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  1. Article ; Online: International survey on complications of religious fasting after metabolic and bariatric surgery.

    Kermansaravi, Mohammad / Husain, Farah A / Bashir, Ahmad / Valizadeh, Rohollah / Abbas, Syed Imran / Abouzeid, Tarek / Amini, Masoud / Davarpanah Jazi, Amir Hossein / Elfawal, Mohamad Hayssam / Gado, Waleed / Gee, Tikfu / Habeeb, Tamer A A M / Al Hadhrami, Bader / Inam, Atif / Vaziri, Nader Moein / Mokhber, Somayyeh / Al-Momani, Hazem / Omerov, Taryel / Pazouki, Abdolreza /
    Rezapanah, Alireza / Rezvani, Masoud / Sadat Mansouri, Majid / Sewefy, Alaa M / Taskin, Halit Eren / Yunus, Tahir / Kassir, Radwan / Nimeri, Abdelrahman

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 20189

    Abstract: Religious fasting in Ramadan the 9th month of the lunar year is one of five pillars in Islam and is practiced for a full month every year. There may be risks with fasting in patients with a history of metabolic/bariatric surgery (MBS). There is little ... ...

    Abstract Religious fasting in Ramadan the 9th month of the lunar year is one of five pillars in Islam and is practiced for a full month every year. There may be risks with fasting in patients with a history of metabolic/bariatric surgery (MBS). There is little published evidence on the possible complications during fasting and needs stronger recommendations and guidance to minimize them. An international survey was sent to surgeons to study the types of complications occurring during religious fasting in patients with history of MBS to evaluate the risk factors to manage and prepare more evidence-based recommendations. In total, 21 centers from 11 countries participated in this survey and reported a total of 132 patients with complications occurring during religious fasting after MBS. The mean age of patients with complications was 36.65 ± 3.48 years and mean BMI was 43.12 ± 6.86 kg/m
    MeSH term(s) Humans ; Adult ; Retrospective Studies ; Bariatric Surgery/adverse effects ; Gastric Bypass ; Gastrectomy/adverse effects ; Peptic Ulcer/etiology ; Peptic Ulcer/surgery ; Abdominal Pain/etiology ; Fasting/adverse effects ; Obesity, Morbid/surgery ; Obesity, Morbid/etiology ; Treatment Outcome
    Language English
    Publishing date 2023-11-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-47673-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Religious Fasting of Muslim Patients After Metabolic and Bariatric Surgery: a Modified Delphi Consensus.

    Kermansaravi, Mohammad / Omar, Islam / Mahawar, Kamal / Shahabi, Shahab / Bashir, Ahmad / Haddad, Ashraf / Abbass, Alaa / Abbas, Syed Imran / Abbas, Mujjahid / Abouzeid, Tarek / Akin, Faki / Aghajani, Ebrahim / Aminian, Ali / AlAnsari, Mohanad / Asghar, Syed Tanseer / Balta, Ahmet Ziya / Bukhari, Waleed / Elfawal, Mohamad Hayssam / Gado, Waleed /
    Gawdat, Khaled / Gee, Tikfu / Ghavami, Bijan / Goel, Ramen / AlHadad, Mohammed / AlHadhrami, Bader / AlHaifi, Mohammad / AlHamdani, Ali / Hassan, Ibrahim / Illan, Selim Jalil / Inam, Atif / Ismaeil, Aiman / Kayyal, Yasser / Mohammad, Khaleel / Khan, Amir Ulhagh / Khoursheed, Mousa / Khwaja, Haris / Kular, K S / Layani, Laurent Abram / Maazulhassan / Mahdy, Tarek / Maher, Mumtaz / Mansoor, Ebrahim / Mirza, Salman / Niam, Muhammad S / Omarov, Taryel / Pazouki, Abdolreza / Alqahtani, Aayed R / Qassem, Mohamed / Rezvani, Masoud / Sabry, Karim / Salim, Safauldeen / Shabbir, Asim / Skalli, Mehdi / Taha, Osama / Talebpour, Mohammad / Taskin, Halit Eren / Taskin, Mustafa / Yunus, Tahir / Jazi, Amir Hossein Davarpanah / Kassir, Radwan / Nimeri, Abdelrahman

    Obesity surgery

    2021  Volume 31, Issue 12, Page(s) 5303–5311

    Abstract: Background: Fasting during Ramadan is one of the five pillars of the Muslim faith. Despite the positive effects of fasting on health, there are no guidelines or clear recommendations regarding fasting after metabolic/bariatric surgery (MBS). The current ...

