Primary Care Perspective on Bariatric Surgery

Presutti, R. John; Gorman, Richard; Swain, James

doi:10.4065/79.9.1158

Cited by 21 publications

(9 citation statements)

References 41 publications

(8 reference statements)

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“…Generally agreed upon nutritional guidelines are that supplemental minerals and vitamins should be taken daily, small bites of food should be chewed thoroughly before swallowing, liquids should be either ingested well before meals or at least 30 minutes   afterwards, and at least 60 grams of proteins should be preferentially eaten before fats and carbohydrates [12–15].

Consuming the right food and the vitamins and doing the right thing with food exist on a continuum…it's not a matter of being all right or all wrong or all good or all bad…every day you're striving to make the best choices you can in that moment.

…”

Section: Resultsmentioning

confidence: 99%

The Work behind Weight-Loss Surgery: A Qualitative Analysis of Food Intake after the First Two Years Post-Op

2014

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Purpose. Obesity has reached epidemic proportions in the U.S. and has nearly doubled worldwide since 1980. Bariatric surgery is on the rise, but little focus has been placed on the psychosocial impacts of surgery. The purpose of this study was to explore experiences of patients who have undergone bariatric surgery at least two years before to gain an understanding of the successes and challenges they have faced since surgery. Methods. This study used a phenomenological approach, to investigate the meaning and essence of bariatric patients with food after surgery. Semi-structured interviews were conducted on a sample of nine participants who had undergone surgery at least two years prior. Findings. Two main themes regarding food intake emerged from the data: (a) food after the first year post-surgery and (b) bariatric surgery is not a magic pill. Upon further analysis, food after the first year post-surgery had four subthemes emerge: diet adherence after the first year post-surgery, food intolerances, amount of food, and tendencies toward coping with food do not magically disappear. Conclusion. Findings revealed that post-operative diet and exercise adherence becomes increasingly difficult as weight loss slows. Many participants find that only after the first year after surgery the work really begins.

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…”

Section: Resultsmentioning

confidence: 99%

The Work behind Weight-Loss Surgery: A Qualitative Analysis of Food Intake after the First Two Years Post-Op

2014

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“…Obesity has become epidemic in America, requiring health care providers to stay abreast of counseling and treatment options. A review from Mayo Clinic 10 describes the role of PCPs as essential in identifying potential candidates for bariatric surgery. With the increased use of surgery to treat obesity comes a need for PCPs, not only to screen patients who would benefit from an operation, but also to become familiar with principles that guide follow-up care and lifelong monitoring.…”

Section: Discussionmentioning

confidence: 99%

“…Referral patterns are based on a certain level of comfort, and a lack of knowledge about surgery can impede the referral process. 10 , 16 …”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Primary Care Physicians' Referral for Bariatric Surgery

Tork¹,

Meister²,

Uebele³

et al. 2015

JSLS

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Background and Objectives:Bariatric surgery has been shown to be an effective weight loss treatment for the morbidly obese, but some primary care physicians remain hesitant about postoperative treatment and management of patients who have undergone the surgery and recommend it to their obese patients infrequently. The purpose of this study was to evaluate perceptions of primary care physicians of the role of bariatric surgery in the management of obese patients and to identify possible barriers to treatment.Methods:A survey of PCPs within our institution was conducted to determine attitudes, knowledge, and practices regarding the treatment of morbidly obese patients, with a specific focus on identifying factors that influence referral patterns for bariatric surgery.Results:Among 161 eligible PCPs, 57 (35.4%) responded. Most respondents (59%) reported that at least 1 in 4 of their patients had a BMI ≥35 kg/m2. Although 39% thought that diet and exercise were an effective means of sustained weight loss, only 12% were satisfied with prescribing nonsurgical interventions. Sixty-three percent agreed that bariatric surgery is generally effective in the long term. All respondents were aware of the commonly established benefits, including improvement of diabetes, hypertension, and hyperlipidemia. In addition, 65% were familiar with the indications for bariatric surgery, and 70% felt comfortable discussing it with patients as a treatment option. Fewer than half of the respondents felt confident in providing postoperative management. Cost was a perceived limitation, with 53% reporting that most of their patients could not afford bariatric surgery.Conclusions:The general attitude of PCPs toward bariatric surgery is supportive. Physicians are largely aware of the indications and benefits; however, far fewer are comfortable in management of patients after surgery. A lack of supplemental information and concerns regarding the cost of surgery can impede treatment and referrals.

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“…Due to the insurmountable rise in obesity levels, the overall health of the global population is being adversely affected by physical, psychological and social disorders that are directly related to excess weight . According to the World Health Organization, corpulence and obesity play a causative role in 44% of diabetes mellitus cases, 23% of ischemic heart disease cases and 7%–41% of certain cancers .…”

Section: Introductionmentioning

confidence: 99%