Overall Treatment Satisfaction 5 Years After Bariatric Surgery

Hegland, Pål André; Aasprang, Anny; Kolotkin, Ronette L.; Tell, Grethe S.; Andersen, John Roger

doi:10.1007/s11695-019-04141-7

Cited by 9 publications

(14 citation statements)

References 33 publications

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“…Therefore, the findings of this study cannot be compared directly with those of studies that have analyzed general satisfaction with the result. Like Hegland et al 3 . there were no sociodemographic variations, but that BMI and weight change 5 years after surgery were central for degree of satisfaction.…”

Section: Discussionmentioning

confidence: 54%

“…Most studies exploring group differences between satisfied and dissatisfied patients after bariatric surgery have found weight loss, 13 , 14 higher body mass index (BMI), 3 and weight regain after surgery to be related to dissatisfaction 6,15 . Though a study by Hotter et al 16 .…”

Section: Introductionmentioning

confidence: 99%

“…4 However, studies have indicated a minor but significant decrease in satisfaction over time. 11,12 Most studies exploring group differences between satisfied and dissatisfied patients after bariatric surgery have found weight loss, 13,14 higher body mass index (BMI), 3 and weight regain after surgery to be related to dissatisfaction. 6,15 Though a study by Hotter et al 16 did not find any difference in weight and weight changes between the two groups.…”

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confidence: 99%

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Predicting satisfaction with outcome and follow‐up care 5 years after bariatric surgery: A prospective evaluation

Kvalem

Gabrielsen²,

Eribe

et al. 2022

Obesity Science & Practice

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Objective: Patient satisfaction is viewed as essential for a successful outcome of bariatric surgery. Few studies have explored long-term satisfaction prospectively.This study aimed to examine pre-and post-surgery predictors for satisfaction with follow-up care, and change in outcome satisfaction from one to 5 years after bariatric surgery.Methods: A sample of 210 participants was recruited from a single treatment center. Self-reported and medical record data regarding mental and somatic health, body image, follow-up attendance, and weight loss were obtained before, 1 year, and 5 years after surgery.Results: Over 90% of the participants were satisfied with the results and treatment 1 year after surgery, while 69% had their outcome expectations fulfilled and 62% were satisfied with the follow-up 5 years after surgery. A shift from initial satisfaction to unfulfillment of expectations was predicted by baseline body dissatisfaction, greater percentage of weight regain after initial weight loss, and more discomfort from somatic symptoms 5 years after surgery. In addition to symptom discomfort, worry about surgery predicted satisfaction with follow-up care. Conclusion:At 5 years, one-fifth of those initially satisfied reported that bariatric surgery had failed to meet their expectations. This suggests that outcome expectations related to weight loss, somatic symptoms, and body image need to be addressed both before and after bariatric surgery.

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Section: Discussionmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Predicting satisfaction with outcome and follow‐up care 5 years after bariatric surgery: A prospective evaluation

Kvalem

Gabrielsen²,

Eribe

et al. 2022

Obesity Science & Practice

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“…Overall satisfaction with surgery was measured by the question: “How satisfied are you, all things considered, with the outcome after the bariatric operation?” with 4 response categories from “highly satisfied” to “not satisfied” [ 34 ].…”

Section: Methodsmentioning

confidence: 99%

Seven-year trajectories of body weight, quality of life and comorbidities following Roux-en-Y gastric bypass and sleeve gastrectomy

