old age patients.

Chouillard, Elie / Alsabah, Salman / Chahine, Elias / Saikaly, Elias / Debs, Tarek / Kassir, Radwan

International journal of surgery (London, England)

2018 Volume 54, Issue Pt A, Page(s) 236–241

Abstract: Purpose: Bariatric surgery is being safely performed in elderly patients. However, current recommendations lack precise indications for bariatric surgery and fail to define an upper age limit for surgical procedure, leaving the field wide open to case ... ...

Abstract	Purpose: Bariatric surgery is being safely performed in elderly patients. However, current recommendations lack precise indications for bariatric surgery and fail to define an upper age limit for surgical procedure, leaving the field wide open to case by case assessment according to patient's physiological age and benefit-to-risk balance. Objectives: The aim of this study is to evaluate the quality of life of obese patients older than 60 years one year after bariatric surgery, and to compare the variation of their nutritional parameters to those of matched younger patients. Methods: and methods. Data were prospectively collected for all patients who underwent bariatric surgery at our institution starting 1998. Seventy-nine patients older than 60 years (Group1) were matched 1:2 with 158 patients younger than 50 years (Group 2) for comparison of nutritional parameters. A modified Impact of Weight on Quality Of Life (IWQOL) questionnaire was filled by all included patients, at the one-year check-up. Results: The modified IWQOL questionnaire was filled by 69 patients (87.3%). Of a total of 1860 answers, 11 (0.6%) were marked worsening, 64 (3.4%) were mild worsening, 181 (9.7%) were mild improvement, and 1422 (76.5%) were marked improvement. There were more positive answers than negative ones consistently within the five sections. In both groups, mean serum albumin were lower at the third postoperative month than the preoperative values (39.75 versus 41.72; p < 0.001 and 39.78 versus 41.99; p < 0.001 in Groups 1 and 2, respectively). At 6 and 12 months, in both groups, these values were similar to those of the preoperative period. The serum prealbumin levels reached back the preoperative values at 12 and 6 months, respectively, in Groups 1 and 2. Values were significantly lower in Group1 compared to Group 2 at three and six months (0.18 versus 0.19; p = 0.04 and 0.20 versus 0.21; p = 0.03, respectively) but not at one year. Conclusions: Bariatric surgery improves quality of life in elderly obese patients with no compromise on their nutritional status (protein deficiencies). In the lack of precise recommendations, this represents a major argument that may serve to the preoperative assessment of such patients. More complex evaluations in a prospective controlled studies with long-term follow-up are mandatory to validate these findings and precise the estimated advantage in terms of risks of fall and fracture.
MeSH term(s)	Age Factors ; Aged ; Bariatric Surgery/psychology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Nutritional Status ; Obesity, Morbid/psychology ; Obesity, Morbid/surgery ; Postoperative Period ; Quality of Life ; Surveys and Questionnaires ; Treatment Outcome
Language	English
Publishing date	2018-05-03
Publishing country	England
Document type	Evaluation Studies ; Journal Article
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1016/j.ijsu.2018.04.050
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Article ; Online: Nutritional Status of Bariatric Surgery Candidates.

Al-Mutawa, Aliaa / Anderson, Alfred Kojo / Alsabah, Salman / Al-Mutawa, Mohammad

Nutrients

2018 Volume 10, Issue 1

Abstract	Obesity is a global epidemic affecting populations globally. Bariatric surgery is an effective treatment for morbid obesity, and has increased dramatically. Bariatric surgery candidates frequently have pre-existing nutritional deficiencies that might exacerbate post-surgery. To provide better health care management pre- and post-bariatric surgery, it is imperative to establish the nutritional status of prospective patients before surgery. The aim of this study was to assess and provide baseline data on the nutritional status of bariatric candidates. A retrospective study was conducted on obese patients who underwent bariatric surgery from 2008 to 2015. The medical records of 1538 patients were reviewed for this study. Pre-operatively, the most commonly observed vitamin deficiencies were Vitamin D (76%) and Vitamin B
MeSH term(s)	Adult ; Anemia, Iron-Deficiency/blood ; Anemia, Iron-Deficiency/diagnosis ; Anemia, Iron-Deficiency/physiopathology ; Bariatric Surgery/adverse effects ; Biomarkers/blood ; Clinical Decision-Making ; Female ; Humans ; Male ; Malnutrition/blood ; Malnutrition/diagnosis ; Malnutrition/physiopathology ; Middle Aged ; Nutritional Status ; Obesity, Morbid/blood ; Obesity, Morbid/diagnosis ; Obesity, Morbid/physiopathology ; Obesity, Morbid/surgery ; Patient Selection ; Retrospective Studies ; Risk Factors ; Vitamin B 12 Deficiency/blood ; Vitamin B 12 Deficiency/diagnosis ; Vitamin B 12 Deficiency/physiopathology ; Vitamin D Deficiency/blood ; Vitamin D Deficiency/diagnosis ; Vitamin D Deficiency/physiopathology ; Young Adult
Chemical Substances	Biomarkers
Language	English
Publishing date	2018-01-11
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu10010067
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Article: Prevalence, predictors and outcomes of bleeding events in patients with COVID-19 infection on anticoagulation: Retrospective cohort study.

