-
Tytuł:
-
Patients' views of long-term results of bariatric surgery for super-obesity: sustained effects, but continuing struggles.
-
Autorzy:
-
Järvholm K; Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Psychology, Lund University, Lund, Sweden. Electronic address: .
Olbers T; Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Engström M; Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Surgery, Gothenburg, Sweden.
-
Źródło:
-
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2021 Jun; Vol. 17 (6), pp. 1152-1164. Date of Electronic Publication: 2021 Mar 02.
-
Typ publikacji:
-
Journal Article
-
Język:
-
English
-
Imprint Name(s):
-
Original Publication: New York, N.Y. : Elsevier, c2005-
-
MeSH Terms:
-
Bariatric Surgery*
Biliopancreatic Diversion*
Gastric Bypass*
Obesity, Morbid*/surgery
Child ; Humans ; Obesity ; Weight Loss
-
Contributed Indexing:
-
Keywords: Bariatric surgery; Coping; Long-term outcome; Obesity; Patient perspective; Qualitative
-
Entry Date(s):
-
Date Created: 20210331 Date Completed: 20210701 Latest Revision: 20210701
-
Update Code:
-
20240105
-
DOI:
-
10.1016/j.soard.2021.02.024
-
PMID:
-
33785271
-
Background: Bariatric surgery is a standard treatment for severe obesity, but little is known about patients' perceptions about the long-term impact of such surgery.
Objective: The aim of this study was to explore patients' experiences of living with a bariatric procedure for more than a decade.
Setting: University hospital.
Methods: At the 10-year follow-up after undergoing Roux-en-Y gastric bypass (RYGB) or biliopancreatic diversion with duodenal switch (BPD/DS), 18 consecutive patients from a previous randomized controlled trial were assessed with a semi-structured interview. Data were analyzed using thematic analysis.
Results: When asked to reflect broadly on their experiences of living with bariatric surgery for over a decade, the participants rarely mentioned procedure-specific issues and complications. Instead, their accounts revealed 2 broad themes: sustained effects after surgery, incorporating subthemes of better health, brighter futures, and better eating and weight regulation, and continuing struggles, including difficulties with physical activity, finding support, helping their children with overweight, and self-criticism. Many positive changes were sustained, but continuing personal struggles were similar to those presurgery.
Conclusions: Participants expressed overall satisfaction with their bariatric surgery and related outcomes. Most participants acknowledged a continued effect on their appetite, which could be important information for patients who worry about a diminished effect after the first year postsurgery. Participants were prone to self-blame when things did not turn out the way they wanted. Therefore, healthcare providers must build a trustful relationship with their patients, so they will not hesitate to return when they face problems such as weight gain.
(Copyright © 2021 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)
