Religious Fasting of Muslim Patients After Metabolic and Bariatric Surgery: a Modified Delphi Consensus
Background Fasting 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 c...
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| Veröffentlicht in: | Obesity surgery 2021-12, Vol.31 (12), p.5303-5311 |
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| creator | Kermansaravi, Mohammad Omar, Islam Mahawar, Kamal Shahabi, Shahab Bashir, Ahmad Haddad, Ashraf Abbass, Alaa Abbas, Syed Imran Abbas, Mujjahid Abouzeid, Tarek Akin, Faki Aghajani, Ebrahim Aminian, Ali AlAnsari, Mohanad Asghar, Syed Tanseer Balta, Ahmet Ziya Bukhari, Waleed Elfawal, Mohamad Hayssam Gado, Waleed Gawdat, Khaled Gee, Tikfu Ghavami, Bijan Goel, Ramen AlHadad, Mohammed AlHadhrami, Bader AlHaifi, Mohammad AlHamdani, Ali Hassan, Ibrahim Illan, Selim Jalil Inam, Atif Ismaeil, Aiman Kayyal, Yasser Mohammad, Khaleel Khan, Amir Ulhagh khoursheed, Mousa Khwaja, Haris Kular, K. S. Layani, Laurent Abram Maazulhassan Mahdy, Tarek Maher, Mumtaz Mansoor, Ebrahim Mirza, Salman Niam, Muhammad S. Omarov, Taryel Pazouki, Abdolreza Alqahtani, Aayed R. Qassem, Mohamed Rezvani, Masoud Sabry, Karim Salim, Safauldeen Shabbir, Asim Skalli, Mehdi Taha, Osama Talebpour, Mohammad Taskin, Halit Eren Taskin, Mustafa Yunus, Tahir Jazi, Amir Hossein Davarpanah Kassir, Radwan Nimeri, Abdelrahman |
| description | Background
Fasting 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.
Methods
A 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.
Results
The 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.
Conclusion
Experts voted and reached a consensus on 40 statements covering various aspects of fasting after MBS.
Graphical abstract |
| doi_str_mv | 10.1007/s11695-021-05724-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2580026354</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2597938603</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-6a274cea8c5967e3c3f74cb2f95d81da65ec252642882f474e6b471e43a8890e3</originalsourceid><addsrcrecordid>eNp9kUlPwzAQhS0EomX5AxyQJS5cAt7tcIOySlQglrPlJpNilCbFTg7012NoAYkDJ2vkb97MvIfQHiVHlBB9HClVucwIoxmRmolssYaGVBOTEcHMOhqSXJHM5IwP0FaMrySRirFNNOBCUc2IHqLpA9R-6ts-4ksXO99McVvhcR9rP8P3rvPQdBGfVh0EPIbOTdraF9g1JT5zwbsupOqxD1MI7yfY4XFb-spDic-hnr94PGqbCE3s4w7aqFwdYXf1bqPny4un0XV2e3d1Mzq9zQquZZcpx7QowJlC5koDL3iV6gmrclkaWjoloWCSqXSfYZXQAtREaAqCO2NyAnwbHS5156F96yF2duZjAXXtGkhHWiZNskFxKRJ68Ad9bfvQpO0SleucG0V4otiSKkIbY4DKzoOfufBuKbGfMdhlDDaZa79isIvUtL-S7iczKH9avn1PAF8CMX01yb3f2f_IfgCUrJKU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2597938603</pqid></control><display><type>article</type><title>Religious Fasting of Muslim Patients After Metabolic and