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患者行 Roux-en-Y 胃旁路术、可调胃束带术和垂直袖状胃切除术的原因和反对意见。

Patients' reasons for and against undergoing Roux-en-Y gastric bypass, adjustable gastric banding, and vertical sleeve gastrectomy.

机构信息

School of Psychology, University of Adelaide, Adelaide, Australia; Discipline of Medicine, School of Medicine, University of Adelaide, Adelaide, Australia.

Freemasons Foundation Centre for Men's Health, School of Medicine, University of Adelaide, Adelaide, Australia; Centre for Nutrition and Gastrointestinal Diseases, South Australian Health and Medicine Research Institute, Adelaide, Australia.

出版信息

Surg Obes Relat Dis. 2017 Nov;13(11):1887-1896. doi: 10.1016/j.soard.2017.07.013. Epub 2017 Jul 15.

DOI:10.1016/j.soard.2017.07.013
PMID:28803707
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.

摘要

背景

最常见的减肥手术,胃旁路手术(RYGB)、可调节胃束带术(LAGB)和袖状胃切除术(SG),通常会导致显著的体重减轻和健康改善。然而,对于患者如何决定选择哪种手术的问题,我们知之甚少。

目的

调查患者选择接受 RYGB、LAGB 和 SG 的原因。

设置

在线问卷调查。

方法

对 236 名澳大利亚成年人进行了数据分析,这些成年人目前接受了 RYGB(15.7%)、LAGB(22.0%)或 SG(62.3%),他们完成了一份包含一个开放式问题的问卷,内容是关于他们选择接受手术的原因。对数据进行了内容编码和分析。

结果

患者最常接受 RYGB 是因为它的循证基础和成功率以及患者的特点,而接受 SG 的最常见原因是医疗从业者的推荐、偏好或选择,其次是患者对自己从研究和观察他人成功中收集到的信息的评估。接受 LAGB 的最常见原因与手术的特点有关,包括其可逆转性和被认为是微创的。最常选择不接受 RYGB 和 SG 的原因是避免术后并发症和风险,如漏或吸收不良,而最常选择不接受 LAGB 的原因是其他人不成功的经验和失败率的信息和证据。

结论

患者选择手术的原因因手术而异。除了外科医生的影响外,患者还根据自己的研究、知识和经验表现出明显的手术偏好。应该理解这些偏好,以帮助患者根据自己的情况选择最合适的手术。

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