Morbidly obese patients undergoing bariatric and body contouring surgery: Psychological evaluation after treatments

Bracaglia, Roberto; D’Ettorre, Marco; Gniuli, Donatella; Gigliofiorito, Pierluigi; Gentileschi, Stefano; Mingrone, Geltrude

doi:10.1016/j.bjps.2011.04.001

Cited by 27 publications

(17 citation statements)

References 4 publications

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“…In a study of patients who lost an average of 41% of their weight following biliopancreatic diversion, significant improvements in body image were found 2 years post‐surgery. However, body image scores remained far above the clinical cut‐off score, which was hypothesized to be representative of the negative influence of excess skin on body image (Bracaglia, D'Ettorre, Gniuli, Gigliofiorito, & Mingrone, ). In an adolescent post‐bariatric sample, 91% of those surveyed reported that their excess skin made them feel unattractive (Staalesen et al, ).…”

Section: Excess Skin and Body Imagementioning

confidence: 99%

“…In a study of body image among patients who had undergone both biliary‐pancreatic diversions and BCS, significant improvement in body image was found among individuals who underwent all types of BCS procedures. Individuals who underwent BCS procedures on the breasts, breasts/arms or breasts/arms/abdomen achieved average body image scores below the clinical cut‐offs, whereas other procedures or procedure combinations produced significant improvements but did not result in decreases to non‐clinical levels (Bracaglia et al, ).…”

Section: Body‐contouring Surgery Outcomesmentioning

confidence: 99%

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Body Contouring After Bariatric Surgery

Ellison

Steffen

Sarwer

2015

Euro Eating Disorders Rev

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Individuals who undergo bariatric surgery generally experience rapid and dramatic weight loss. While the weight loss typically confers significant health benefits, an undesirable consequence is often excessive quantities of hanging, surplus skin. Some patients undergo body-contouring surgery (BCS) in order to improve health, mobility, appearance and psychological adjustment. While the majority of post-bariatric patients desire BCS in one or more body regions, a small percentage of patients receive such surgeries. Lack of knowledge about procedures, cost and (in the USA and several other countries) difficulty obtaining insurance reimbursement likely prevents many patients from undergoing BCS. Those who do undergo BCS appear to be at heightened risk for wound-healing complications. Despite these complications, the majority of patients report satisfactory BCS outcomes. The extant literature in this area provides a great deal of information about these issues; nevertheless, additional research is needed to further inform clinical management and improve patient outcomes.

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Section: Excess Skin and Body Imagementioning

confidence: 99%

Section: Body‐contouring Surgery Outcomesmentioning

confidence: 99%

Body Contouring After Bariatric Surgery

Ellison

Steffen

Sarwer

2015

Euro Eating Disorders Rev

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“…Ces chiffres, qui semblent élevés, sont en fait concordants avec plusieurs données de la littérature lorsqu'on les compare à des travaux portant sur les patients post-bariatriques comme ceux de Fraccalvieri [15] retrouvant 50,4 % de complications ou Bracaglia à 37 % [16]. La classification établie par Qassemyar et Sinna nous renseigne sur le fait que la plupart des complications sont de type 2a correspondant à des soins ou gestes locaux supplémentaires non prévus, donc globalement des troubles de la cicatrisation.…”

Section: Taux Et Types De Complicationsunclassified

Complications des abdominoplasties : particularités des patients post-bariatriques au sein d’une série de 238 patients

Lievain

Aktouf

Auquit-Auckbur

et al. 2015

Annales de Chirurgie Plastique Esthétique

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“…Patients with massive weight loss results that cater to the plastic surgeon often have residual comorbidities, nutritional deficiencies, and abnormalities of the psyche in addition to their irregular habits 10,11 and are therefore subject to high-risk hematoma, seroma, wound dehiscence, and necrosis. 12Y16 The process of wound healing is also particularly long because, in this area, the skin is very fragile and equipped with low elasticity, and the risk of damage to the lymphatic and vascular system is very high.…”

Section: Discussionmentioning

confidence: 99%