Bariatric Surgery: a Modified Delphi Consensus</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Kermansaravi, Mohammad ; Omar, Islam ; Mahawar, Kamal ; Shahabi, Shahab ; Bashir, Ahmad ; Haddad, Ashraf ; Abbass, Alaa ; Abbas, Syed Imran ; Abbas, Mujjahid ; Abouzeid, Tarek ; Akin, Faki ; Aghajani, Ebrahim ; Aminian, Ali ; AlAnsari, Mohanad ; Asghar, Syed Tanseer ; Balta, Ahmet Ziya ; Bukhari, Waleed ; Elfawal, Mohamad Hayssam ; Gado, Waleed ; Gawdat, Khaled ; Gee, Tikfu ; Ghavami, Bijan ; Goel, Ramen ; AlHadad, Mohammed ; AlHadhrami, Bader ; AlHaifi, Mohammad ; AlHamdani, Ali ; Hassan, Ibrahim ; Illan, Selim Jalil ; Inam, Atif ; Ismaeil, Aiman ; Kayyal, Yasser ; Mohammad, Khaleel ; Khan, Amir Ulhagh ; khoursheed, Mousa ; Khwaja, Haris ; Kular, K. S. ; Layani, Laurent Abram ; Maazulhassan ; Mahdy, Tarek ; Maher, Mumtaz ; Mansoor, Ebrahim ; Mirza, Salman ; Niam, Muhammad S. ; Omarov, Taryel ; Pazouki, Abdolreza ; Alqahtani, Aayed R. ; Qassem, Mohamed ; Rezvani, Masoud ; Sabry, Karim ; Salim, Safauldeen ; Shabbir, Asim ; Skalli, Mehdi ; Taha, Osama ; Talebpour, Mohammad ; Taskin, Halit Eren ; Taskin, Mustafa ; Yunus, Tahir ; Jazi, Amir Hossein Davarpanah ; Kassir, Radwan ; Nimeri, Abdelrahman</creator><creatorcontrib>Kermansaravi, Mohammad ; Omar, Islam ; Mahawar, Kamal ; Shahabi, Shahab ; Bashir, Ahmad ; Haddad, Ashraf ; Abbass, Alaa ; Abbas, Syed Imran ; Abbas, Mujjahid ; Abouzeid, Tarek ; Akin, Faki ; Aghajani, Ebrahim ; Aminian, Ali ; AlAnsari, Mohanad ; Asghar, Syed Tanseer ; Balta, Ahmet Ziya ; Bukhari, Waleed ; Elfawal, Mohamad Hayssam ; Gado, Waleed ; Gawdat, Khaled ; Gee, Tikfu ; Ghavami, Bijan ; Goel, Ramen ; AlHadad, Mohammed ; AlHadhrami, Bader ; AlHaifi, Mohammad ; AlHamdani, Ali ; Hassan, Ibrahim ; Illan, Selim Jalil ; Inam, Atif ; Ismaeil, Aiman ; Kayyal, Yasser ; Mohammad, Khaleel ; Khan, Amir Ulhagh ; khoursheed, Mousa ; Khwaja, Haris ; Kular, K. S. ; Layani, Laurent Abram ; Maazulhassan ; Mahdy, Tarek ; Maher, Mumtaz ; Mansoor, Ebrahim ; Mirza, Salman ; Niam, Muhammad S. ; Omarov, Taryel ; Pazouki, Abdolreza ; Alqahtani, Aayed R. ; Qassem, Mohamed ; Rezvani, Masoud ; Sabry, Karim ; Salim, Safauldeen ; Shabbir, Asim ; Skalli, Mehdi ; Taha, Osama ; Talebpour, Mohammad ; Taskin, Halit Eren ; Taskin, Mustafa ; Yunus, Tahir ; Jazi, Amir Hossein Davarpanah ; Kassir, Radwan ; Nimeri, Abdelrahman</creatorcontrib><description>Background
Fasting 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.
Methods
A 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.
Results
The 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.
Conclusion
Experts voted and reached a consensus on 40 statements covering various aspects of fasting after MBS.
