Rashdan Mohammad Z, Nofal Mohammad N, Yousef Ali Jad, Abuhemeidan Jareer Heider, Al-Taher Raed N, Suleihat Ahmad Saleh, Alwazzan Sabika A, Alshaiji Raghed A, Husami Raihan Y, Abu Alhuda Ruba F
Department of Surgery, Faculty of Medicine, University of Jordan, Amman, Jordan.
Department of Surgery, Faculty of Medicine, Mutah University, Karak, Jordan.
Ann Med Surg (Lond). 2021 Mar 6;64:102206. doi: 10.1016/j.amsu.2021.102206. eCollection 2021 Apr.
Obesity is a major cause of metabolic and health disorders like diabetes mellitus (DM) and gastro esophageal reflux disease (GERD). Patients usually offered a professional preoperative consultation and objective information regarding the bariatric surgery type and the advantages and disadvantages of each type for best outcome and satisfaction.
To study the patient response to preoperative advice and recommendation and the patient's decision to undergo the recommended bariatric surgery.
To determine the statistical significance of preoperative recommendation and the patient personal choice of the type of bariatric surgery.
This original article is a cross-sectional survey of 188 patients underwent bariatric surgery between February 2015 and December 2018 in the General Surgery Departments - Bariatric Surgery Clinics in Jordan University Hospital affiliated to the College of Medicine in the University of Jordan and Al Karak Governmental Hospital affiliated to the College of Medicine in Mutah University. 144 patients underwent longitudinal sleeve gastrectomy (LSG) and 44 patients underwent Roux en-Y gastric bypass (RYGB) as the recommended type of surgery for the selected comorbidities diabetes, gastroesophageal reflux disease, or both.
Of 188 patients data collected, 54 patients who should had undergone RYGB as the recommended type of surgery, preoperative counseling did not have a significant effect on their decision to undergo the appropriate type of bariatric surgery. The number of patients who had pre-operative recommendation = 37 (68.5%). Out of these, only 15 patients choose the surgical team recommended surgery; -value 0.183, odds ratio 2.22, (95% confidence interval (CI) = 0.6-8.12).
Preoperative surgical procedure type advice did not have a significant effect on patients' choice of the recommended bariatric procedure.
肥胖是代谢和健康紊乱的主要原因，如糖尿病（DM）和胃食管反流病（GERD）。通常会为患者提供专业的术前咨询以及有关减肥手术类型及每种类型优缺点的客观信息，以实现最佳效果和满意度。
研究患者对术前建议和推荐的反应以及患者接受推荐的减肥手术的决定。
确定术前推荐与患者对减肥手术类型的个人选择之间的统计学意义。
本文是一项横断面调查，研究对象为2015年2月至2018年12月期间在约旦大学医学院附属约旦大学医院普通外科减肥手术诊所和穆塔大学医学院附属卡拉卡政府医院接受减肥手术的188例患者。144例患者接受了纵行袖状胃切除术（LSG），44例患者接受了 Roux-en-Y 胃旁路术（RYGB），这是针对所选合并症糖尿病、胃食管反流病或两者推荐的手术类型。
在收集的188例患者数据中，54例患者应接受RYGB作为推荐的手术类型，术前咨询对他们接受合适类型减肥手术的决定没有显著影响。有术前推荐的患者人数 = 37（68.5%）。其中，只有15例患者选择了手术团队推荐的手术；P值为0.183，比值比为2.22，（95%置信区间（CI）= 0.6 - 8.12）。
术前手术类型建议对患者选择推荐的减肥手术没有显著影响。