Alkhamis, Ahmed / Alshamali, Yousef / Alyaqout, Khaled / Lari, Eisa / Alkhamis, Moh A / Althuwaini, Saad / Lari, Ali / Alfili, Maryam / Alkhayat, Ali / Jamal, Mohammad H / Alsabah, Salman

Annals of medicine and surgery (2012)

2021 Volume 68, Page(s) 102567

Abstract: Background: This study aims to examine risk factors and complications associated with bleeding events in patients with COVID-19 who are on anticoagulation.: Material and methods: We conducted retrospective review of all patients who were admitted ... ...

Abstract	Background: This study aims to examine risk factors and complications associated with bleeding events in patients with COVID-19 who are on anticoagulation. Material and methods: We conducted retrospective review of all patients who were admitted with COVID-19 and developed bleeding events between March and June 2020. Data were analyzed in accordance with three major outcomes. Mortality within 30 days of bleeding episode, resolution of the bleeding event, and the type of bleeding event. Results: Of 122 bleeds, there was 55 (28 %) gastrointestinal (GI) bleeds. Overall mortality was 59 % (n = 72). The prevalence of therapeutic invasive interventions was 11.5 % (n = 14) all were successful in resolving the bleeding event. We found that having a GI bleeds was associated with higher risk of mortality compared to non-GI bleeds (p = 0.04) and having occult bleeds to be associated with 15 times increased risk of mortality (OR 15, 95%CI 1.97-29.1, p = 0.01). Furthermore, patients who were on no anticoagulation (none) (OR 0.1, 95%CI 0.01-0.86, p < 0.00), on prophylactic dose anticoagulation (OR 0.07, 95%CI 0.02-0.28, p = 0.03) or intermediate dose anticoagulation (OR 0.36, 95%CI 0.09-1.34, p = 0.13) were less likely to die than patients on therapeutic dose. Conclusions: The best approach to manage COVID-19 bleeding patients is to prioritize therapies that manage sepsis induce coagulopathy and shock over other approaches. In COVID-19 patients' routine prescription of supra-prophylactic dose anticoagulation should be revisited and more individualized approach to prescription should be the norm. Regardless of the cause of bleeding event it appears that the majority of bleeding events resolve with noninvasive interventions and when invasive interventions were necessary, they were associated with high success rate despite the delay.
Language	English
Publishing date	2021-07-21
Publishing country	England
Document type	Journal Article
ZDB-ID	2745440-X
ISSN	2049-0801
ISSN	2049-0801
DOI	10.1016/j.amsu.2021.102567
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Article ; Online: Massive Gastrointestinal Bleeding Due to Splenic Artery Erosion by a PigTail Drain in a Post Sleeve Gastrectomy Leak: a Case Report.

Chahine, Elias / D'Alessandro, Antonio / Elhajjam, Mostafa / Moryoussef, Frédéric / Vitte, René-Louis / Carlier, Robert / Alsabah, Salman / Chouillard, Elie

Obesity surgery

2019 Volume 29, Issue 5, Page(s) 1653–1656

Language	English
Publishing date	2019-02-12
Publishing country	United States
Document type	Letter
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-019-03765-z
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Article ; Online: Correction to: Massive Gastrointestinal Bleeding Due to Splenic Artery Erosion by a PigTail Drain in a Post Sleeve Gastrectomy Leak: a Case Report.

Chahine, Elias / D'Alessandro, Antonio / Elhajjam, Mostafa / Moryoussef, Frédérick / Vitte, René-Louis / Carlier, Robert / Alsabah, Salman / Chouillard, Elie

Obesity surgery

2019 Volume 29, Issue 5, Page(s) 1657

Abstract: The name of author Frédérick Moryoussef was incorrect in the original article - it is correct here. ...

Abstract	The name of author Frédérick Moryoussef was incorrect in the original article - it is correct here.
Language	English
Publishing date	2019-03-04
Publishing country	United States
Document type	Published Erratum
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-019-03787-7
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Article ; Online: Erratum to: Roux-en-Y fistulo-jejunostomy as a salvage procedure in patients with post-sleeve gastrectomy fistula: mid-term results.

Chouillard, Elie / Younan, Antoine / Alkandari, Mubarak / Daher, Ronald / Dejonghe, Bernard / Alsabah, Salman / Biagini, Jean

Surgical endoscopy

2016 Volume 30, Issue 10, Page(s) 4205

Language	English
Publishing date	2016-10
Publishing country	Germany
Document type	Published Erratum
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-016-5102-8
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