Patients response to pre-operative counseling for the appropriate type of bariatric surgery

Abstract

Introduction Obesity is a major cause of metabolic and health disorders like diabetes mellitus (DM) and gastro esophageal reflux disease (GERD). Patients usually offered a professional preoperative consultation and objective information regarding the bariatric surgery type and the advantages and disadvantages of each type for best outcome and satisfaction. Purpose To study the patient response to preoperative advice and recommendation and the patient's decision to undergo the recommended bariatric surgery. Objective To determine the statistical significance of preoperative recommendation and the patient personal choice of the type of bariatric surgery. Materials and methods This original article is a cross-sectional survey of 188 patients underwent bariatric surgery between February 2015 and December 2018 in the General Surgery Departments – Bariatric Surgery Clinics in Jordan University Hospital affiliated to the College of Medicine in the University of Jordan and Al Karak Governmental Hospital affiliated to the College of Medicine in Mutah University. 144 patients underwent longitudinal sleeve gastrectomy (LSG) and 44 patients underwent Roux en-Y gastric bypass (RYGB) as the recommended type of surgery for the selected comorbidities diabetes, gastroesophageal reflux disease, or both. Results Of 188 patients data collected, 54 patients who should had undergone RYGB as the recommended type of surgery, preoperative counseling did not have a significant effect on their decision to undergo the appropriate type of bariatric surgery. The number of patients who had pre-operative recommendation = 37 (68.5%). Out of these, only 15 patients choose the surgical team recommended surgery; p -value 0.183, odds ratio 2.22, (95% confidence interval (CI) = 0.6–8.12). Conclusion Preoperative surgical procedure type advice did not have a significant effect on patients’ choice of the recommended bariatric procedure.