    Abstract Background: Fasting during Ramadan is one of the five pillars of the Muslim faith. Despite the positive effects of fasting on health, there are no guidelines or clear recommendations regarding fasting after metabolic/bariatric surgery (MBS). The current study reports the result of a modified Delphi consensus among expert metabolic/bariatric surgeons with experience in managing patients who fast after MBS.
    Methods: A committee of 61 well-known metabolic and bariatric surgeons from 24 countries was created to participate in the Delphi consensus. The committee voted on 45 statements regarding recommendations and controversies around fasting after MBS. An agreement/disagreement ≥ of 70.0% was regarded as consensus.
    Results: The experts reached a consensus on 40 out of 45 statements after two rounds of voting. One hundred percent of the experts believed that fasting needs special nutritional support in patients who underwent MBS. The decision regarding fasting must be coordinated among the surgeon, the nutritionist and the patient. At any time after MBS, 96.7% advised stopping fasting in the presence of persistent symptoms of intolerance. Seventy percent of the experts recommended delaying fasting after MBS for 6 to 12 months after combined and malabsorptive procedures according to the patient's situation and surgeon's experience, and 90.1% felt that proton pump inhibitors should be continued in patients who start fasting less than 6 months after MBS. There was consensus that fasting may help in weight loss, improvement/remission of non-alcoholic fatty liver disease, dyslipidemia, hypertension and type 2 diabetes mellitus among 88.5%, 90.2%, 88.5%, 85.2% and 85.2% of experts, respectively.
    Conclusion: Experts voted and reached a consensus on 40 statements covering various aspects of fasting after MBS.
    MeSH term(s) Bariatric Surgery/methods ; Consensus ; Delphi Technique ; Diabetes Mellitus, Type 2/surgery ; Fasting ; Humans ; Islam ; Obesity, Morbid/surgery
    Language English
    Publishing date 2021-10-06
    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/s11695-021-05724-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: 30-Day Morbidity and Mortality of Bariatric Surgery During the COVID-19 Pandemic: a Multinational Cohort Study of 7704 Patients from 42 Countries.

