Preoperative Education and Informed Consent in Young Adults Undergoing Bariatric Surgery: Patients' Perspectives on Current Practice

Abstract

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Support needs of people undertaking bariatric surgery: A narrative review

“…Weight loss and improvements in health following bariatric surgery, requires significant patient‐driven behavioural change, with a lifetime of adherence 4,41 . Guidelines recommend the ongoing involvement of a multidiscipline health care team 3 .…”

“…Providing initial education and information about surgery enables people to make an informed choice when giving consent and presents an opportunity to address realistic expectations and follow‐up requirements 41 . The value of additional pre‐operative exercise, diet and behaviour therapy does not appear to lead to beneficial post‐operative weight loss 42,43 .…”

“…However, evaluations of these pre‐operative interventions do show a trend towards improvements in post‐operative mental health, physical activity and dysfunctional eating and preoperative weight reduction, which may improve operative fitness 43 . Pre‐operative education allows the selection of the correct procedure, ensures baseline assessments are completed and that informed consent is possible 41 . In addition, they may help to reduce being lost to medical follow‐up post‐surgery 44 .…”

“…17 Providing initial education and information about surgery enables people to make an informed choice when giving consent and presents an opportunity to address realistic expectations and follow-up requirements. 41 The value of additional pre-operative exercise, diet and behaviour therapy does not appear to lead to beneficial post-operative weight loss. 42,43 However, evaluations of these preoperative interventions do show a trend towards improvements in post-operative mental health, physical activity and dysfunctional eating and preoperative weight reduction, which may improve operative fitness.…”

“…Weight loss and improvements in health following bariatric surgery, requires significant patient-driven behavioural change, with a lifetime of adherence. 4,41 Guidelines recommend the ongoing involvement of a multidiscipline health care team. 3 Health care professionals, including the bariatric surgeon, physician/general practitioner, dietitian, clinical psychologist, exercise physiologist/physiotherapist and nurses can all provide informational support to people undertaking bariatric surgery.…”