Eligibility and Success Criteria for Bariatric/Metabolic Surgery

Landecho, Manuel F.; Valentí, Víctor; Moncada, Rafael; Frühbeck, Gema

doi:10.1007/978-3-319-48382-5_23

Cited by 12 publications

(17 citation statements)

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“…Although MO treatment has focused on diet, physical exercise and drugs (Baillot, Mampuya, Comeau, Méziat‐Burdin, & Langlois, 2013; Srivastava & Apovian, 2018), bariatric surgery has been shown to be a reliable method of loss of weight improving quality of life (Kabu & Özbayır, 2019; Wingfield et al., 2016), body image and sexual functioning (Bates et al., 2019; Quinn‐Nilas, Benson, Milhausen, Buchholz, & Goncalves, 2016). Men with MO, driven by loss of mobility, confidence and self‐esteem, try to be included in a bariatric surgery programme (Wu & Berry, 2018), whose inclusion criteria are as follows: being an adult with a BMI ≥40 kg/m 2 ; or being an adult with a BMI of 35–39.9 kg/m 2 and having associated chronic conditions (type 2 diabetes, hypertension, hyperlipidemia) (Landecho, Valentí, Moncada, & Frühbeck, 2017; Sabench et al., 2017).…”

Section: Introductionmentioning

confidence: 99%

Sexuality amongst heterosexual men with morbid obesity in a bariatric surgery programme: A qualitative study

Granero‐Molina

Torrente-Sánchez

Ferrer-Márquez

et al. 2020

Journal of Clinical Nursing

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Aim and Objectives: To describe and understand the experiences of sexuality amongst heterosexual men diagnosed with morbid obesity (MO) who are in a bariatric surgery programme. Background: Morbid obesity is a chronic metabolic disease that affects men's physical, psychological and sexual health. Evidence suggests that MO could be linked to anxiety, depression, low self-esteem, sexual life and social disorders. Bariatric surgery is a reliable method for weight loss in patients with MO. Design: This is a qualitative study based on Merleau-Ponty's phenomenology, and the COREQ checklist was employed to report on the current study. Methods: Convenience and purposive sampling was carried out and included 24 indepth interviews with heterosexual men with MO in a bariatric surgery programme between October 2018-March 2019 in Spain. Results: Two main themes emerged from the analysis: (a) a corporality which is judged and condemned; and (b) adapting sexual practices to bariatric surgery. Conclusions: Men with MO reject a body that limits their physical, social and sexual life. A negative body image and low self-esteem, which do not respond to the traditional masculine role or new masculinities, reduce men's self-concept. Men with MO feel rejection, stigma and isolation. Support from their partner is fundamental to adapt. Relevance to clinical practice: The results of the study draw attention to how heterosexual men with MO experience their sexuality in a bariatric surgery programme and the challenges nurses face. Recognising the problem, helping to develop coping strategies or referring to specialists in sexuality could improve the quality of life in patients and their partners.

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Section: Introductionmentioning

confidence: 99%

Sexuality amongst heterosexual men with morbid obesity in a bariatric surgery programme: A qualitative study

Granero‐Molina

Torrente-Sánchez

Ferrer-Márquez

et al. 2020

Journal of Clinical Nursing

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“…Bariatric surgery is a surgical procedure that reduces weight and is mainly indicated for morbidly obese patients (BMI more than 40) without comorbidity and BMI 35 with comorbidities. [1314] Bariatric surgery is considered the most effective method of weight reduction and is being performed at an increased rate. Approximately, 350,000 bariatric operations are performed yearly in the USA.…”

Section: Introductionmentioning

confidence: 99%

Are patients aware of potential risks of weight reduction surgery? An internet based survey