Graphical abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-021-05724-z</identifier><identifier>PMID: 34617207</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Bariatric Surgery - methods ; Consensus ; Delphi Technique ; Diabetes Mellitus, Type 2 - surgery ; Fasting ; Gastrointestinal surgery ; Humans ; Islam ; Medicine ; Medicine & Public Health ; Metabolism ; Obesity, Morbid - surgery ; Original Contributions ; Patients ; Surgeons ; Surgery</subject><ispartof>Obesity surgery, 2021-12, Vol.31 (12), p.5303-5311</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-6a274cea8c5967e3c3f74cb2f95d81da65ec252642882f474e6b471e43a8890e3</citedby><cites>FETCH-LOGICAL-c375t-6a274cea8c5967e3c3f74cb2f95d81da65ec252642882f474e6b471e43a8890e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-021-05724-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-021-05724-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34617207$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kermansaravi, Mohammad</creatorcontrib><creatorcontrib>Omar, Islam</creatorcontrib><creatorcontrib>Mahawar, Kamal</creatorcontrib><creatorcontrib>Shahabi, Shahab</creatorcontrib><creatorcontrib>Bashir, Ahmad</creatorcontrib><creatorcontrib>Haddad, Ashraf</creatorcontrib><creatorcontrib>Abbass, Alaa</creatorcontrib><creatorcontrib>Abbas, Syed Imran</creatorcontrib><creatorcontrib>Abbas, Mujjahid</creatorcontrib><creatorcontrib>Abouzeid, Tarek</creatorcontrib><creatorcontrib>Akin, Faki</creatorcontrib><creatorcontrib>Aghajani, Ebrahim</creatorcontrib><creatorcontrib>Aminian, Ali</creatorcontrib><creatorcontrib>AlAnsari, Mohanad</creatorcontrib><creatorcontrib>Asghar, Syed Tanseer</creatorcontrib><creatorcontrib>Balta, Ahmet Ziya</creatorcontrib><creatorcontrib>Bukhari, Waleed</creatorcontrib><creatorcontrib>Elfawal, Mohamad Hayssam</creatorcontrib><creatorcontrib>Gado, Waleed</creatorcontrib><creatorcontrib>Gawdat, Khaled</creatorcontrib><creatorcontrib>Gee, Tikfu</creatorcontrib><creatorcontrib>Ghavami, Bijan</creatorcontrib><creatorcontrib>Goel, Ramen</creatorcontrib><creatorcontrib>AlHadad, Mohammed</creatorcontrib><creatorcontrib>AlHadhrami, Bader</creatorcontrib><creatorcontrib>AlHaifi, Mohammad</creatorcontrib><creatorcontrib>AlHamdani, Ali</creatorcontrib><creatorcontrib>Hassan, Ibrahim</creatorcontrib><creatorcontrib>Illan, Selim Jalil</creatorcontrib><creatorcontrib>Inam, Atif</creatorcontrib><creatorcontrib>Ismaeil, Aiman</creatorcontrib><creatorcontrib>Kayyal, Yasser</creatorcontrib><creatorcontrib>Mohammad, Khaleel</creatorcontrib><creatorcontrib>Khan, Amir Ulhagh</creatorcontrib><creatorcontrib>khoursheed, Mousa</creatorcontrib><creatorcontrib>Khwaja, Haris</creatorcontrib><creatorcontrib>Kular, K. S.</creatorcontrib><creatorcontrib>Layani, Laurent Abram</creatorcontrib><creatorcontrib>Maazulhassan</creatorcontrib><creatorcontrib>Mahdy, Tarek</creatorcontrib><creatorcontrib>Maher, Mumtaz</creatorcontrib><creatorcontrib>Mansoor, Ebrahim</creatorcontrib><creatorcontrib>Mirza, Salman</creatorcontrib><creatorcontrib>Niam, Muhammad S.</creatorcontrib><creatorcontrib>Omarov, Taryel</creatorcontrib><creatorcontrib>Pazouki, Abdolreza</creatorcontrib><creatorcontrib>Alqahtani, Aayed R.</creatorcontrib><creatorcontrib>Qassem, Mohamed</creatorcontrib><creatorcontrib>Rezvani, Masoud</creatorcontrib><creatorcontrib>Sabry, Karim</creatorcontrib><creatorcontrib>Salim, Safauldeen</creatorcontrib><creatorcontrib>Shabbir, Asim</creatorcontrib><creatorcontrib>Skalli, Mehdi</creatorcontrib><creatorcontrib>Taha, Osama</creatorcontrib><creatorcontrib>Talebpour, Mohammad</creatorcontrib><creatorcontrib>Taskin, Halit Eren</creatorcontrib><creatorcontrib>Taskin, Mustafa</creatorcontrib><creatorcontrib>Yunus, Tahir</creatorcontrib><creatorcontrib>Jazi, Amir Hossein Davarpanah</creatorcontrib><creatorcontrib>Kassir, Radwan</creatorcontrib><creatorcontrib>Nimeri, Abdelrahman</creatorcontrib><title>Religious Fasting of Muslim Patients After Metabolic and Bariatric Surgery: a Modified Delphi Consensus</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Fasting 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.
