Withdrawal from bariatric treatment – an analysis under various demographic conditions

Abstract

Poland is high on a list of countries affected by epidemics of obesity, a problem that has especially suddenly increased in the post-transformation period. Materials and method. Documentation of 115 subsequent patients diagnosed with grade 3 obesity, considered eligible for surgical treatment, was analysed since 2015. A subgroup of 68 patients was selected from this group and the included patients who decided to cancel their treatment at various stages. Their history since presentation at the obesity treatment centre, BMI with its history, age, education and place of residence were analysed, followed by a telephone survey. 42 patients were finally contacted. Special attention was placed on the analysis of patients taking into account their place of residence. Patients were divided into inhabitants of rural and urban areas. Results. In the study group of 68 patients, 19 (27.9%) were inhabitants of rural areas and 49 (72.1%) of urban areas. Women accounted for 67.6%, and men for 32.4%. The mean age of patients when they presented for treatment was 43 years. On average, men presented 5 years later compared to women. The mean BMI on qualification for treatment of obesity was 47.6 kg/m 2. The mean BMI max-49.6 kg/m 2. There were no differences regarding education in both populations. Despite the lack of differences regarding changes in the BMI since withdrawal from treatment, as many as 63% of patients from rural areas reached the BMI max in this time. Conclusions. There were demographic differences between the degree of obesity observed among patients receiving bariatric treatment, and inhabitants of urban areas were favoured. Patients from rural areas who withdrew from bariatric treatment and were left without medical care significantly more often achieved their maximum body weight, when compared to those living in urban areas. The active participation of physicians, both specialists and general practitioners, in the life of obese patients is imperative.

Beyond Weight Loss: Exploring the Impact of Bariatric Surgery on Otolaryngological Health

“…There is a preponderance of urban women who resort to this type of intervention, perhaps because urban patients are favored over rural ones (26) Laparoscopic sleeve gastrectomy has a high frequency with other surgical interventions (laparoscopic gastric bypass) due to the technical ease to which is added the low risk of anatomical complications. However, there is emerging evidence for progressive gastroesophageal reflux disease after sleeve gastrectomy, as well as lower weight loss, evidence that could lead to a reevaluation of this surgical intervention in the future (27).…”