College of Human Sciences and Humanities, University of Houston - Clear Lake, Houston, Texas.
Neuropsychiatric Research Institute, Fargo, North Dakota.
Surg Obes Relat Dis. 2018 Nov;14(11):1740-1747. doi: 10.1016/j.soard.2018.07.025. Epub 2018 Jul 31.
Bariatric surgery usually results in substantial weight loss and a reduction in medical comorbidities. Many patients, as a consequence of the weight loss, subsequently evidence loose, redundant skin.
This investigation seeks to examine the prevalence of body contouring surgery (BCS) by patients approximately 4 to 5 years after Roux-en-Y gastric bypass surgery. Demographics, change in BMI, and psychosocial variables were also used to predict body dissatisfaction, desire for BCS, and patients who reported obtaining BCS.
The clinical sites involved in the Longitudinal Assessment of Bariatric Surgery project, which included 10 hospitals across the United States.
The sample comprised 1159 patients who underwent Roux-en-Y gastric bypass and were enrolled in the Longitudinal Assessment of Bariatric Surgery-2 study. Participants were surveyed using the Excessive Skin Survey and other psychosocial measures at their 4- or 5-year postoperative outcome. The participants were predominately women (80.5%), Caucasian (88.3%), and middle-aged (mean = 46.1 yr, standard deviation = 11.11 yr).
Participants reported modest degrees of being bothered by excessive skin, primarily in their waist/abdomen, thighs, and chest/breasts body areas. Only 11.2% of the sample had undergone any BCS procedure, and a majority of those participants paid "out of pocket" for BCS. Desire for BCS and body dissatisfaction 4 to 5 years postsurgery was associated with higher depression scores and poorer quality of life scores.
Excessive skin is associated with poorer psychosocial functioning. Despite reporting modest levels of being bothered by excessive skin and body dissatisfaction, only a small fraction of participants underwent BCS. Cost of BCS was reported to be a primary barrier for not obtaining BCS. All rights reserved.
减重手术通常会导致体重显著减轻和减少医疗合并症。许多患者由于体重减轻，随后会出现松弛、多余的皮肤。
本研究旨在检查 Roux-en-Y 胃旁路手术后约 4 至 5 年接受身体塑形手术 (BCS) 的患者的患病率。人口统计学、BMI 变化和社会心理变量也用于预测身体不满、对 BCS 的渴望以及报告接受 BCS 的患者。
参与纵向评估减重手术项目的临床地点包括美国各地的 10 家医院。
该样本包括 1159 名接受 Roux-en-Y 胃旁路手术并参加纵向评估减重手术-2 研究的患者。参与者在手术后 4 或 5 年的术后结果中使用过度皮肤调查和其他社会心理措施进行调查。参与者主要是女性 (80.5%)、白种人 (88.3%) 和中年 (平均年龄 46.1 岁，标准差 11.11 岁)。
参与者报告说，他们主要在腰部/腹部、大腿和胸部/乳房区域的皮肤过多，感到有些困扰。只有 11.2%的样本接受了任何 BCS 手术，大多数参与者自费接受 BCS。手术后 4 至 5 年的 BCS 欲望和身体不满与更高的抑郁评分和更差的生活质量评分相关。
多余的皮肤与较差的社会心理功能相关。尽管报告了对过多皮肤和身体不满的适度程度，但只有一小部分参与者接受了 BCS。BCS 的费用被报告为未获得 BCS 的主要障碍。版权所有。
