Patients' perspectives on laparoscopic adjustable gastric banding (LAGB) aftercare attendance: qualitative assessment.

Abstract:

BACKGROUND:Despite recognition of the importance of laparoscopic adjustable gastric banding (LAGB) aftercare for optimal surgical outcomes and the failure of some patients to attend regularly, factors influencing LAGB aftercare attrition have not been thoroughly examined in the literature. METHODS:Patients' perspectives on LAGB aftercare attendance were explored using a qualitative research methodology. Twenty-four LAGB patients who either (1) did not attend aftercare (n = 12) or (2) attended aftercare regularly (n = 12) were interviewed. Data were analysed using grounded theory methods. RESULTS:Four common processes emerged from patients' descriptions: (1) barriers to attendance, (2) purely medical service, (3) non-patient centred approach, and (4) behavioural and psychological aspects of behavioural changes. Regular attendees typically reported (1) a commitment to aftercare, (2) a need to make the band work, (3) regular monitoring motivated attendance, and (4) happiness with the improved health. Non-regular attendees perceived (1) that aftercare is more relevant early on after the surgery, (2) insufficient follow-up from the centre, (3) failure and shame, (4) not comfortable to be vulnerable, and (5) an intention to reconnect. CONCLUSIONS:Patients perceive LAGB post-operative medical management to be professional, effective, and valuable. Patients' difficulty to actively participate during aftercare visits contributes to reduced satisfaction and a range of compromised outcomes. Management of LAGB post-operative patients may be improved with the use of patient-centred strategies that encourage patients' active participation. Further research is required to evaluate the emerged themes and determine whether interventions targeting identified barriers enhance attendance and improve outcomes.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Moroshko I,Brennan L,Warren N,Brown W,O'Brien P

doi

10.1007/s11695-013-1086-9

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

266-75

issue

2

eissn

0960-8923

issn

1708-0428

journal_volume

24

pub_type

杂志文章
  • Laparoscopic Greater Curvature Plication for the Treatment of Obesity: a Systematic Review.

    abstract:BACKGROUND:During the last decade, laparoscopic greater curvature plication (LGCP) has been used as a bariatric procedure for the treatment of obesity, regarded as less invasive and less expensive than other surgical bariatric procedures. We aimed to systematically review the literature and highlight recent clinical da...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05112-z

    authors: El Soueidy T,Kassir R,Nakhoul M,Balian A,Nunziante M,Safieddine M,Perlemuter G,Lainas P,Dagher I

    更新日期:2020-11-19 00:00:00

  • Successful thrombolysis of submassive pulmonary embolism after bariatric surgery: expanding the indications and addressing the controversies.

    abstract:BACKGROUND:Venous thromboembolic (VTE) disease is a much-feared complication of bariatric surgery. The most common unexpected cause of death in the morbidly obese patient is pulmonary embolism (PE). Recent data supports the expanded use of systemic thrombolytics in hemodynamically stable patients with PE and echocardio...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322509426

    authors: Pulipati RC,Lazzaro RS,Macura J,Savel RH

    更新日期:2003-10-01 00:00:00

  • Gut Microbiota Modifications and Weight Regain in Morbidly Obese Women After Roux-en-Y Gastric Bypass.

    abstract:INTRODUCTION:The relationship between late post-bariatric surgery weight regain and gut microbiota is not completely understood. OBJECTIVE:To analyze the profile of gut microbiota among patients with and without late weight regain after post-Roux-en-Y gastric bypass (RYGB) and to compare it with a control group (CG) c...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04956-9

    authors: Faria SL,Santos A,Magro DO,Cazzo E,Assalin HB,Guadagnini D,Vieira FT,Dutra ES,Saad MJA,Ito MK

    更新日期:2020-12-01 00:00:00

  • Vertical Banded Gastroplasty in the Severely Obese under Age Twenty-One.

    abstract::BACKGROUND: The severely obese under 21 years of age are at high risk of missing normal development during a crucial period of life and should be considered for surgical treatment. Vertical banded gastroplasty allows patients to be treated effectively while continuing to have normal digestion and absorption without th...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089295765558114

    authors: Mason EE,Scott DH,Doherty C,Cullen JJ,Rodriguez EM,Maher JW,Soper RT

    更新日期:1995-02-01 00:00:00

  • Decreased Levels of Circulating Cancer-Associated Protein Biomarkers Following Bariatric Surgery.

    abstract:BACKGROUND:Epidemiological studies have identified obesity as a major risk factor for cancer in humans, and trials have demonstrated a significant reduction in the incidence of cancer after bariatric surgery. The rapidity of weight loss after bariatric surgery provides an opportunity to identify the molecular changes a...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2321-y

    authors: Farey JE,Fisher OM,Levert-Mignon AJ,Forner PM,Lord RV

    更新日期:2017-03-01 00:00:00

  • Does Bariatric Surgery Affect the Incidence of Breast Cancer Development? A Systematic Review.