    Singhal, Rishi / Ludwig, Christian / Rudge, Gavin / Gkoutos, Georgios V / Tahrani, Abd / Mahawar, Kamal / Pędziwiatr, Michał / Major, Piotr / Zarzycki, Piotr / Pantelis, Athanasios / Lapatsanis, Dimitris P / Stravodimos, Georgios / Matthys, Chris / Focquet, Marc / Vleeschouwers, Wouter / Spaventa, Antonio G / Zerrweck, Carlos / Vitiello, Antonio / Berardi, Giovanna /
    Musella, Mario / Sanchez-Meza, Alberto / Cantu, Felipe J / Mora, Fernando / Cantu, Marco A / Katakwar, Abhishek / Reddy, D Nageshwar / Elmaleh, Haitham / Hassan, Mohammad / Elghandour, Abdelrahman / Elbanna, Mohey / Osman, Ahmed / Khan, Athar / Layani, Laurent / Kiran, Nalini / Velikorechin, Andrey / Solovyeva, Maria / Melali, Hamid / Shahabi, Shahab / Agrawal, Ashish / Shrivastava, Apoorv / Sharma, Ankur / Narwaria, Bhavya / Narwaria, Mahendra / Raziel, Asnat / Sakran, Nasser / Susmallian, Sergio / Karagöz, Levent / Akbaba, Murat / Pişkin, Salih Zeki / Balta, Ahmet Ziya / Senol, Zafer / Manno, Emilio / Iovino, Michele Giuseppe / Qassem, Mohamed / Arana-Garza, Sebastián / Povoas, Heitor P / Vilas-Boas, Marcos Leão / Naumann, David / Super, Jonathan / Li, Alan / Ammori, Basil J / Balamoun, Hany / Salman, Mohammed / Nasta, Amrit Manik / Goel, Ramen / Sánchez-Aguilar, Hugo / Herrera, Miguel F / Abou-Mrad, Adel / Cloix, Lucie / Mazzini, Guilherme Silva / Kristem, Leonardo / Lazaro, Andre / Campos, Jose / Bernardo, Joaquín / González, Jesús / Trindade, Carlos / Viveiros, Octávio / Ribeiro, Rui / Goitein, David / Hazzan, David / Segev, Lior / Beck, Tamar / Reyes, Hernán / Monterrubio, Jerónimo / García, Paulina / Benois, Marine / Kassir, Radwan / Contine, Alessandro / Elshafei, Moustafa / Aktas, Sueleyman / Weiner, Sylvia / Heidsieck, Till / Level, Luis / Pinango, Silvia / Ortega, Patricia Martinez / Moncada, Rafael / Valenti, Victor / Vlahović, Ivan / Boras, Zdenko / Liagre, Arnaud / Martini, Francesco / Juglard, Gildas / Motwani, Manish / Saggu, Sukhvinder Singh / Al Moman, Hazem / López, Luis Adolfo Aceves / Cortez, María Angelina Contreras / Zavala, Rodrigo Aceves / D'Haese, Christine / Kempeneers, Ivo / Himpens, Jacques / Lazzati, Andrea / Paolino, Luca / Bathaei, Sarah / Bedirli, Abdulkadir / Yavuz, Aydın / Büyükkasap, Çağrı / Özaydın, Safa / Kwiatkowski, Andrzej / Bartosiak, Katarzyna / Walędziak, Maciej / Santonicola, Antonella / Angrisani, Luigi / Iovino, Paola / Palma, Rossella / Iossa, Angelo / Boru, Cristian Eugeniu / De Angelis, Francesco / Silecchia, Gianfranco / Hussain, Abdulzahra / Balchandra, Srivinasan / Coltell, Izaskun Balciscueta / Pérez, Javier Lorenzo / Bohra, Ashok / Awan, Altaf K / Madhok, Brijesh / Leeder, Paul C / Awad, Sherif / Al-Khyatt, Waleed / Shoma, Ashraf / Elghadban, Hosam / Ghareeb, Sameh / Mathews, Bryan / Kurian, Marina / Larentzakis, Andreas / Vrakopoulou, Gavriella Zoi / Albanopoulos, Konstantinos / Bozdag, Ahemt / Lale, Azmi / Kirkil, Cuneyt / Dincer, Mursid / Bashir, Ahmad / Haddad, Ashraf / Hijleh, Leen Abu / Zilberstein, Bruno / de Marchi, Danilo Dallago / Souza, Willy Petrini / Brodén, Carl Magnus / Gislason, Hjörtur / Shah, Kamran / Ambrosi, Antonio / Pavone, Giovanna / Tartaglia, Nicola / Kona, S Lakshmi Kumari / Kalyan, K / Perez, Cesar Ernesto Guevara / Botero, Miguel Alberto Forero / Covic, Adrian / Timofte, Daniel / Maxim, Madalina / Faraj, Dashti / Tseng, Larissa / Liem, Ronald / Ören, Gürdal / Dilektasli, Evren / Yalcin, Ilker / AlMukhtar, Hudhaifa / Al Hadad, Mohammed / Mohan, Rasmi / Arora, Naresh / Bedi, Digvijaysingh / Rives-Lange, Claire / Chevallier, Jean-Marc / Poghosyan, Tigran / Sebbag, Hugues / Zinaï, Lamia / Khaldi, Saadi / Mauchien, Charles / Mazza, Davide / Dinescu, Georgiana / Rea, Bernardo / Pérez-Galaz, Fernando / Zavala, Luis / Besa, Anais / Curell, Anna / Balibrea, Jose M / Vaz, Carlos / Galindo, Luis / Silva, Nelson / Caballero, José Luis Estrada / Sebastian, Sergio Ortiz / Marchesini, João Caetano Dallegrave / da Fonseca Pereira, Ricardo Arcanjo / Sobottka, Wagner Herbert / Fiolo, Felipe Eduardo / Turchi, Matias / Coelho, Antonio Claudio Jamel / Zacaron, Andre Luis / Barbosa, André / Quinino, Reynaldo / Menaldi, Gabriel / Paleari, Nicolás / Martinez-Duartez, Pedro / de Aragon Ramírez de Esparza, Gabriel