Methods
A 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.
Results
The 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.
Conclusion
Experts voted and reached a consensus on 40 statements covering various aspects of fasting after MBS.
Graphical abstract</description><subject>Bariatric Surgery - methods</subject><subject>Consensus</subject><subject>Delphi Technique</subject><subject>Diabetes Mellitus, Type 2 - surgery</subject><subject>Fasting</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Islam</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolism</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Patients</subject><subject>Surgeons</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUlPwzAQhS0EomX5AxyQJS5cAt7tcIOySlQglrPlJpNilCbFTg7012NoAYkDJ2vkb97MvIfQHiVHlBB9HClVucwIoxmRmolssYaGVBOTEcHMOhqSXJHM5IwP0FaMrySRirFNNOBCUc2IHqLpA9R-6ts-4ksXO99McVvhcR9rP8P3rvPQdBGfVh0EPIbOTdraF9g1JT5zwbsupOqxD1MI7yfY4XFb-spDic-hnr94PGqbCE3s4w7aqFwdYXf1bqPny4un0XV2e3d1Mzq9zQquZZcpx7QowJlC5koDL3iV6gmrclkaWjoloWCSqXSfYZXQAtREaAqCO2NyAnwbHS5156F96yF2duZjAXXtGkhHWiZNskFxKRJ68Ad9bfvQpO0SleucG0V4otiSKkIbY4DKzoOfufBuKbGfMdhlDDaZa79isIvUtL-S7iczKH9avn1PAF8CMX01yb3f2f_IfgCUrJKU</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Kermansaravi, Mohammad</creator><creator>Omar, Islam</creator><creator>Mahawar, Kamal</creator><creator>Shahabi, Shahab</creator><creator>Bashir, Ahmad</creator><creator>Haddad, Ashraf</creator><creator>Abbass, Alaa</creator><creator>Abbas, Syed Imran</creator><creator>Abbas, Mujjahid</creator><creator>Abouzeid, Tarek</creator><creator>Akin, Faki</creator><creator>Aghajani, Ebrahim</creator><creator>Aminian, Ali</creator><creator>AlAnsari, Mohanad</creator><creator>Asghar, Syed Tanseer</creator><creator>Balta, Ahmet Ziya</creator><creator>Bukhari, Waleed</creator><creator>Elfawal, Mohamad Hayssam</creator><creator>Gado, Waleed</creator><creator>Gawdat, Khaled</creator><creator>Gee, Tikfu</creator><creator>Ghavami, Bijan</creator><creator>Goel, Ramen</creator><creator>AlHadad, Mohammed</creator><creator>AlHadhrami, Bader</creator><creator>AlHaifi, Mohammad</creator><creator>AlHamdani, Ali</creator><creator>Hassan, Ibrahim</creator><creator>Illan, Selim Jalil</creator><creator>Inam, Atif</creator><creator>Ismaeil, Aiman</creator><creator>Kayyal, Yasser</creator><creator>Mohammad, Khaleel</creator><creator>Khan, Amir Ulhagh</creator><creator>khoursheed, Mousa</creator><creator>Khwaja, Haris</creator><creator>Kular, K. 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S. ; Layani, Laurent Abram ; Maazulhassan ; Mahdy, Tarek ; Maher, Mumtaz ; Mansoor, Ebrahim ; Mirza, Salman ; Niam, Muhammad S. ; Omarov, Taryel ; Pazouki, Abdolreza ; Alqahtani, Aayed R. ; Qassem, Mohamed ; Rezvani, Masoud ; Sabry, Karim ; Salim, Safauldeen ; Shabbir, Asim ; Skalli, Mehdi ; Taha, Osama ; Talebpour, Mohammad ; Taskin, Halit Eren ; Taskin, Mustafa ; Yunus, Tahir ; Jazi, Amir Hossein Davarpanah ; Kassir, Radwan ; Nimeri, Abdelrahman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-6a274cea8c5967e3c3f74cb2f95d81da65ec252642882f474e6b471e43a8890e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bariatric