Evidence map›Paper›PMID 34617207›Full record

ArticleObesity surgery2021

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

Mohammad Kermansaravi, Islam Omar, Kamal Mahawar, Shahab Shahabi, Ahmad Bashir, Ashraf Haddad, Alaa Abbass, Syed Imran Abbas, Mujjahid Abbas, Tarek Abouzeid and 51 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Ramadan and Diabetes: What About Non-Fasting Patients with Diabetes?Diabetes, metabolic syndrome and obesity : targets and therapy · 2022
    Article
  9. Patient Care During Ramadan: A Narrative Review.Health services research and managerial epidemiology
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

61 authors at 20 institutions in 20 countries.

Mohammad KermansaraviDepartment of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-E Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Islam OmarWirral University Teaching Hospital, NHS Foundation Trust, Birkenhead, Wirral, UK.
Kamal MahawarBariatric Unit, South Tyneside and Sunderland NHS Trust, Sunderland, SR4 7TP, UK.
Shahab ShahabiMinimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Ahmad BashirMinimally Invasive and Bariatric Surgery, Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Queen Noor Street, Amman, 11152, Jordan.
Ashraf HaddadMinimally Invasive and Bariatric Surgery, Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Queen Noor Street, Amman, 11152, Jordan.
Alaa AbbassBariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, 11591, Egypt.
Syed Imran AbbasIranian Hospital, Alwasl Road, Dubai, UAE.
Mujjahid AbbasUniversity Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Tarek AbouzeidBariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, 11591, Egypt.
Faki AkinBariatric and Metabolic Surgery, Istanbul, Turkey.
Ebrahim AghajaniDepartment of Surgery, Aleris Hospital, Fredrik Stangs gate 11-13, 0264, Oslo, Norway.
Ali AminianBariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.
Mohanad AlAnsariRobotic Surgery Academy, International Modern Hospital, Baghdad, Iraq.
Syed Tanseer AsgharCapital Hospital, CDA, Islamabad, Pakistan.
Ahmet Ziya BaltaFaculty of Health Sciences, Istanbul Rumeli University, Istanbul, Turkey.
Waleed BukhariInternational Medical Center, Jeddah, Saudi Arabia.
Mohamad Hayssam ElfawalMakassed General Hospital, Beirut, Lebanon.
Waleed GadoEndocrine and Bariatric Surgery Unit, Mansoura University, Mansoura, Egypt.
Khaled GawdatBariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, 11591, Egypt.
Tikfu GeeDepartment of Medical Science, School of Healthcare and Medical Sciences, Sunway UniversityJalan UniversitySelangor Darul Ehsan, 47500, Bandar SunwayPetaling Jaya, Malaysia.
Bijan Ghavami, Vinet Lausanne, Switzerland.
Ramen GoelWockhardt Hospitals, Mumbai, India.
Mohammed AlHadadHealthpoint Hospital, Mubadala Health Care, Abu Dhabi, UAE.
Bader AlHadhramiRoyal Hospital, Muscat, Oman.
Mohammad AlHaifiAlhaifi Private Clinic, Kuwait, Kuwait.
Ali AlHamdaniWellington Hospital, Wellington, UK.
Ibrahim HassanSidra Hospital, Kuwait, Kuwait.
Selim Jalil IllanInternational Center of Excellence in Bariatric and Metabolic Surgery, Hospital BC, Tijuana, Mexico.
Atif InamIn Charge Metabolic, Thoracic and General Surgery Unit III, Department of General Surgery, Pakistan Institute of Medical Sciences, Islamabad, Pakistan.
Aiman IsmaeilFaculty of Medicine, Aswan University, Aswan, Egypt.
Yasser KayyalCork University Hospital, Cork, Ireland.
Khaleel MohammadMinistry of Health, Kuwait, Kuwait.
Amir Ulhagh KhanWalsall Healthcare NHS Trust, Walsall, UK.
Mousa KhoursheedHealth Sciences Center, Department of Surgery, Kuwait, Kuwait.
Haris KhwajaChelsea and Westminster Hospital, London, UK.
