Abstract :
Our research was conducted on 100 patients who underwent bariatric surgery due to morbid obesity in our metabolic and bariatric surgery clinic (Tikrit Hospitals) between October 2017 and March 2021 to determine the diseases that accompany or cause obesity with a multidisciplinary evaluation in the management of patients before bariatric surgery, we think that these determinations will enable us to predict the risk of preoperative mortality and postoperative success. Our research was conducted on 100 patients who underwent bariatric surgery due to morbid obesity in our metabolic and bariatric surgery clinic (Tikrit Hospitals) between October 2017 and March 2021. Anthropometric, physical examination and laboratory data were obtained and recorded retrospectively from the files and electronic records of each case. This research is a cross-sectional descriptive study, which is done by retrospectively examining the data of the patients, their files and electronic records. Our study was carried out in accordance with ethical rules. In the study group, the frequency of the diseases detected during the evaluation of the patients with a BMI > 40 kg / m2 with a multidisciplinary approach before bariatric surgery was used as data. Cases between the ages of 18-65 were included in the study. The records of 100 patients whose files were examined were evaluated. Of the patients, 64% were female, 36% were male, mean age was 48.6 years, and mean BMI was 39.7 kg/m2. In obesity patients, type-2 diabetes was detected in 13% hypertension in 32%, and metabolic syndrome in 64%. For the first time in this study, the prevalence of nodular goiter, thyroid cancer, adrenal adenoma, and gastric cancer before bariatric surgery was detected in obesity patients. Hypothyroidism and subclinical hypothyroidism found in 8% while Hyperthyroidism and subclinical hyperthyroidism recorded in 4%. Sleep Apnea plus Obstructive Sleep Apnea and Nodular goiter present in 48%. Regarding gastrointestinal problems; gallbladder disease 33%, Non-alcoholic fatty liver disease 63% and Gastro-esophageal reflux disease in 25%. In Depression and other Psychological Disorders there was a rate of 55%. Regarding Adrenal gland diseases, Non-functional adrenal adenoma represented in 7% and Cushing and Subclinical Cushing's syndrome in 4%.
