Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 9/2017

01-09-2017 | Original Contributions

Patient Reported Outcomes 10 years After Roux-en-Y Gastric Bypass

Authors: Florence E. Turrentine, James H. Mehaffey, Rachel L. Mehaffey, Matthew G. Mullen, Bruce D. Schirmer, Peter T. Hallowell

Published in: Obesity Surgery | Issue 9/2017

Login to get access

Abstract

Background

Following weight-loss surgery, patients who failed to achieve or sustain weight loss have nevertheless reported high satisfaction with their long-term bariatric experience. Understanding this phenomenon better will likely improve patients’ experiences.

Objective

The purpose of this study was to explore patients’ long-term experiences following bariatric surgery.

Setting

A 604-bed academic health system in the USA.

Methods

Participants rated satisfaction and shared spontaneous comments regarding their gastric bypass experience. A phenomenological mode of inquiry explored participants’ experiences. Transcribed phrases were categorized and themes identified.

Results

In a 2004 surgical cohort, with 55% (155/281) participation, 99% of participants rated bariatric experience satisfaction (mean score 8.4) and 74% (115/155) shared comments regarding experiences. Responses were categorized as positive (63% 72/115), neutral (25% 29/115), or negative (12% 14/115).
Satisfaction, Appreciation, and Gratefulness emerged as themes from positive comments, with 8% (6/72) explicitly acknowledging amount of weight loss achieved. Twenty-five percent (18/72) spontaneously mentioned undergoing surgery again or recommending the procedure to others. Neutral comments contained the themes of Reflection, Acknowledgment, and Wistfulness. Themes of Dissatisfaction, Disappointment, and Regret emerged from negative comments. Forty-three percent (6/14) of negative comments remarked on regaining weight or not reaching goal weight. Twenty-one percent (3/14) of negative comments explicitly stated regret at having undergone surgery.