et al. 2022

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Background/objectives There is limited long-term data comparing the outcomes of sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) for severe obesity, both with respect to body weight, quality of life (QOL) and comorbidities. We aimed to determine 7-year trajectories of body mass index (BMI), QOL, obesity-related comorbidities, biomarkers of glucose and lipid metabolism, and early major complications after SG and RYGB. Subjects/methods Patients scheduled for bariatric surgery at two Norwegian hospitals, preferentially performing either SG or RYGB, were included consecutively from September 2011 to February 2015. Data was collected prospectively before and up to 7 years after surgery. Obesity-specific, generic and overall QOL were measured by the Impact of Weight on Quality of Life-Lite, Short-Form 36 and Cantril’s ladder, respectively. Comorbidities were assessed by clinical examination, registration of medication and analysis of glucose and lipid biomarkers. Outcomes were examined with linear mixed effect models and relative risk estimates. Results Of 580 included patients, 543 (75% women, mean age 42.3 years, mean baseline BMI 43.0 kg/m2) were operated (376 SG and 167 RYGB). With 84.2% of participants evaluable after 5–7 years, model-based percent total weight-loss (%TWL) at 7 years was 23.4 after SG versus 27.3 after RYGB (difference 3.9%, p = 0.001). All levels of QOL improved similarly after the two surgical procedures but remained below reference data from the general population at all timepoints. Remission rates for type 2 diabetes, dyslipidemia, obstructive sleep-apnea and gastroesophageal reflux disease (GERD) as well as the rate of de novo GERD significantly favored RYGB. SG had fewer major early complications, but more minor and major late complications combined over follow-up. Conclusion In routine health care, both SG and RYGB are safe procedures with significant long-term weight-loss, improvement of QOL and amelioration of comorbidities. Long-term weight-loss and remission rates of main obesity-related comorbidities were higher after RYGB.

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“…Although the majority of patients who undergo bariatric surgery are satisfied with their treatment outcomes, these procedures are not without long-term side effects [ 14 ]. It was suggested that patients who underwent bariatric surgery are at risk of nutrient deficiencies, including vitamins B12, B1, folate, A, D, C, and K, as well as trace minerals, such as iron, zinc, selenium, and copper, and they may need life-long extra doses of prophylactic supplementation to preserve optimal status of micronutrients.…”

Section: Introductionmentioning

confidence: 99%

Post-Bariatric Plastic Surgery: Abdominoplasty, the State of the Art in Body Contouring

Sadeghi

Duarte-Bateman

et al. 2022

JCM

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Due to the increased prevalence of obesity in the last decades, bariatric surgery has been on the rise in recent years. Bariatric surgery is a compelling option for weight loss in obese patients with severe obesity-related comorbidities or for whom lifestyle modifications have proven ineffective. Redundant skin following significant weight loss is a common occurrence affecting up to 96% of patients who undergo bariatric surgery, negatively impacting physical and psychosocial health and detracting from activities of daily living. Statistics of the American Society of Plastic Surgeons show that 46,577 body contouring procedures were performed after massive weight loss in the USA in a 2020 report. Abdominoplasty, a well-established cosmetic surgery procedure for improving body contour, is performed by removing excess skin and fat from the abdominal wall and thereby restoring musculofascial integrity and skin elasticity, resulting in a more ideal body shape and increasing quality of life. Although abdominoplasty is a safe procedure, it has been associated with a higher complication rate compared with other body-contouring procedures. Technologic advances over the past decade have been developed as non-invasive alternatives or adjunctive tools to surgery to enhance cosmetic results and minimize complications. New energy-based technologies may supplant invasive surgery for mild to moderate skin laxity and/or diminish the extent of surgery and resulting scars. Plastic surgeons play a significant role in improving the quality of life of patients who suffer from obesity and underwent bariatric surgery. We are deeply convinced, however, that the advancement of knowledge and research in this field will determine the introduction of new technologies and custom-made techniques. This advancement will reduce the complication rate with a rapid reintegration of the patient into the world of work and resumption of daily activities.

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Overall Treatment Satisfaction 5 Years After Bariatric Surgery

Cited by 9 publications

References 33 publications

Predicting satisfaction with outcome and follow‐up care 5 years after bariatric surgery: A prospective evaluation

Predicting satisfaction with outcome and follow‐up care 5 years after bariatric surgery: A prospective evaluation

Seven-year trajectories of body weight, quality of life and comorbidities following Roux-en-Y gastric bypass and sleeve gastrectomy

Post-Bariatric Plastic Surgery: Abdominoplasty, the State of the Art in Body Contouring

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