AlMarri Fatemah, Al Sabah Salman, Al Haddad Eliana, Vaz Jonathan D
Al Amiri Hospital, Kuwait City, Kuwait.
Obes Surg. 2017 Aug;27(8):2034-2043. doi: 10.1007/s11695-017-2588-7.
Obesity has become an epidemic in the Arabian Gulf, with the prevalence of obesity according to the latest report from the World Health Organization (WHO) showing the gulf region to be countries with the highest incidence of obesity in the 30% plus group. This study aims to examine publications on bariatric surgery and compare them with the other countries with a high incidence of obesity in the world.
A literature review on bariatric surgery published from the earliest detected year of publication up until March 2016 using SCOPUS, PubMed, Ovid, and Google Scholar was conducted. Individual papers were assessed for types of surgery, preoperative measures, names of journals, authors, and outcomes. The data was analyzed using Endnote library and SPSS. Key words used in the search included "Bariatric Surgery," "Arabian Gulf," "Kuwait," "Qatar," "Saudi Arabia," "United Arab Emirates," "Oman," "USA," "Australia," "weight loss surgery," "sleeve gastrectomy," "gastric bypass," "gastric band," "mini-gastric bypass," "biliropancreatic diversion," "duodenal switch," and "intragastric balloon." Original papers, systematic reviews and case reports were included.
From our review, the gastric sleeve proved to be the most popular published on procedure in the Arabian Gulf, whereas the USA had the highest percentage of gastric bypass surgeries and Australia had equivalent numbers when it came to gastric bypass and band. The numbers of studies from Saudi Arabia, Kuwait, UAE, Bahrain, Qatar, and Oman were 70, 44, 20, 7, 6, and 0, respectively. The mean impact factor of the published articles was 2.53 +/- 1.76 SD. Most of the publications were published in Obesity Surgery (29%), Surgery for Obesity and Related Diseases (5%), and Surgical Endoscopy (5%).
The Arabian Gulf has both the highest percentage of bariatric procedures performed as well as the highest prevalence of obesity. However, they have the lowest number of publications and research when compared to their western counterparts; therefore, more research and publications are needed in the Arabian Gulf region, as well as the possibility of producing a regional registry to be able to have a good overview of bariatric surgery in the region.
肥胖已成为阿拉伯海湾地区的一种流行病。根据世界卫生组织（WHO）的最新报告，肥胖症的患病率表明海湾地区是肥胖发生率最高的国家，肥胖率在30%以上。本研究旨在审视有关减肥手术的出版物，并将它们与世界上其他肥胖发生率高的国家进行比较。
使用SCOPUS、PubMed、Ovid和谷歌学术对从最早检测到的出版年份到2016年3月发表的关于减肥手术的文献进行综述。对每篇论文的手术类型、术前措施、期刊名称、作者和结果进行评估。使用Endnote库和SPSS对数据进行分析。搜索中使用的关键词包括“减肥手术”、“阿拉伯海湾”、“科威特”、“卡塔尔”、“沙特阿拉伯”、“阿拉伯联合酋长国”、“阿曼”、“美国”、“澳大利亚”、“减重手术”、“袖状胃切除术”、“胃旁路手术”、“胃束带术”、“迷你胃旁路手术”、“胆胰转流术”、“十二指肠转位术”和“胃内气球”。纳入原始论文、系统评价和病例报告。
从我们的综述来看，在阿拉伯海湾地区，袖状胃切除术是发表最多的手术方式，而在美国，胃旁路手术的比例最高，在胃旁路手术和胃束带术方面，澳大利亚的数量相当。来自沙特阿拉伯、科威特、阿联酋、巴林、卡塔尔和阿曼的研究数量分别为70、44、20、7、6和0。已发表文章的平均影响因子为2.53±1.76标准差。大多数出版物发表在《肥胖外科》（29%）、《肥胖及相关疾病外科》（5%）和《外科内镜》（5%）上。
阿拉伯海湾地区进行减肥手术的比例最高，肥胖患病率也最高。然而，与西方同行相比，该地区的出版物和研究数量最少；因此，阿拉伯海湾地区需要更多的研究和出版物，以及建立一个区域登记系统的可能性，以便能够全面了解该地区的减肥手术情况。
