Patient factors influencing bariatric operation- what has changed, 11 years later

Abstract

While bariatric surgery has remained a popular treatment option for overweight patients in the past decade, little research has been performed into the decision-making process for these patients. Our institution published a study in 2005 examining the most popular weight-loss operations chosen, the demographics of the bariatric population, the referral patterns that led to bariatric surgery, and the reasons why certain procedures were selected over others. A review of the literature identified several other studies that have explored one or more of these topics. The patient population has remained relatively stable over time, with a trend towards younger and less obese patients. The longitudinal sleeve gastrectomy (LSG) has supplanted the Roux-en-Y gastric bypass (RYGB) as the most popular bariatric operation, and the laparoscopic adjustable gastric band (LAGB) has greatly decreased in prevalence. Patient reasoning behind surgical choices is conflicting, suggesting that despite preoperative education sessions, patients are making their choices prior to their initial consultation. Lastly, while use of the internet has remained stable over time, the accuracy of the information presented has increased. A combination of internet use, primary care physician (PCP) referral, and friend/family recommendations are used by patients to find their surgeon, though which factor is most important is unknown.