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KMID : 0371420200980020082
Annals of Surgical Treatment and Research
2020 Volume.98 No. 2 p.82 ~ p.88
Patient preferences regarding bariatric/metabolic procedures: a survey of Korean obese candidates for surgery
Roh Su-Yeon

Park Yeon-Ho
Lee Woon-Ki
Kim Seong-Min
Abstract
Purpose: The objective of this study was to survey potential candidates for bariatric/metabolic surgery for procedure preferences.

Methods: Questions asked were divided into 5 categories: (1) demographic and anthropometric data, comorbidities, and favored surgery; (2) awareness of safety, effectiveness, and complications of each type of surgery; (3) discordances in opinion between self-selected and medically recommended procedures; and (4, 5) reasons for/against particular surgery.

Results: From 1 October to 15 November 2018, 104 respondents adequately responded and were included in the analysis. The number (%) of female respondents was 79 (76.0%). The number (%) of respondents by decade was 17 (16.3%) in their 20s, 65 (62.5%) in their 30s, 19 (18.3%) in their 40s, and 3 (2.9%) in their 60s, respectively. Mean body mass index was 37.1 ¡¾ 6.3 kg/m2. Comorbidities were type 2 diabetes in 34 (32.7%) and hypertension in 35 (33.7%). The most favored procedure was sleeve gastrectomy (SG) in 78 (75.0%), adjustable gastric band (AGB) surgery in 12 (11.5%), Roux-en-Y gastric bypass (RYGB) in 6 (5.8%), and gastric plication (GP) in 8 (7.7%). Major reasons for choosing procedures were; ¡°adjustable¡± for AGB, ¡°stomach sparing¡± for GP, ¡°excellent weight loss¡± for SG, and ¡°comorbidity resolution¡± in RYGB.

Conclusion: Candidates for bariatric/metabolic surgery favored SG followed by AGB, GP, and RYGB, and their choices were compatible with current evidence-based clinical practice.
KEYWORD
Bariatric surgery, Gastric bypass, Obesity
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