The Journal of surgical research · 2025
A Review to Assess the Safety and Health Outcomes of Religious Fasting in Ramadan in Patients Post Metabolic/Bariatric Surgery.
СтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
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Zil-E-Ali Ahsan, Sohail Abdullah, Ullah Zarhaish Barkat, Chishti Muhammad Bilal, Zil-E-Ali Fatima, Farooka Muhammad Waris, Nimeri Abdelrahman Ali
Аннотация
INTRODUCTION: This review assesses the safety and health outcomes of religious fasting in Ramadan for patients who have undergone metabolic/bariatric surgery (MBS), focusing on weight management, gastrointestinal symptoms, hydration, and psychological well-being.
METHODS: Following PRISMA-ScR guidelines, a systematic search identified seven studies from 2015 to 2024, including randomized controlled trials and observational studies. Studies focused on post-MBS outcomes during Ramadan fasting, examining key metrics such as weight change, gastrointestinal health, hydration status, and psychosocial impacts. Exclusions were applied to non-English publications, case reports, and reviews.
RESULTS: Across studies, weight loss was reported variably as percent total weight loss or absolute kilograms (kg) lost. Studies using percent total weight loss reported mean reductions ranging from 6.6% to 7.2%, while studies reporting absolute weight loss described reductions around 2 kg during Ramadan. Weight loss occurred in 42.6% to 100% of fasting patients, depending on study and timing after surgery. Common gastrointestinal symptoms included nausea, vomiting, and abdominal pain, with prevalence up to 61.4%, particularly when fasting in the early postoperative period. Dehydration affected 18% of patients, with 2.9% requiring intravenous fluid replacement. Positive psychosocial effects included improved social functioning, reduced hunger scores, and decreased cravings, although complications like marginal ulcers (8.3%) and dumping syndrome (23.4%) underscore the need for careful management. Two studies carried a serious risk of bias.
CONCLUSIONS: Religious fasting in Ramadan appears safe for patients after MBS with appropriate medical guidance, particularly beyond the initial recovery period. Individualized care, focusing on hydration, nutritional support, and symptom monitoring, is essential. These findings highlight the importance of preemptive, culturally competent consultations to optimize care. Further research is needed to explore long-term outcomes and enhance clinical guidelines.
METHODS: Following PRISMA-ScR guidelines, a systematic search identified seven studies from 2015 to 2024, including randomized controlled trials and observational studies. Studies focused on post-MBS outcomes during Ramadan fasting, examining key metrics such as weight change, gastrointestinal health, hydration status, and psychosocial impacts. Exclusions were applied to non-English publications, case reports, and reviews.
RESULTS: Across studies, weight loss was reported variably as percent total weight loss or absolute kilograms (kg) lost. Studies using percent total weight loss reported mean reductions ranging from 6.6% to 7.2%, while studies reporting absolute weight loss described reductions around 2 kg during Ramadan. Weight loss occurred in 42.6% to 100% of fasting patients, depending on study and timing after surgery. Common gastrointestinal symptoms included nausea, vomiting, and abdominal pain, with prevalence up to 61.4%, particularly when fasting in the early postoperative period. Dehydration affected 18% of patients, with 2.9% requiring intravenous fluid replacement. Positive psychosocial effects included improved social functioning, reduced hunger scores, and decreased cravings, although complications like marginal ulcers (8.3%) and dumping syndrome (23.4%) underscore the need for careful management. Two studies carried a serious risk of bias.
CONCLUSIONS: Religious fasting in Ramadan appears safe for patients after MBS with appropriate medical guidance, particularly beyond the initial recovery period. Individualized care, focusing on hydration, nutritional support, and symptom monitoring, is essential. These findings highlight the importance of preemptive, culturally competent consultations to optimize care. Further research is needed to explore long-term outcomes and enhance clinical guidelines.