Patient preferences regarding bariatric/metabolic procedures: a survey of Korean obese candidates for surgery
10.4174/astr.2020.98.2.82
- Author:
Su Yeon ROH
1
;
Yeon Ho PARK
;
Woon Ki LEE
;
Seong Min KIM
Author Information
1. Department of Exercise Rehabilitation and Welfare, Gachon University, Incheon, Korea.
- Publication Type:Original Article
- From:Annals of Surgical Treatment and Research
2020;98(2):82-88
- CountryRepublic of Korea
- Language:English
-
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.