Prevalence of vasovagal syncope following bariatric surgery

Background: Obesity is a major global public health problem. Observational studies have shown an increasing incidence of syncope and pre-syncope following bariatric surgery in obese patients. However, there is paucity of the true incidence of syncope following bariatrics sugary in the literature. Me...

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Main Authors: Omar A Al Obeed, Thamer Bin Traiki, Yara F Alfahad, Maha-Hamadien Abdulla, Mohamed N AlAli, Abdulhamed A Alharbi, Reem Alharbi, Thamer Nouh, Ahmad Hersi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=2;spage=161;epage=164;aulast=Al
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spelling doaj-e19755786d414c7994552d517df3f2e92021-04-20T10:04:53ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2021-01-0115216116410.4103/sja.SJA_922_20Prevalence of vasovagal syncope following bariatric surgeryOmar A Al ObeedThamer Bin TraikiYara F AlfahadMaha-Hamadien AbdullaMohamed N AlAliAbdulhamed A AlharbiReem AlharbiThamer NouhAhmad HersiBackground: Obesity is a major global public health problem. Observational studies have shown an increasing incidence of syncope and pre-syncope following bariatric surgery in obese patients. However, there is paucity of the true incidence of syncope following bariatrics sugary in the literature. Methods: We have randomly surveyed 200 patients who underwent bariatric surgery between 2016-2018 using Calgary Syncope Score (CSS). Results: Of the 200 patients enrolled, 107 (53.5%) were female with 167 patients (83.5%) between 18 and 50 years of age. The most-reported comorbidities were diabetes mellitus 26 (13%) hypertension 25 (12.5%) and pulmonary disease 18 (9%). The majority 98 (49%) of the patients had pre-operative body mass index (BMI) of 40–50 kg/m2, and most of them had laparoscopic sleeve gastrectomy (LSG). Sixty-two (31%) patients had vasovagal syncope (VVS), 52 (26%) patients had non-VVS and 86 (43%) had no syncope. Conclusion: Vasovagal syncope in patients following bariatric sugary is quite common and affects 15% of bariatric patients in our series in the first year postoperatively. Further randomized controlled trials are required to prove our results.http://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=2;spage=161;epage=164;aulast=Alautonomic dysfunctionbariatric surgeryvasovagal syncope
collection DOAJ
language English
format Article
sources DOAJ
author Omar A Al Obeed
Thamer Bin Traiki
Yara F Alfahad
Maha-Hamadien Abdulla
Mohamed N AlAli
Abdulhamed A Alharbi
Reem Alharbi
Thamer Nouh
Ahmad Hersi
spellingShingle Omar A Al Obeed
Thamer Bin Traiki
Yara F Alfahad
Maha-Hamadien Abdulla
Mohamed N AlAli
Abdulhamed A Alharbi
Reem Alharbi
Thamer Nouh
Ahmad Hersi
Prevalence of vasovagal syncope following bariatric surgery
Saudi Journal of Anaesthesia
autonomic dysfunction
bariatric surgery
vasovagal syncope
author_facet Omar A Al Obeed
Thamer Bin Traiki
Yara F Alfahad
Maha-Hamadien Abdulla
Mohamed N AlAli
Abdulhamed A Alharbi
Reem Alharbi
Thamer Nouh
Ahmad Hersi
author_sort Omar A Al Obeed
title Prevalence of vasovagal syncope following bariatric surgery
title_short Prevalence of vasovagal syncope following bariatric surgery
title_full Prevalence of vasovagal syncope following bariatric surgery
title_fullStr Prevalence of vasovagal syncope following bariatric surgery
title_full_unstemmed Prevalence of vasovagal syncope following bariatric surgery
title_sort prevalence of vasovagal syncope following bariatric surgery
publisher Wolters Kluwer Medknow Publications
series Saudi Journal of Anaesthesia
issn 1658-354X
publishDate 2021-01-01
description Background: Obesity is a major global public health problem. Observational studies have shown an increasing incidence of syncope and pre-syncope following bariatric surgery in obese patients. However, there is paucity of the true incidence of syncope following bariatrics sugary in the literature. Methods: We have randomly surveyed 200 patients who underwent bariatric surgery between 2016-2018 using Calgary Syncope Score (CSS). Results: Of the 200 patients enrolled, 107 (53.5%) were female with 167 patients (83.5%) between 18 and 50 years of age. The most-reported comorbidities were diabetes mellitus 26 (13%) hypertension 25 (12.5%) and pulmonary disease 18 (9%). The majority 98 (49%) of the patients had pre-operative body mass index (BMI) of 40–50 kg/m2, and most of them had laparoscopic sleeve gastrectomy (LSG). Sixty-two (31%) patients had vasovagal syncope (VVS), 52 (26%) patients had non-VVS and 86 (43%) had no syncope. Conclusion: Vasovagal syncope in patients following bariatric sugary is quite common and affects 15% of bariatric patients in our series in the first year postoperatively. Further randomized controlled trials are required to prove our results.
topic autonomic dysfunction
bariatric surgery
vasovagal syncope
url http://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=2;spage=161;epage=164;aulast=Al
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