Our Summary

This study looked at the experiences of people in Australia who had undergone a popular type of weight-loss surgery called laparoscopic sleeve gastrectomy (LSG), which is a procedure that removes part of the stomach to help patients lose weight. The researchers interviewed 22 patients who had the surgery one to three years ago to understand their experiences and perspectives. They identified three main themes from the interviews: 1) ’normality’ or the feeling of having a more typical body size and lifestyle, 2) ‘control’ or the ability to better manage their weight and health, and 3) ‘ambivalence’ or mixed feelings about the changes in their lives. Eight other themes related to specific aspects of their lives, like exercise, emotions, eating habits, societal influences, body images, and relationships, were also identified. Overall, most patients were satisfied with the surgery and its benefits. However, the researchers note that it’s important for people considering this surgery to understand that it can have significant and lasting impacts on their lives.

FAQs

  1. What percentage of weight-loss surgeries in Australia are laparoscopic sleeve gastrectomies (LSG)?
  2. What were the main themes identified in the study of patient perspectives following LSG?
  3. What are the potential physical and psychosocial benefits of LSG as identified in the study?

Doctor’s Tip

One helpful tip a doctor might tell a patient about gastrectomy is to ensure they follow a balanced and nutritious diet post-surgery. It is important for patients to work closely with a dietitian to develop a meal plan that meets their nutritional needs and promotes healing. Additionally, regular exercise is important for maintaining weight loss and overall health after gastrectomy. Patients should discuss with their healthcare team about safe and appropriate exercise routines that suit their individual needs and abilities.

Suitable For

Patients who are typically recommended for gastrectomy include those who have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, sleep apnea, or high blood pressure. Patients who have not been successful with other weight loss methods such as diet and exercise may also be recommended for gastrectomy. Additionally, patients who are motivated to make lifestyle changes and commit to long-term follow-up care are good candidates for the procedure.

Timeline

Before gastrectomy:

  • Patient undergoes pre-operative assessments and consultations with healthcare providers.
  • Patient may have to follow a specific diet or weight loss program prior to surgery.
  • Patient may experience anxiety and fear about the upcoming procedure.

After gastrectomy:

  • Patient may experience pain and discomfort immediately post-surgery.
  • Patient will have to follow a strict diet and lifestyle changes to aid in recovery and weight loss.
  • Patient may experience changes in physical appearance and body image.
  • Patient may feel a sense of control over their eating habits and weight management.
  • Patient may experience improvements in daily living activities and quality of life.
  • Patient may have to adjust to changes in relationships and societal influences.
  • Patient may experience emotional responses and ambivalence towards the outcomes of the surgery.
  • Patient may need ongoing support and follow-up care to manage any complications or challenges post-surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications of gastrectomy surgery?
  2. How will my diet and eating habits need to change after the surgery?
  3. What kind of support and follow-up care will I need after the surgery?
  4. How will gastrectomy affect my ability to exercise and be physically active?
  5. What are the long-term effects of gastrectomy on weight loss and overall health?
  6. How will gastrectomy impact my emotional well-being and mental health?
  7. What can I expect in terms of changes to my body image and relationships post-surgery?
  8. How will gastrectomy impact my daily living and quality of life?
  9. Are there any specific dietary supplements or medications I will need to take after the surgery?
  10. How can I best prepare for gastrectomy surgery and the recovery process?

Reference

Authors: Yates N, Carbone A, Gohel D, Trinh Y, Saini S, Kong F, Kothari A, Liew V. Journal: Aust J Gen Pract. 2020 Apr;49(4):208-214. doi: 10.31128/AJGP-05-19-4942. PMID: 32233350