K S KularFounding President MGB-OAGB Club, Kular Research Institute, Bija, India.
Laurent Abram LayaniHOD Surgical Bariatric Department, Dubai, UAE.
MaazulhassanShalimar Medical and Dental College, Lahore, Pakistan.
Tarek MahdySharjah University Hospital, Mansoura Faculty of Medicine, Sharjah, UAE.
Mumtaz MaherSouth City Hospital, Karachi, Pakistan.
Ebrahim MansoorPrivate Practice, Durban, South Africa.
Salman MirzaWalsall Healthcare NHS Trust, Walsall, UK.
Muhammad S NiamFaculty of Medicine, Brawijaya University, Dr Saiful Anwar General Hospital, Malang, Indonesia.
Taryel OmarovFirst Surgical Disease Department, Azerbaijan Medical University, Baku, Azerbaijan.
Abdolreza PazoukiDepartment of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-E Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Aayed R AlqahtaniNew You Medical Center, King Saud University, Obesity Chair, Riyadh, Saudi Arabia.
Mohamed QassemBariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, 11591, Egypt.
Masoud RezvaniInova Fair Oaks Hospital, COE Bariatric Center, 14904 Jefferson Davis Hwy, Suite 205, Woodbridge, VA, 22191, USA.
Karim SabryBariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, 11591, Egypt.
Safauldeen SalimAlsadir Teaching Hospital, Najaf, Iraq.
Asim ShabbirYong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.
Mehdi SkalliCHU de Montpellier, Montpellier, France.
Osama TahaBariatric Unit, Plastic and Obesity Surgery Department, Assiut University Hospital, Assiut, Egypt.
Mohammad TalebpourDepartment of General Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Halit Eren TaskinCerrahpasa Medical Faculty, Department of Surgery, Istanbul University Cerrahpasa, Istanbul, Turkey.
Mustafa TaskinCerrahpasa Medical Faculty, Department of Surgery, Istanbul University Cerrahpasa, Istanbul, Turkey.
Tahir YunusEvercare Hospital, Lahore, Pakistan.
Amir Hossein Davarpanah JaziMinimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Radwan KassirDepartment of Digestive Surgery, CHU Félix Guyon, Saint Denis, La Réunion, France.
Abdelrahman NimeriChief, Bariatric and Metabolic Surgery Carolinas Medical Center, Ballantyne and Gastonia Director, Atrium Health University of North Carolina-Charlotte Campus Director, Bariatric Fellowship Program Carolinas Medical Center-Mercy, Atrium Health Weight Management Charlotte, ConcordCharlotte, NC, USA. Abdelrahman.Nimeri@atriumhealth.org.
Ain Shams University · EGIran University of Medical Sciences · IRIstanbul University-Cerrahpaşa · TRJordan Hospital · JOWalsall Healthcare NHS Trust · GBAssiut University · EGAswan University · EGAzerbaijan Medical University · AZBaghdad Medical City · IQCarolinas Medical Center · USCentre Hospitalier Universitaire de La Réunion · FRCentre Hospitalier Universitaire de Montpellier · FRChelsea and Westminster Hospital · GBCleveland Clinic · USCork University Hospital · IEHealthpoint · AEIbn Sina Hospital · KWIstanbul University · TRKing Abdullah International Medical Research Center · SAKing Saud Medical City · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFasting 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.

methodsA 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.

resultsThe 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.

conclusionExperts voted and reached a consensus on 40 statements covering various aspects of fasting after MBS.

Indexed as

Bariatric SurgeryDiabetes Mellitus, Type 2Obesity, MorbidDelphi TechniqueFastingHumansIslamBariatric surgeryCalorie restrictionConsensus statementFastingMetabolic surgeryObesityRamadan

Identifiers

PMID34617207
OpenAlexW3203471695

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.