Conclusions

Participants readily shared comments regarding their gastric bypass experience. Exploring themes provided insight into patients’ satisfaction with bariatric surgery even when weight-loss goals were not met and conversely substantial dissatisfaction even when weight loss occurred. This study underscores the importance of understanding the patients’ long-term experience following bariatric surgery.
Literature
1.
Chang S, Stoll CR, Song J, et al. The effectiveness and risks of bariatric surgery. An updated systematic review and meta-analysis, 2003–2012. JAMA Surg. 2014;149(3):275–87.CrossRefPubMedPubMedCentral
2.
3.
Coulman KD, Abdelrahman T, Owen-Smith A, et al. Patient-reported outcomes in bariatric surgery: a systematic review of standards reporting. Obes Rev. 2013;14:707–20.CrossRefPubMed
4.
Mehaffey JH, Turrentine FE, Miller MS, et al. Roux-en-Y gastric bypass 10-year follow-up: the found population. Surg Obes Relat Dis. 2016;12(4):778–82.CrossRef
5.
Himpens J, Verbrugghe A, Cadiere GB, et al. Long-term results of laparoscopic Roux-en-Y gastric bypass: evaluation after 9 years. Obes Surg. 2012;22:1586–93.CrossRefPubMed
6.
Mehaffey JH, LaPar DL, Clement KC, et al. 10-year outcomes after Roux-en-Y gastric bypass. Ann Surg. 2016;264(1):121–6.CrossRefPubMed
7.
Edholm D, Svensson F, Naslund I, et al. Long-term results 11 years after primary gastric bypass in 384 patients. Surg Obes Relat Dis. 2013;9(5):708–13.CrossRefPubMed
8.
Obeid NR, Malick W, Concors SJ, et al. Long-term outcomes after Roux-en-Y gastric bypass: 10- to 13-year data. Surg Obes Relat Dis. 2016;12:11–22.CrossRefPubMed
9.
Pories WJ, Swanson MS, MacDonald KG, et al. Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg. 1995;222(3):339–52.CrossRefPubMedPubMedCentral
10.
O'Brien PE, MacDonald L, Anderson M, et al. Long-term outcomes after bariatric surgery. Fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013;257(1):87–94.CrossRefPubMed
11.
Sjostrom L. Review of the key results from the Swedish Obese Subjects (SOS) trial—a prospective controlled intervention study of bariatric surgery. J Intern Med. 2012;273:219–34.CrossRef
12.
Papadia FS, Adami GF, Marinari GM, et al. Bariatric surgery in adolescents: a long-term follow-up study. Surg Obes Relat Dis. 2007;3(4):465–8.CrossRefPubMed
13.
Silva SS, Maia AC. Patientsʼ experiences after bariatric surgery: a qualitative study at 12-month follow-up. Clinical Obesity. 2013;3:185–93.CrossRefPubMed
14.
Liebl L, Barnason S, Hudson DB. Awakening: a qualitative study on maintaining weight loss after bariatric surgery. J Clin Nurs. 2016;25:951–61.CrossRefPubMed
15.
Geraci AA, Brunt A, Marihart C. The work behind weight-loss surgery: a qualitative analysis of food intake after the first two years post-op. ISRN Obesity. 2014. doi:10.​1155/​2014/​427062.
16.
Ogden J, Avenell S, Ellis G. Negotiating control: patients’ experiences of unsuccessful weight-loss surgery. Psychol Health. 2011;26(7):949–64.CrossRefPubMed
17.
Mehaffey JH, Mehaffey RL, Mullen MG, et al. Nutrient deficiency 10 years following Roux-en-Y gastric bypass: Whoʼs responsible. Obes Surg. Forthcoming 2017.
18.
19.
Wittink DR, Bayer LR. The measurement imperative. Empirical results on the number of scale points give managers a reliable gauge for assessing customer satisfaction. Mark Res. 2003;6(4):14–22.
20.
Strauss A, Corbin J. Basics of qualitative research: grounded theory procedures and techniques. Newberry Park: Sage Publications; 1990.
21.
Kockelmans J. Toward an interpretative or hermeneutic social science. Grad Fac Philos J. 1975;5(1):73–96.CrossRef
22.
Steeves R. Patients who have undergone bone marrow transplantation: their quest for meaning. Onocology Nursing Forum. 1992;19(6):899–905.
23.
Sandelowski M. The problem of rigor in qualitative research. Adv Nurs Sci. 1986;8(3):27–37.CrossRef
24.
Bowne WB, Julliard K, Castro AE, et al. Laparoscopic gastric bypass is superior to adjustable gastric band in super morbidly obese patients. A prospective, comparative analysis. Arch Surg. 2006;141(7):683–9.CrossRefPubMed
25.
26.
27.
Groven KS, Engelsrud G. Negotiating options in weight-loss surgery: “actually I didn't have any other option”. Med Health Care Philos. 2016;19(3):361–70.CrossRefPubMed
Metadata
Title
Patient Reported Outcomes 10 years After Roux-en-Y Gastric Bypass
Authors
Florence E. Turrentine
James H. Mehaffey
Rachel L. Mehaffey
Matthew G. Mullen
Bruce D. Schirmer
Peter T. Hallowell
Publication date
01-09-2017
Publisher
Springer US
Published in
Obesity Surgery / Issue 9/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-017-2641-6

Other articles of this Issue 9/2017

Obesity Surgery 9/2017 Go to the issue

Original Contributions

Revision Roux-en-Y Gastric Bypass to Biliopancreatic Long-Limb Gastric Bypass for Inadequate Weight Response: Case Series and Analysis

Letter to the Editor

The Patients’ Perspective Is the Missing Link in Current Bariatric Surgical Practice

Erratum

Erratum to: Nutritional Status Prior to Laparoscopic Sleeve Gastrectomy Surgery

Letter to the Editor

Predictive Value of C-Reactive Protein for Complications Post-Laparoscopic Roux-en-Y Gastric Bypass

Brief Communication

How to Switch to the Switch: Implementation of Biliopancreatic Diversion with Duodenal Switch into Practice

Erratum

Erratum to: Poor Health Behaviors Prior to Laparoscopic Sleeve Gastrectomy Surgery