Evidence map›Paper›PMID 41879937›Full record

ArticleObesity surgery2026

New-onset Anorectal Symptoms and Disorders After Bariatric Surgery: An Overlooked Entity.

Hefzi A Alratrout, Hitaf A Alqadoum, Sarah S Almutairi, Razan S Almadani, Abdulaziz E Aldabaeab, Mosab A Alarfaj, Hassan A Alsaleem, Hazem M Zakaria, Ahmed M El Damati, Abdulrahman Alghuwainem and 2 more

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Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Hefzi A AlratroutDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID http://orcid.org/0000-0003-4759-0581
Hitaf A AlqadoumCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID http://orcid.org/0009-0001-9290-1943
Sarah S AlmutairiCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID http://orcid.org/0009-0000-0613-3056
Razan S AlmadaniCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID http://orcid.org/0009-0007-1299-7943
Abdulaziz E AldabaeabDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID http://orcid.org/0009-0003-6011-6072
Mosab A AlarfajDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID http://orcid.org/0000-0002-8232-8979
Hassan A AlsaleemDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID http://orcid.org/0000-0002-6979-2531
Hazem M ZakariaDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID http://orcid.org/0000-0003-3325-1722
Ahmed M El DamatiDepartment of Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0000-0003-4385-3161
Abdulrahman AlghuwainemDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID http://orcid.org/0009-0004-4398-676X
Nada A BamaarofDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Mohammed S FoulaDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. msfoula@iau.edu.sa.ORCID http://orcid.org/0000-0003-1951-635X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBariatric and metabolic surgery (BMS) in Saudi Arabia is increasing. Many patients suffer from postoperative altered bowel habits and anorectal disorders. Development of new-onset benign anal symptoms and disorders (NBADs) after BMS is commonly seen in daily clinical practice. However, the literature lacks studies on this overlooked entity. Therefore, we aim to assess the incidence of NBADs in patients who underwent BMS in the Eastern Province of Saudi Arabia.

methodsIn this cross-sectional questionnaire-based study, a questionnaire was distributed to all patients who had undergone any type of BMS at our tertiary university hospital or during various obesity awareness campaigns held during 2024.

resultsThe 163 patients enrolled were categorized into group I (138 patients after laparoscopic sleeve gastrectomy (LSG) and group II (25 patients after laparoscopic Roux-en-Y gastric bypass (LRYGB). The results showed new-onset diarrhea was significantly more common after LRYGB (8% vs. 36%), and new-onset fecal incontinence was also reported (2.2% vs. 8%). New-onset constipation was reported (46.4% vs. 28%), and pre-existing constipation improved (30% vs. 35.3%) and worsened (37.8% and 29.4%) in both groups, respectively. New-onset anal fissure, new-onset hemorrhoids, new-onset perianal abscess, and perianal fistula were reported (11.6% vs. 20%), (8.7% vs. 16%), (2.9% vs. 4%), (2.2% vs. 8%), in group II and group II, respectively.

conclusionThis study underscores the substantial burden of benign anal symptoms and disorders in post-bariatric patients. Constipation is more common after LSG, whereas LRYGB is associated with a higher incidence of newly developed diarrhea, fecal incontinence, anal fissure, hemorrhoids, perianal fistula, and abscess.

Indexed as

Anus DiseasesBariatric SurgeryObesity, MorbidPostoperative ComplicationsRectal DiseasesAdultCross-Sectional StudiesFecal IncontinenceFemaleHumansIncidenceMaleMiddle AgedSaudi ArabiaSurveys and QuestionnairesAnal FissureAnus DiseasesBariatric SurgeryConstipationDiarrheaFecal IncontinenceFistulaGastric BypassHemorrhoidsObesitySleeve Gastrectomy

Identifiers

PMID41879937

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.