    abstract::We reviewed the evidence for bariatric surgery reducing the risk of breast cancer. Data was extracted from multiple libraries, including PubMed, EMBASE, and Medline, to perform a systematic review. Abstracts were reviewed by two independent reviewers. Thirty-eight full-text articles were identified from 1171 abstracts...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11695-017-2901-5

    authors: Winder AA,Kularatna M,MacCormick AD

    更新日期:2017-11-01 00:00:00

  • A study of discrimination within the medical community as viewed by obese patients.

    abstract:BACKGROUND:Although prejudice may not be verbal in nature, the lack of response from professional and non-professional medical personnel regarding the obese patients' needs (medical equipment, comfortable surroundings, properly fitting attire, etc.), leads one to assume that obese patients continue to be a target of un...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089202321144513

    authors: Kaminsky J,Gadaleta D

    更新日期:2002-02-01 00:00:00

  • Laparoscopic Roux-en-Y Gastric Bypass for Failed Gastric Banding: One-Step or Two-Step Revisional Surgery?

    abstract:BACKGROUND:Surgical revision rates are high, reaching 41% at 10 years after Laparoscopic gastric band (LAGB). Surgical revision may include re-banding, laparoscopic sleeve gastrectomy (LSG), duodenal switch (DS), or laparoscopic Roux-en-Y gastric bypass (LRYGB). LRYGBP has been proposed as the procedure of choice after...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05027-9

    authors: Alratrout H,Almuttawa A,Siciliano I,Keller P

    更新日期:2020-10-14 00:00:00

  • Oral Health Implications of Bariatric Surgery in Morbidly Obese Patients: An Integrative Review.

    abstract:BACKGROUND:To identify the implications of bariatric surgery on the oral health of patients with morbid obesity. METHODS:Two reviewers independently performed a search of the electronic databases: MedLine, PubMed, SciELO, LILACS, and Scopus, for clinical trials in humans and cohort studies. The search strategy used wa...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-019-04334-0

    authors: da Silva Azevedo ML,Silva NR,da Costa Cunha Mafra CA,Lins RDAU,Dantas EM,de Vasconcelos Gurgel BC,de Aquino Martins ARL

    更新日期:2020-04-01 00:00:00

  • All-Cause Mortality of Patients With and Without Diabetes Following Bariatric Surgery: Comparison to Non-surgical Matched Patients.

    abstract:OBJECTIVE:Data are sparse regarding the survival benefit of bariatric surgery on mortality among persons with diabetes. We aimed to investigate the association of bariatric surgery, compared with usual care, on all-cause mortality in individuals who underwent surgery and matched controls, stratified by the presence of ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05068-0

    authors: Dicker D,Greenland P,Leibowitz M,Hoshen M,Senderey AB,Rasmussen-Torvik LJ,Balicer RD,Reges O

    更新日期:2020-11-05 00:00:00

  • Web-Based Educational Seminars Compare Favorably with In-House Seminars for Bariatric Surgery Patients.

    abstract:BACKGROUND:Comprehensive preparative patient education is a key element in bariatric patient success. The primary objective of this study was to compare attrition rates, demographics, and surgery outcomes between patients who participated in the online vs in-house preparative seminars. METHODS:A retrospective chart re...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3590-4

    authors: Monfared S,Martin A,Gupta K,Stefanidis D,Selzer D,Choi J,Butler A,Banerjee A

    更新日期:2019-03-01 00:00:00

  • Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients.

    abstract:BACKGROUND:The HospitAl stay, Readmission, and Mortality rates (HARM) score is a quality indicator that is easily determined from routine administrative data. However, the HARM score has not yet been applied to patients undergoing bariatric surgery. OBJECTIVE:The aims of the present study were to adjust the HARM score...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3253-5

    authors: Janik MR,Mustafa RR,Rogula TG,Alhaj Saleh A,Abbas M,Khaitan L

    更新日期:2018-09-01 00:00:00

  • Prevalence of undiagnosed and inadequately treated type 2 diabetes mellitus, hypertension, and dyslipidemia in morbidly obese patients who present for bariatric surgery.

    abstract:BACKGROUND:Pharmacotherapy is considered the primary treatment modality for diabetes mellitus (DM), hypertension (HTN), and dyslipidemia (DYS). We sought to investigate the status of DM, HTN, and DYS in patients who seek bariatric surgery. METHODS:Demographic and comorbidity history were prospectively collected on 1,5...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1196-z

    authors: Mostaedi R,Lackey DE,Adams SH,Dada SA,Hoda ZA,Ali MR

    更新日期:2014-06-01 00:00:00

  • Helicobacter pylori-induced Diarrhea Ileogastrostomy.

