Patients’ reasons for and against undergoing Roux-en-Y gastric bypass, adjustable gastric banding, and vertical sleeve gastrectomy
Date
2017
Authors
Opozda, M.
Wittert, G.
Chur-Hansen, A.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
Surgery for Obesity and Related Diseases, 2017; 13(11):1887-1896
Statement of Responsibility
Melissa Opozda, Gary Wittert and Anna Chur-Hansen
Conference Name
Abstract
Background: The most common bariatric procedures, Roux-en-Y gastric bypass (RYGB), adjustable gastric banding (LAGB), and sleeve gastrectomy (SG), generally induce significant weight loss and health improvements. However, little is known about how patients decide which procedure to undergo. Objective: Investigate patients’ reasons for and against undergoing RYGB, LAGB, and SG. Setting Online questionnaire. Methods: Data were analyzed from 236 Australian adults with current RYGB (15.7%), LAGB (22.0%), or SG (62.3%) who completed a questionnaire including an open-ended question about why they underwent their procedure. Data were coded for content and analyzed. Results: Patients most often underwent RYGB because of its evidence base and success rate and the patient’s characteristics , whereas the most common reason for SG was a medical practitioner’s recommendation, preference, or choice , followed by the patients’ evaluation of information gathered from their own research and observations of others’ success. The most common reasons for undergoing LAGB related to characteristics of the procedure , including its reversibility and a perception of LAGB as less invasive. The most common reason against undergoing both RYGB and SG was a desire to avoid postsurgical complications and risks such as leaks or malabsorption, whereas the most common reason against LAGB was information and evidence from other people’s unsuccessful experiences and failure rates. Conclusions: Patients’ reasons for and against procedures differed by procedure. In addition to the surgeon’s influence, patients demonstrated clear procedure preferences based on their own research, knowledge, and experiences. Preferences should be understood to assist patients to select the most appropriate procedure for their circumstances.
School/Discipline
Dissertation Note
Provenance
Description
Access Status
Rights
Copyright © 2017 American Society for Bariatric Surgery