Surgery - methods</topic><topic>Consensus</topic><topic>Delphi Technique</topic><topic>Diabetes Mellitus, Type 2 - surgery</topic><topic>Fasting</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Islam</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolism</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Patients</topic><topic>Surgeons</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kermansaravi, Mohammad</creatorcontrib><creatorcontrib>Omar, Islam</creatorcontrib><creatorcontrib>Mahawar, Kamal</creatorcontrib><creatorcontrib>Shahabi, Shahab</creatorcontrib><creatorcontrib>Bashir, Ahmad</creatorcontrib><creatorcontrib>Haddad, Ashraf</creatorcontrib><creatorcontrib>Abbass, Alaa</creatorcontrib><creatorcontrib>Abbas, Syed Imran</creatorcontrib><creatorcontrib>Abbas, Mujjahid</creatorcontrib><creatorcontrib>Abouzeid, Tarek</creatorcontrib><creatorcontrib>Akin, Faki</creatorcontrib><creatorcontrib>Aghajani, Ebrahim</creatorcontrib><creatorcontrib>Aminian, Ali</creatorcontrib><creatorcontrib>AlAnsari, Mohanad</creatorcontrib><creatorcontrib>Asghar, Syed Tanseer</creatorcontrib><creatorcontrib>Balta, Ahmet Ziya</creatorcontrib><creatorcontrib>Bukhari, Waleed</creatorcontrib><creatorcontrib>Elfawal, Mohamad Hayssam</creatorcontrib><creatorcontrib>Gado, Waleed</creatorcontrib><creatorcontrib>Gawdat, Khaled</creatorcontrib><creatorcontrib>Gee, Tikfu</creatorcontrib><creatorcontrib>Ghavami, Bijan</creatorcontrib><creatorcontrib>Goel, Ramen</creatorcontrib><creatorcontrib>AlHadad, Mohammed</creatorcontrib><creatorcontrib>AlHadhrami, Bader</creatorcontrib><creatorcontrib>AlHaifi, Mohammad</creatorcontrib><creatorcontrib>AlHamdani, Ali</creatorcontrib><creatorcontrib>Hassan, Ibrahim</creatorcontrib><creatorcontrib>Illan, Selim Jalil</creatorcontrib><creatorcontrib>Inam, Atif</creatorcontrib><creatorcontrib>Ismaeil, Aiman</creatorcontrib><creatorcontrib>Kayyal, Yasser</creatorcontrib><creatorcontrib>Mohammad, Khaleel</creatorcontrib><creatorcontrib>Khan, Amir Ulhagh</creatorcontrib><creatorcontrib>khoursheed, Mousa</creatorcontrib><creatorcontrib>Khwaja, Haris</creatorcontrib><creatorcontrib>Kular, K. S.</creatorcontrib><creatorcontrib>Layani, Laurent Abram</creatorcontrib><creatorcontrib>Maazulhassan</creatorcontrib><creatorcontrib>Mahdy, Tarek</creatorcontrib><creatorcontrib>Maher, Mumtaz</creatorcontrib><creatorcontrib>Mansoor, Ebrahim</creatorcontrib><creatorcontrib>Mirza, Salman</creatorcontrib><creatorcontrib>Niam, Muhammad S.</creatorcontrib><creatorcontrib>Omarov, Taryel</creatorcontrib><creatorcontrib>Pazouki, Abdolreza</creatorcontrib><creatorcontrib>Alqahtani, Aayed R.</creatorcontrib><creatorcontrib>Qassem, Mohamed</creatorcontrib><creatorcontrib>Rezvani, Masoud</creatorcontrib><creatorcontrib>Sabry, Karim</creatorcontrib><creatorcontrib>Salim, Safauldeen</creatorcontrib><creatorcontrib>Shabbir, Asim</creatorcontrib><creatorcontrib>Skalli, Mehdi</creatorcontrib><creatorcontrib>Taha, Osama</creatorcontrib><creatorcontrib>Talebpour, Mohammad</creatorcontrib><creatorcontrib>Taskin, Halit