Alamri

Alsadiqi

Dahlawi

et al. 2019

Saudi J Gastroenterol

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Background/Aim: Obesity has become a global health care problem. In Saudi Arabia, up to 75% of adults are reportedly overweight. Morbid obesity has been associated with an increased risk of many comorbidities and mortality. Bariatric surgery is currently considered the most effective treatment option for morbid obesity. However, there are many concerns regarding the short and long-term complications of weight reduction surgery. It is unclear whether the general population is adequately aware of these risks. Therefore, we aimed to assess awareness of the general population of bariatric surgery complications. Although effective, bariatric surgery has been associated with many acute complications, reported in a range of 0.3% to 8% of operations. Patients and Methods: We performed a cross-sectional study between July and August of 2017 in Jeddah, Saudi Arabia. We used a 26-item, Arabic, electronically distributed questionnaire, to examine public awareness of the acute complications of bariatric surgery. Hypothesis testing was used to examine associations. Results: In total, 624 questionnaires were completed electronically. Mean age of participants was 25 (±13.2) and 66% were females. Of the surveyed population, 64% reported being aware of acute complications of bariatric surgery. Participants who had previously undergone a bariatric operation had a higher degree of awareness when compared to those who had not undergone a bariatric operation before (80.4% vs. 61.3%, P < 0.001). Females had higher awareness compared to males (70.8% vs. 52.1%, P < 0.001). Awareness of complications was not statistically different when stratified by level of education ( P = 0.131) but occupation predicted awareness ( P = 0.007). Conclusion: Two-thirds of the general population appears to be aware of the potential acute complications associated with bariatric surgery. Furthermore, awareness seems to be higher in females, individuals who had previously undergone weight reduction surgery, and health care workers.

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“…The main indication for bariatric surgery is morbidly obese patients (body mass index [BMI] more than 40) without comorbidity and for those with BMI 35 in addition to other comorbidities. [ 4 5 ] Bariatric surgery is considered the most effective method of weight reduction with a progressive increase in its rate of performance. More than 300,000 bariatric operations are performed yearly in the USA.…”

Section: Introductionmentioning

confidence: 99%

Male sexual function after weight-loss surgeries in a group of Saudi population

El-Tholoth¹,

Bedaiwi²,

Binjawhar³

et al. 2021

Urol Ann

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Introduction: Obesity is associated with erectile dysfunction in many studies. This study aims to inspect the impact of weight-loss surgery on the erectile function in the Saudi male population. Patients and Methods: Forty-two consecutive male patients who underwent weight-loss surgery during a period from February 2013 to July 2016 were included in the study. Unmarried patients were excluded from the study. A designed questionnaire includes the short version of the International Index of Erectile Function (IIEF), usage of phosphodiesterase inhibitors, overall satisfaction before and after the intervention, marriage duration, and fertility postsurgery. All the participants were contacted through phone in July 2018, and then the questionnaire was mailed to them. All the data were analyzed and compared to a control group of married obese patients, who were waiting for the bariatric surgeries, using specific statistical tests. Results: Thirty patients responded and completed the survey. Their mean age was 41.9 years (range 26–62), and the mean preoperative body mass index (BMI) was 46.3 ± 7.5, with a significant reduction in the BMI postoperatively to a mean of 30 ± 5.5. The IIEF score improved, and the overall satisfaction and feelings were better (76.7%). Only 16.7% of cases needed PDEI before and after the operation. Thirteen (43.3%) patients got children after the surgery. Univariate and multivariate analysis showed that age was a significant factor in association with both erectile function and fertility after bariatric surgeries ( P = 0.02). Fertility was better in patients who underwent laparoscopic sleeve gastrectomy than gastric bypass surgery ( P = 0.01). Conclusion: The weight-loss surgeries have a significant effect on erectile function, and they improve patient sexual satisfaction. Most of these patients feel better sexual function after bariatric surgeries. Fertility outcome seems to have a positive correlation with this type of surgery. However, a larger sample size and more elaborate studies are warranted to substantiate this claim.

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Eligibility and Success Criteria for Bariatric/Metabolic Surgery

Cited by 12 publications

References 50 publications

Sexuality amongst heterosexual men with morbid obesity in a bariatric surgery programme: A qualitative study

Sexuality amongst heterosexual men with morbid obesity in a bariatric surgery programme: A qualitative study

Are patients aware of potential risks of weight reduction surgery? An internet based survey

Male sexual function after weight-loss surgeries in a group of Saudi population

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