Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Psychology, Lund University, Lund, Sweden.
Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Surg Obes Relat Dis. 2021 Jun;17(6):1152-1164. doi: 10.1016/j.soard.2021.02.024. Epub 2021 Mar 2.
Bariatric surgery is a standard treatment for severe obesity, but little is known about patients' perceptions about the long-term impact of such surgery.
The aim of this study was to explore patients' experiences of living with a bariatric procedure for more than a decade.
University hospital.
At the 10-year follow-up after undergoing Roux-en-Y gastric bypass (RYGB) or biliopancreatic diversion with duodenal switch (BPD/DS), 18 consecutive patients from a previous randomized controlled trial were assessed with a semi-structured interview. Data were analyzed using thematic analysis.
When asked to reflect broadly on their experiences of living with bariatric surgery for over a decade, the participants rarely mentioned procedure-specific issues and complications. Instead, their accounts revealed 2 broad themes: sustained effects after surgery, incorporating subthemes of better health, brighter futures, and better eating and weight regulation, and continuing struggles, including difficulties with physical activity, finding support, helping their children with overweight, and self-criticism. Many positive changes were sustained, but continuing personal struggles were similar to those presurgery.
Participants expressed overall satisfaction with their bariatric surgery and related outcomes. Most participants acknowledged a continued effect on their appetite, which could be important information for patients who worry about a diminished effect after the first year postsurgery. Participants were prone to self-blame when things did not turn out the way they wanted. Therefore, healthcare providers must build a trustful relationship with their patients, so they will not hesitate to return when they face problems such as weight gain.
减重手术是治疗重度肥胖的标准方法，但对于患者对这种手术的长期影响的看法知之甚少。
本研究旨在探讨患者在接受减重手术后十多年来的生活体验。
大学医院。
在接受 Roux-en-Y 胃旁路术（RYGB）或胆胰分流十二指肠转位术（BPD/DS）后的 10 年随访中，对来自先前随机对照试验的 18 名连续患者进行了半结构式访谈。使用主题分析对数据进行分析。
当被要求广泛反思他们接受减重手术超过十年的生活经历时，参与者很少提到手术特定的问题和并发症。相反，他们的描述揭示了 2 个广泛的主题：手术后的持续影响，包括健康状况改善、未来更光明、饮食和体重调节更好，以及持续的挣扎，包括身体活动困难、寻找支持、帮助超重的孩子以及自我批评。许多积极的变化得以维持，但持续的个人挣扎与术前相似。
参与者对他们的减重手术和相关结果表示总体满意。大多数参与者承认对他们的食欲有持续影响，这对于那些担心手术后第一年效果减弱的患者来说是重要的信息。当事情没有按照他们的意愿发展时，参与者很容易自责。因此，医疗保健提供者必须与患者建立信任关系，以便在遇到体重增加等问题时，他们不会犹豫寻求帮助。
