AboKhozima Ahmed, Zidan Mohamed H, Altabbaa Hashem, Selim Aliaa, Alokl Mohammed, Mourad Mohamed, Elmagd Ahmed Abo, Elsayed Mohamed E G, Emara Ahmed F, Eskander Georgette M, Amer Samar A
Alexandria University, 22 El-Guish Road, El-Shatby, Alexandria, 21526, Egypt.
El-Ekbal Hospital, 10 Hassan Amin Street, Alexandria, Egypt.
Langenbecks Arch Surg. 2025 Jan 4;410(1):24. doi: 10.1007/s00423-024-03568-6.
The objective of this web-based study is to analyze the attributes of bariatric surgery cases ensuing health implications. Additionally, the study seeks to delve into the factors influencing post-bariatric psychological evaluations and the impact of various bariatric surgeries on weight loss and psycho-social assessment scores for patients who had undergone bariatric surgeries within a specific bariatric surgery center in Egypt between January 2017 and January 2024.
An analytical cross-sectional study recruited 411 adults who had undergone different bariatric procedures by the same surgical team. We collected the data using a validated self-administered questionnaire that included the Body Image Scale (BIS), the Rosenberg Self-Esteem Scale (RSES), the quality-of-life score (QOLS), and the modified General Patient Satisfaction Score after Bariatric Surgeries (GSABS).
The most commonly performed bariatric surgery was sleeve gastrectomy (SG), accounting for 82.7% of the procedures. The majority of the patients (78%) were female, with a mean age of 35.8. Among the participants, 32.4% reported experiencing complications, and 21.2% of those individuals were still experiencing complications at the time of assessment. The BIS had a mean score of 16.54 ± 6.27, indicating an average body image perception. The RSES yielded a mean score of 20.11 ± 4.63, indicating average self-esteem, while the GSABS had a mean score of 8.08 ± 2.39, indicating an overall average level of patient satisfaction. No statistically significant differences were found between the various types of bariatric surgeries in terms of total body weight loss percentage, excess body weight loss percentage, or the timing of the intervention. However, increased time intervals from surgeries noted a significant reduction in the BIS.
The majority of patients who underwent SG and Roux-en-Y gastric bypass (RYGB) surgeries exhibited high GSABS scores. SG patients also had high BIS scores. However, all other interventions showed normal GSABS and BIS scores. All types of surgeries resulted in normal RSES and QOLS. Furthermore, the BIS score increases with the intervention's recentness, but it significantly decreases after the second-year post-surgery. Conversely, the older the timing of the intervention, the higher the RSES score after surgery.
这项基于网络的研究旨在分析减肥手术病例的特征及其对健康的影响。此外，该研究还试图深入探究影响减肥手术后心理评估的因素，以及在2017年1月至2024年1月期间，埃及某特定减肥手术中心接受减肥手术的患者，不同减肥手术对体重减轻和心理社会评估得分的影响。
一项分析性横断面研究招募了411名由同一手术团队实施不同减肥手术的成年人。我们使用经过验证的自填式问卷收集数据，问卷包括身体意象量表（BIS）、罗森伯格自尊量表（RSES）、生活质量得分（QOLS）以及减肥手术后改良的患者总体满意度评分（GSABS）。
最常实施的减肥手术是袖状胃切除术（SG），占手术总数的82.7%。大多数患者（78%）为女性，平均年龄为35.8岁。在参与者中，32.4%报告有并发症，其中21.2%的人在评估时仍有并发症。BIS的平均得分为16.54±6.27，表明身体意象感知处于平均水平。RSES的平均得分为20.11±4.63，表明自尊处于平均水平，而GSABS的平均得分为8.08±2.39，表明患者总体满意度处于总体平均水平。在总体体重减轻百分比、多余体重减轻百分比或干预时机方面，不同类型的减肥手术之间未发现统计学上的显著差异。然而，手术时间间隔增加，BIS得分显著降低。
接受SG和Roux-en-Y胃旁路术（RYGB）手术的大多数患者表现出较高的GSABS得分。SG患者的BIS得分也较高。然而，所有其他干预措施的GSABS和BIS得分均正常。所有类型的手术导致RSES和QOLS正常。此外，BIS得分随着干预时间的临近而增加，但在手术后第二年显著下降。相反，干预时间越久，术后RSES得分越高。
