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Patient preferences regarding bariatric/metabolic procedures: a survey of Korean obese candidates for surgery

Annals of Surgical Treatment and Research 2020년 98권 2호 p.82 ~ 88
 ( Roh Su-Yeon ) - Gachon University Department of Exercise Rehabilitation

 ( Park Yeon-Ho ) - Gachon University School of Medicine Gachon University Gil Medical Center Department of Surgery
 ( Lee Woon-Ki ) - Gachon University School of Medicine Gachon University Gil Medical Center Department of Surgery
김성민 ( Kim Seong-Min ) - Gachon University School of Medicine Gachon University Gil Medical Center Department of Surgery

Abstract


Purpose: The objective of this study was to survey potential candidates for bariatric/metabolic surgery for procedure preferences.

Methods: Questions asked were divided into 5 categories: (1) demographic and anthropometric data, comorbidities, and favored surgery; (2) awareness of safety, effectiveness, and complications of each type of surgery; (3) discordances in opinion between self-selected and medically recommended procedures; and (4, 5) reasons for/against particular surgery.

Results: From 1 October to 15 November 2018, 104 respondents adequately responded and were included in the analysis. The number (%) of female respondents was 79 (76.0%). The number (%) of respondents by decade was 17 (16.3%) in their 20s, 65 (62.5%) in their 30s, 19 (18.3%) in their 40s, and 3 (2.9%) in their 60s, respectively. Mean body mass index was 37.1 ± 6.3 kg/m2. Comorbidities were type 2 diabetes in 34 (32.7%) and hypertension in 35 (33.7%). The most favored procedure was sleeve gastrectomy (SG) in 78 (75.0%), adjustable gastric band (AGB) surgery in 12 (11.5%), Roux-en-Y gastric bypass (RYGB) in 6 (5.8%), and gastric plication (GP) in 8 (7.7%). Major reasons for choosing procedures were; “adjustable” for AGB, “stomach sparing” for GP, “excellent weight loss” for SG, and “comorbidity resolution” in RYGB.

Conclusion: Candidates for bariatric/metabolic surgery favored SG followed by AGB, GP, and RYGB, and their choices were compatible with current evidence-based clinical practice.

키워드

Bariatric surgery; Gastric bypass; Obesity
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