Evidence map›Paper›PMID 42742829›Full record

ArticleObesity surgery2026

Benign Anorectal Disease Following Weight Loss Interventions Including Bariatric Surgery: A Retrospective Cohort Study.

Ahmed Alkhamis, Dalia Albloushi, Mohsen Alhashemi, Omar Alkandari, Salman Alsafran, Omar Al Qabandi, Hala AlDabbous, Ameera AlHasan, Mohammad H Jamal

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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. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ahmed AlkhamisDepartment of Surgery, Kuwait University, Kuwait City, Kuwait. ahmed.alkhamis@ku.edu.kw.
Dalia AlbloushiColorectal and Robotics Surgery Unit, Department of Surgery, Jaber Al-Ahmed Hospital, South Surra, Kuwait.
Mohsen AlhashemiDepartment of Surgery, Kuwait University, Kuwait City, Kuwait.
Omar AlkandariKuwait Institute for Medical Specialization, Ministry of Health, Kuwait City, Kuwait.
Salman AlsafranDepartment of Surgery, Kuwait University, Kuwait City, Kuwait.
Omar Al QabandiColorectal and Robotics Surgery Unit, Department of Surgery, Jaber Al-Ahmed Hospital, South Surra, Kuwait.
Hala AlDabbousColorectal and Robotics Surgery Unit, Department of Surgery, Jaber Al-Ahmed Hospital, South Surra, Kuwait.
Ameera AlHasanColorectal and Robotics Surgery Unit, Department of Surgery, Jaber Al-Ahmed Hospital, South Surra, Kuwait.
Mohammad H JamalDepartment of Surgery, Kuwait University, Kuwait City, Kuwait.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBariatric and metabolic surgery (MBS) and intra-gastric balloons (IGBs) are effective interventions for the treatment of obesity, resulting in substantial weight reduction and improvement in associated comorbidities. Nonetheless, the postoperative period can be complicated by new onset of benign anorectal disorders (NBADs). This study aims to examine the incidence and risk factors associated with NBADs following these weight loss interventions.

methodsWe conducted a retrospective review of patients who underwent MBS and IGBs in a si ngle center between 2019 and 2024. Data were collected through electronic medical records and follow-up telephone interviews, assessing demographics, comorbidities, bowel habit changes and anorectal symptoms.

resultsA total of 371 patients were included, with a mean age of 34.7 ± 11.6 years; 62.3% were female. Laparoscopic sleeve gastrectomy was the most common intervention (64.7%), followed by malabsorptive procedures (9.1%). The rate of NBADs was 10.78% (n=40). Multivariate analysis identified age (OR 1.03, 95% CI: 1.001-1.06, p<0.05) and diabetes mellitus (OR: 4.1, 95% CI: 1.2-14.2, p<0.05) as independent risk factors for developing post operative changes in bowel habits. Importantly, constipation demonstrated the strongest association with NBADs (OR 10.4 CI: 4.7-23.1, p<0.001).

conclusionNBADs occur in over 10% of patients following weight loss interventions with constipation being the strongest predictor. These findings highlight the need for proactive monitoring and personalized dietary strategies to manage bowel habit changes and reduce the risk of anorectal complications.

Indexed as

Bariatric SurgeryObesity, MorbidPostoperative ComplicationsRectal DiseasesAdultFemaleGastric BalloonHumansMaleRetrospective StudiesRisk FactorsWeight LossAnorectal diseaseBariatric surgeryBenign

Identifiers

PMID42742829

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