Eren</creatorcontrib><creatorcontrib>Taskin, Mustafa</creatorcontrib><creatorcontrib>Yunus, Tahir</creatorcontrib><creatorcontrib>Jazi, Amir Hossein Davarpanah</creatorcontrib><creatorcontrib>Kassir, Radwan</creatorcontrib><creatorcontrib>Nimeri, Abdelrahman</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kermansaravi, Mohammad</au><au>Omar, Islam</au><au>Mahawar, Kamal</au><au>Shahabi, Shahab</au><au>Bashir, Ahmad</au><au>Haddad, Ashraf</au><au>Abbass, Alaa</au><au>Abbas, Syed Imran</au><au>Abbas, Mujjahid</au><au>Abouzeid, Tarek</au><au>Akin, Faki</au><au>Aghajani, Ebrahim</au><au>Aminian, Ali</au><au>AlAnsari, Mohanad</au><au>Asghar, Syed Tanseer</au><au>Balta, Ahmet Ziya</au><au>Bukhari, Waleed</au><au>Elfawal, Mohamad Hayssam</au><au>Gado, Waleed</au><au>Gawdat, Khaled</au><au>Gee, Tikfu</au><au>Ghavami, Bijan</au><au>Goel, Ramen</au><au>AlHadad, Mohammed</au><au>AlHadhrami, Bader</au><au>AlHaifi, Mohammad</au><au>AlHamdani, Ali</au><au>Hassan, Ibrahim</au><au>Illan, Selim Jalil</au><au>Inam, Atif</au><au>Ismaeil, Aiman</au><au>Kayyal, Yasser</au><au>Mohammad, Khaleel</au><au>Khan, Amir Ulhagh</au><au>khoursheed, Mousa</au><au>Khwaja, Haris</au><au>Kular, K. S.</au><au>Layani, Laurent Abram</au><au>Maazulhassan</au><au>Mahdy, Tarek</au><au>Maher, Mumtaz</au><au>Mansoor, Ebrahim</au><au>Mirza, Salman</au><au>Niam, Muhammad S.</au><au>Omarov, Taryel</au><au>Pazouki, Abdolreza</au><au>Alqahtani, Aayed R.</au><au>Qassem, Mohamed</au><au>Rezvani, Masoud</au><au>Sabry, Karim</au><au>Salim, Safauldeen</au><au>Shabbir, Asim</au><au>Skalli, Mehdi</au><au>Taha, Osama</au><au>Talebpour, Mohammad</au><au>Taskin, Halit Eren</au><au>Taskin, Mustafa</au><au>Yunus, Tahir</au><au>Jazi, Amir Hossein Davarpanah</au><au>Kassir, Radwan</au><au>Nimeri, Abdelrahman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Religious Fasting of Muslim Patients After Metabolic and Bariatric Surgery: a Modified Delphi Consensus</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>31</volume><issue>12</issue><spage>5303</spage><epage>5311</epage><pages>5303-5311</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Fasting 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.
Methods
A 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.
Results
The 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.
Conclusion
Experts voted and reached a consensus on 40 statements covering various aspects of fasting after MBS.
Graphical abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34617207</pmid><doi>10.1007/s11695-021-05724-z</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2021-12, Vol.31 (12), p.5303-5311 |
| issn | 0960-8923 1708-0428 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2580026354 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Bariatric Surgery - methods Consensus Delphi Technique Diabetes Mellitus, Type 2 - surgery Fasting Gastrointestinal surgery Humans Islam Medicine Medicine & Public Health Metabolism Obesity, Morbid - surgery Original Contributions Patients Surgeons Surgery |
| title | Religious Fasting of Muslim Patients After Metabolic and Bariatric Surgery: a Modified Delphi Consensus |
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