Martínez / Esteban, Valentin Sierra / Torres, Antonio / Garcia-Galocha, Jose Luis / Josa, Miguel / Pacheco-Garcia, Jose Manuel / Mayo-Ossorio, Maria Angeles / Chowbey, Pradeep / Soni, Vandana / de Vasconcelos Cunha, Hercio Azevedo / Castilho, Michel Victor / Ferreira, Rafael Meneguzzi Alves / Barreiro, Thiago Alvim / Charalabopoulos, Alexandros / Sdralis, Elias / Davakis, Spyridon / Bomans, Benoit / Dapri, Giovanni / Van Belle, Koenraad / Takieddine, Mazen / Vaneukem, Pol / Karaca, Esma Seda Akalın / Karaca, Fatih Can / Sumer, Aziz / Peksen, Caghan / Savas, Osman Anil / Chousleb, Elias / Elmokayed, Fahad / Fakhereldin, Islam / Aboshanab, Hany Mohamed / Swelium, Talal / Gudal, Ahmad / Gamloo, Lamees / Ugale, Ayushka / Ugale, Surendra / Boeker, Clara / Reetz, Christian / Hakami, Ibrahim Ali / Mall, Julian / Alexandrou, Andreas / Baili, Efstratia / Bodnar, Zsolt / Maleckas, Almantas / Gudaityte, Rita / Guldogan, Cem Emir / Gundogdu, Emre / Ozmen, Mehmet Mahir / Thakkar, Deepti / Dukkipati, Nandakishore / Shah, Poonam Shashank / Shah, Shashank Subhashchandra / Shah, Simran Shashank / Adil, Md Tanveer / Jambulingam, Periyathambi / Mamidanna, Ravikrishna / Whitelaw, Douglas / Jain, Vigyan / Veetil, Deepa Kizhakke / Wadhawan, Randeep / Torres, Max / Tinoco, Tabata / Leclercq, Wouter / Romeijn, Marleen / van de Pas, Kelly / Alkhazraji, Ali K / Taha, Safwan A / Ustun, Murat / Yigit, Taner / Inam, Aatif / Burhanulhaq, Muhammad / Pazouki, Abdolreza / Eghbali, Foolad / Kermansaravi, Mohammad / Jazi, Amir Hosein Davarpanah / Mahmoudieh, Mohsen / Mogharehabed, Neda / Tsiotos, Gregory / Stamou, Konstantinos / Barrera Rodriguez, Francisco J / Rojas Navarro, Marco A / Torres, Omar MOhamed / Martinez, Sergio Lopez / Tamez, Elda Rocio Maltos / Millan Cornejo, Gustavo A / Flores, Jose Eduardo Garcia / Mohammed, Diya Aldeen / Elfawal, Mohamad Hayssam / Shabbir, Asim / Guowei, Kim / So, Jimmy By / Kaplan, Elif Tuğçe / Kaplan, Mehmet / Kaplan, Tuğba / Pham, DangTuan / Rana, Gurteshwar / Kappus, Mojdeh / Gadani, Riddish / Kahitan, Manish / Pokharel, Koshish / Osborne, Alan / Pournaras, Dimitri / Hewes, James / Napolitano, Errichetta / Chiappetta, Sonja / Bottino, Vincenzo / Dorado, Evelyn / Schoettler, Axel / Gaertner, Daniel / Fedtke, Katharina / Aguilar-Espinosa, Francisco / Aceves-Lozano, Saul / Balani, Alessandro / Nagliati, Carlo / Pennisi, Damiano / Rizzi, Andrea / Frattini, Francesco / Foschi, Diego / Benuzzi, Laura / Parikh, Chirag / Shah, Harshil / Pinotti, Enrico / Montuori, Mauro / Borrelli, Vincenzo / Dargent, Jerome / Copaescu, Catalin A / Hutopila, Ionut / Smeu, Bogdan / Witteman, Bart / Hazebroek, Eric / Deden, Laura / Heusschen, Laura / Okkema, Sietske / Aufenacker, Theo / den Hengst, Willem / Vening, Wouter / van der Burgh, Yonta / Ghazal, Ahmad / Ibrahim, Hamza / Niazi, Mourad / Alkhaffaf, Bilal / Altarawni, Mohammad / Cesana, Giovanni Carlo / Anselmino, Marco / Uccelli, Matteo / Olmi, Stefano / Stier, Christine / Akmanlar, Tahsin / Sonnenberg, Thomas / Schieferbein, Uwe / Marcolini, Alejandro / Awruch, Diego / Vicentin, Marco / de Souza Bastos, Eduardo Lemos / Gregorio, Samuel Azenha / Ahuja, Anmol / Mittal, Tarun / Bolckmans, Roel / Wiggins, Tom / Baratte, Clément / Wisnewsky, Judith Aron / Genser, Laurent / Chong, Lynn / Taylor, Lillian / Ward, Salena / Hi, Michael W / Heneghan, Helen / Fearon, Naomi / Plamper, Andreas / Rheinwalt, Karl / Geoghegan, Justin / Ng, Kin Cheung / Kaseja, Krzysztof / Kotowski, Maciej / Samarkandy, Tarig A / Leyva-Alvizo, Adolfo / Corzo-Culebro, Lourdes / Wang, Cunchuan / Yang, Wah / Dong, Zhiyong / Riera, Manel / Jain, Rajesh / Hamed, Hosam / Said, Mohammed / Zarzar, Katia / Garcia, Manuel / Türkçapar, Ahmet Gökhan / Şen, Ozan / Baldini, Edoardo / Conti, Luigi / Wietzycoski, Cacio / Lopes, Eduardo / Pintar, Tadeja / Salobir, Jure / Aydin, Cengiz / Atici, Semra Demirli / Ergin, Anıl / Ciyiltepe, Huseyin / Bozkurt, Mehmet Abdussamet / Kizilkaya, Mehmet Celal / Onalan, Nezihe Berrin Dodur / Zuber, Mariana Nabila Binti Ahmad / Wong, Wei Jin / Garcia, Amador / Vidal, Laura / Beisani, Marc / Pasquier, Jorge / Vilallonga, Ramon / Sharma, Sharad / Parmar, Chetan / Lee, Lyndcie / Sufi, Pratik / Sinan, Hüseyin / Saydam, Mehmet

