Obesity is a global concern. The World Health Organization predicts that by 2015, 1200 million of the world’s population will be obese, as defined by a body mass index of at least 30.
Based on surgical techniques originating in the 1950s, bariatric surgery has developed considerably and has increased in popularity in recent years. Procedures have traditionally been described as being either restrictive or malabsortive, but a greater understanding of the pathophysiology of obesity, including the role of gut hormones, has showed this to be a rather simplistic view of the various procedures .Use of minimally invasive techniques has increased significantly in recent years and is now recognised as standard practice worldwide.
In Saudi Arabia Bariatric surgery has increased dramatically over the past 5 years, the number of procedures performed in 2013 around 11000 procedures performed by more than 50 surgeons.
Surgery is now recognized as the only effective treatment for the morbidly obese patient with long-term sustained weight loss and postoperative complete resolution or significant improvement in the obesity comorbidities. However, this highly demanding and challenging surgical therapy necessitates the appropriate training and experience on the part of the
surgeon. It is vital that the surgeon, beyond the optimal theoretical knowledge, also has the necessary technical skills in open and/or laparoscopic surgery, performs meticulous pre- and postoperative care, and is committed to long-term patient follow-up. Moreover, institutional commitment to the multidisciplinary care of the morbidly and super-obese patient, who have an exceptional surgical and anesthetic risk, is essential to ensure the safe and effective practice of bariatric surgery.
surgeons, like general surgeons in other subspecialty of surgery, have been involved in the assessment of their own profession for many decades. In this era of evidence- based medicine, pressure to improve the overall quality of care delivered is greater than ever.
In an effort to improve the quality of service offered to bariatric patients several collaborative initiatives took place like GOSS, SASMBS, and many regional and national interest groups, thus we wanted this speciality periodic to be an integrating mean for the whole professional community efforts.