Nutritional Deficiency After Bariatric Surgery – A Systematic Review
VOLUME 22, 2025
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Mohammed Ibrahim Habadi, Ahmed Khalil Salman, Feras Yaseen Ahmed, Yasamiyan Nawaf Aljazi, Saif Awadh Alsemairi, Hoda Jehad Abousada, Batool Mohammad Haider
Eman Mohammedsaeed Tayyib, Turki Mohammed Alqarni, Eman Ali Alzain, Ahmad Sami Alarfaj, Ghaida Wael Khayat, Lujain Jameel Madani and Fahad Ramzi Alkhattabi
Abstract
Since obesity is closely linked to metabolic disorders, cancer, and cardiovascular diseases, it poses a threat to public health in Saudi Arabia. Effective methods for managing obesity include a step-by-step strategy that incorporates dietary changes, lifestyle modifications, and pharmaceutical treatments. In certain situations, however, surgical intervention is still required, as recently described in Saudi guidelines for the prevention and management of obesity. The objective of this systematic review is to evaluate the weight loss and complication rates of various bariatric operations based on reported data from the literature. Such procedures carry the dangers of hormone imbalances, malabsorption, metabolic problems, and procedure-related consequences. Extended follow-up and scientific body advice, however, increased benefits and decreased hazards, according to long-term experience.
Keywords :
Obesity, Nutritional Deficiency, bariatric surgery, issues, concerns..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty