Abstract
Background/ObjectivesDespite profound weight loss after bariatric surgery, some patients are dissatisfied with the results. Pre-surgery expectations, as well as post-surgery items of satisfaction, need to be clarified. The main objective in this study was to investigate the primary reasons to seek bariatric surgery and assess items of satisfaction 1-year post-surgery.Subjects/MethodsThis is a prospective cohort study of women (n = 50) undergoing bariatric surgery in Stockholm, Sweden. Pre-surgery assessment included reasons to seek surgery, expected weight loss, co-morbidities, and quality of life. Post-surgery assessment included items of satisfaction, weight loss, co-morbidities, and quality of life. In total, two women did not undergo surgery, and 40 women had complete data from all pre- and post-surgery assessments.ResultsMean change in body mass index (BMI) pre- and post-surgery was − 12.9 (3.7) kg/m2. At 1-year post-surgery, the mean percent of excess weight loss (%EWL) was 86.9 (26.3). Pre-surgery, the most reported reason to seek surgery was “weight loss” (47.9%), while the most reported item of satisfaction post-surgery was “improved self-esteem” (55.6%). Satisfaction with the result 1-year post-surgery was associated with the extent of %EWL. Satisfied patients (n = 32) had a mean %EWL of 94.6 (22.9), while those not satisfied (n = 8) had a mean %EWL of 59.9 (17.6).ConclusionsThe primary reason to seek bariatric surgery was weight loss. However, despite profound weight loss, improved self-esteem was the item of most satisfaction post-surgery. Our findings may be useful in the clinical setting when informing patients pre-surgery about what to expect as well as when meeting a patient post-surgery to discuss results.
Highlights
Background/Objectives Despite profound weight loss after bariatric surgery, some patients are dissatisfied with the results
This study aims to explore the main reasons for seeking obesity surgery and to further study which items the patients report to be most satisfied with post-surgery in a Swedish female population
Between January 2012 and January 2013, 52 women with obesity accepted for laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures at Ersta Hospital situated in Stockholm, Sweden, were invited to participate in the study
Summary
Background/Objectives Despite profound weight loss after bariatric surgery, some patients are dissatisfied with the results. Presurgery expectations, as well as post-surgery items of satisfaction, need to be clarified. The main objective in this study was to investigate the primary reasons to seek bariatric surgery and assess items of satisfaction 1-year post-surgery. Subjects/Methods This is a prospective cohort study of women (n = 50) undergoing bariatric surgery in Stockholm, Sweden. Presurgery assessment included reasons to seek surgery, expected weight loss, co-morbidities, and quality of life. Post-surgery assessment included items of satisfaction, weight loss, co-morbidities, and quality of life. Two women did not undergo surgery, and 40 women had complete data from all pre- and post-surgery assessments
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