    Obesity surgery

    2021  Volume 31, Issue 10, Page(s) 4272–4288

    Abstract: Background: There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives ... ...

    Abstract Background: There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives of this study were to examine the safety of bariatric surgery (BS) during the coronavirus disease 2019 (COVID-19) pandemic and to determine the efficacy of perioperative COVID-19 protective strategies on postoperative symptomatic COVID-19 rates.
    Methods: We conducted an international cohort study to determine all-cause and COVID-19-specific 30-day morbidity and mortality of BS performed between 01/05/2020 and 31/10/2020.
    Results: Four hundred ninety-nine surgeons from 185 centres in 42 countries provided data on 7704 patients. Elective primary BS (n = 7084) was associated with a 30-day morbidity of 6.76% (n = 479) and a 30-day mortality of 0.14% (n = 10). Emergency BS, revisional BS, insulin-treated type 2 diabetes, and untreated obstructive sleep apnoea were associated with increased complications on multivariable analysis. Forty-three patients developed symptomatic COVID-19 postoperatively, with a higher risk in non-whites. Preoperative self-isolation, preoperative testing for SARS-CoV-2, and surgery in institutions not concurrently treating COVID-19 patients did not reduce the incidence of postoperative COVID-19. Postoperative symptomatic COVID-19 was more likely if the surgery was performed during a COVID-19 peak in that country.
    Conclusions: BS can be performed safely during the COVID-19 pandemic with appropriate perioperative protocols. There was no relationship between preoperative testing for COVID-19 and self-isolation with symptomatic postoperative COVID-19. The risk of postoperative COVID-19 risk was greater in non-whites or if BS was performed during a local peak.
    MeSH term(s) Bariatric Surgery ; COVID-19 ; COVID-19 Testing ; Cohort Studies ; Diabetes Mellitus, Type 2 ; Humans ; Incidence ; Obesity, Morbid/surgery ; Pandemics ; Postoperative Complications/epidemiology ; SARS-CoV-2
    Language English
    Publishing date 2021-07-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-021-05493-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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