Gusenoff Jeffrey A, Messing Susan, O'Malley William, Langstein Howard N
Rochester, N.Y. From the Division of Plastic Surgery and the Department of Biostatistics and Computational Biology, University of Rochester.
Plast Reconstr Surg. 2008 Jun;121(6):2120-2126. doi: 10.1097/PRS.0b013e31817081a3.
An increasing number of gastric bypass patients desire plastic surgery after massive weight loss. However, the timing of interest and factors influencing the desire for body contouring have not been studied.
Two thousand five hundred one gastric bypass patients were surveyed. Outcome measures included years since gastric bypass, laparoscopic versus open procedures, body mass indexes, income, prior plastic surgery, desire for body contouring, and need for a payment plan. Multiple variables were assessed by univariate and multivariate analysis.
Nine hundred twenty-six patients (817 women and 109 men; mean age, 47.2 years) responded. Eight hundred eleven patients were considering body contouring: 685 patients (84.5 percent) desired body contouring after gastric bypass and 126 wanted no further surgery (15.5 percent). Desire was inversely related to age (p < 0.0001), years since gastric bypass (p = 0.052), and open versus laparoscopic gastric bypass (p = 0.04), but was two times more likely in women (p = 0.008) and divorced versus married individuals (p = 0.04). Patients desiring a payment plan were younger (p = 0.0210) and had lower post-gastric bypass body mass indexes (p = 0.007). Age was inversely related to desire for a payment plan but directly related to the inability to afford or lack of desire for body contouring (p = 0.02).
A majority of post-bariatric surgery patients desire body contouring; younger, divorced, female patients who had laparoscopic gastric bypass voiced the strongest interest in body contouring. Thus, efforts should be directed toward facilitating body contouring in this subpopulation because they appear the most motivated.
越来越多接受胃旁路手术的患者在大幅减重后希望进行整形手术。然而，他们产生兴趣的时间以及影响身体塑形意愿的因素尚未得到研究。
对2501例胃旁路手术患者进行了调查。结果指标包括胃旁路手术后的年限、腹腔镜手术与开放手术、体重指数、收入、既往整形手术、身体塑形意愿以及对支付计划的需求。通过单因素和多因素分析评估多个变量。
926例患者（817名女性和109名男性；平均年龄47.2岁）做出了回应。811例患者考虑进行身体塑形：685例患者（84.5%）希望在胃旁路手术后进行身体塑形，126例不想再进行手术（15.5%）。意愿与年龄（p < 0.0001）、胃旁路手术后的年限（p = 0.052）以及开放与腹腔镜胃旁路手术（p = 0.04）呈负相关，但女性（p = 0.008）以及离婚者与已婚者相比（p = 0.04）有两倍的可能性。希望采用支付计划的患者更年轻（p = 0.0210）且胃旁路手术后的体重指数更低（p = 0.007）。年龄与对支付计划的意愿呈负相关，但与无力支付或对身体塑形缺乏意愿直接相关（p = 0.02）。
大多数减肥手术后的患者希望进行身体塑形；接受腹腔镜胃旁路手术的年轻、离婚女性患者对身体塑形表现出最强烈的兴趣。因此，应努力促进这一亚群体的身体塑形，因为他们似乎最有积极性。