    abstract::A retrospective study of all ileogastrostomy procedures (n = 26) performed in 1993 by one surgeon (IGMC) was carried out to investigate the hypothesis that Helicobacter pylori may be implicated in certain severe cases of postoperation nausea and diarrhea. Ten of 26 persons (38.5%) displayed nausea and notable diarrhea...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089294765558548

    authors: Cleator IG,Rae AJ,Birmingham CL

    更新日期:1994-08-01 00:00:00

  • A revolutionary design change to improve stapler safety.

    abstract:BACKGROUND:Postoperative staple line leaks and bleeding are the most common reasons for complications in surgical procedures that involve organ resection, such as sleeve gastrectomy. Increasing the safety of these operations requires improving the instruments (endostaplers or endocutters) used for stapling and sectioni...

    journal_title:Obesity surgery

    pub_type: 信件

    doi:10.1007/s11695-012-0792-z

    authors: Arteaga-González IJ

    更新日期:2013-01-01 00:00:00

  • Intussusception complicating pregnancy following laparoscopic Roux-en-Y gastric bypass.

    abstract::Laparoscopic Roux-en-Y gastric bypass is the most common bariatric surgical procedure in the USA in women of reproductive age. A pregnant patient presented with nonspecific upper abdominal pain and nausea, suggesting an internal hernia. At surgery, an intussusception was identified and reduced without complications. O...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9153-8

    authors: Wax JR,Wolff R,Cobean R,Pinette MG,Blackstone J,Cartin A

    更新日期:2007-07-01 00:00:00

  • Is laparoscopic duodenojejunal bypass with sleeve an effective alternative to Roux en Y gastric bypass in morbidly obese patients: preliminary results of a randomized trial.

    abstract:BACKGROUND:The incidence of obesity and related metabolic disorders in India and that of stomach carcinoma is one of the highest in the world. Hence, one requires a procedure that allows postoperative surveillance of the stomach with the best outcomes in terms of weight control and resolution of co-morbidities. Here, w...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-011-0507-x

    authors: Praveen Raj P,Kumaravel R,Chandramaliteeswaran C,Rajpandian S,Palanivelu C

    更新日期:2012-03-01 00:00:00

  • Bone mineral density and nutritional profile in morbidly obese women.

    abstract:BACKGROUND:Morbid obesity may be associated with malnutrition. Because it is important to assess the preoperative nutritional/metabolic status and bone mineral density of these patients, this study was designed aiming to evaluate bone metabolism/mineral density and nutritional profile in morbidly obese women. METHODS:...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0121-3

    authors: Casagrande DS,Repetto G,Mottin CC,Schneider R,Rizzolli J,Moretto M,Padoin AV,Schaan BD

    更新日期:2010-10-01 00:00:00

  • Early postoperative insulin-resistance changes after sleeve gastrectomy.

    abstract:INTRODUCTION:Biliopancreatic diversion and gastric bypass are associated with a rapid improvement in insulin resistance few days after surgery. The purpose of this study was to evaluate the short-term effects in insulin resistance following sleeve gastrectomy (SG). MATERIALS AND METHODS:Between December 2007 and Septe...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-0017-2

    authors: Rizzello M,Abbatini F,Casella G,Alessandri G,Fantini A,Leonetti F,Basso N

    更新日期:2010-01-01 00:00:00

  • Obstructive sleep-related breathing disorders in patients evaluated for bariatric surgery.

    abstract:BACKGROUND:Obesity is a well known risk factor for obstructive sleep apnea (OSA). Medical therapy is not effective for morbid obesity. Bariatric surgery is therefore a reasonable option for weight reduction for patients with clinically severe obesity. Unrecognized OSA, especially in those patients receiving abdominal s...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322509228

    authors: Frey WC,Pilcher J

    更新日期:2003-10-01 00:00:00

  • Weight Status of Brazilian's Mother-Son Dyad after Maternal Bariatric Surgery.

    abstract:PURPOSE:Pregnant women who have undergone bariatric surgery must be followed to ensure healthy mother-child nutritional status. This study aimed to compare weight status of mother-child dyad after maternal bariatric surgery in public and private Brazilian healthcare system units. MATERIALS AND METHODS:This retrospecti...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04605-1

    authors: Melendez-Araújo MS,Lemos KGE,Arruda SLM,Dutra ES,de Carvalho KMB

    更新日期:2020-09-01 00:00:00

  • Effects of modified biliopancreatic diversion on glucose tolerance of GK rats.

    abstract:BACKGROUND:The purpose of this study was to investigate the hypoglycemic effect of new biliopancreatic diversion and duodenal-jejunal bypass in Goto-Kakizaki rats and observe effects of the new surgical procedure on the glucose tolerance of GK rats. METHODS:Twenty-four 10-week-old rats (SPF grade) were randomly divide...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0830-x

    authors: Weng SG,Zhang B,Feng S,Xu CG,Lin CZ

    更新日期:2013-04-01 00:00:00

  • Port complications following laparoscopic adjustable gastric banding for morbid obesity.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) has gained widespread acceptance. However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyzed them, ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892053576604

    authors: Keidar A,Carmon E,Szold A,Abu-Abeid S

    更新日期:2005-03-01 00:00:00

  • Risk of Delayed Discharge and Reoperation of Gastric Bypass Patients with Psychiatric Comorbidity-a Nationwide Cohort Study.

    abstract:BACKGROUND:Gastric bypass (GBP) surgery is considered a safe and effective treatment for obesity. However, there is uncertainty regarding the impact of preexisting psychiatric comorbidity on GBP complications. We have investigated whether a psychiatric diagnosis before GBP surgery is associated with delayed discharge (...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04483-7

    authors: Lagerros YT,Brandt L,Sundbom M,Hedberg J,Bodén R

    更新日期:2020-07-01 00:00:00

  • Comparison of Great Curvature Plication with Duodenal-Jejunal Bypass (GCP-DJB) and Sleeve Gastrectomy (SG) on Metabolic Indices and Gut Hormones in Type 2 Diabetes Mellitus Rats.

    abstract:OBJECTIVE:The present study compared the therapeutic effects of great curvature plication with duodenal-jejunal bypass (GCP-DJB) and the commonly used sleeve gastrectomy (SG) in rats with type 2 diabetes mellitus (T2DM). METHODS:The rats were randomly divided into three groups: Control group (n = 6), SG group (n = 6),...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3459-6

    authors: Qiu NC,Li W,Liu ME,Cen XX,Shan CX,Zhang W,Liu Q,Wang Y,Zhu YT,Qiu M

    更新日期:2018-12-01 00:00:00

  • Bariatric re-operations: are they preventable?

    abstract:BACKGROUND:Many operations are currently used for morbid obesity, and every procedure appears to have advantages, drawbacks and failures. Re-operation is a part of bariatric surgery practice that is necessary in the event of failure. We analyzed the reasons for failure in the bariatric re-operation group. METHODS:From...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089200321593733

    authors: Gawdat K

    更新日期:2000-12-01 00:00:00

  • Gastro-clip gastroplasty: a very long-term complication.

    abstract::For most surgeons, the gastro-clip gastroplasty is an unfamiliar operation. It was performed during the mid 1980s as an alternative to more complex bariatric operations. However, the device had problems. Because of its rigid nature, it occasionally eroded into the stomach and chest. Many of these devices required remo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089204772787455

    authors: Chang CG,Provost DA

    更新日期:2004-01-01 00:00:00

  • Assessment of Atrial Fibrillation and Ventricular Arrhythmia Risk after Bariatric Surgery by P Wave/QT Interval Dispersion.

    abstract:BACKGROUND:The association of obesity with atrial fibrillation (AF) and with ventricular arrhythmias is well documented. OBJECTIVE:The aim of this study was to investigate whether weight reduction by a laparoscopic sleeve gastrectomy has any effect on P wave dispersion (PWD), a predictor of AF, and corrected QT interv...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s11695-017-2923-z

    authors: Yılmaz M,Altın C,Tekin A,Erol T,Arer İ,Nursal TZ,Törer N,Erol V,Müderrisoğlu H

    更新日期:2018-04-01 00:00:00

  • Vertical banded gastroplasty in the Aegean Region of Turkey.

    abstract:BACKGROUND:Obesity is increasing in Turkey. The first experience with vertical banded gastroplasty (VBG) with regular intermediate-term follow-up in the Aegean Region of Turkey is presented. METHODS:From November 1993 to August 1999, 40 morbidity obese patients underwent VBG. The patients were evaluated on the basis o...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089201321209387

    authors: Haciyanli M,Erkan N,Bora S,Gulay H

    更新日期:2001-08-01 00:00:00

  • Achalasia-like disorder after laparoscopic adjustable gastric banding: a reversible side effect?

    abstract::Literature data concerning the effect of laparoscopic adjustable gastric banding (LAGB) on esophageal motility are conflicting. Achalasia-like disorder involving the absence of esophageal peristalsis and impaired esophago-gastric junction (EGJ) is probably under-estimated and can result in failure and band removal. Th...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0627-y

    authors: Robert M,Golse N,Espalieu P,Poncet G,Mion F,Roman S,Boulez J,Gouillat C

    更新日期:2012-05-01 00:00:00