Readability of online patient-based information on bariatric surgery

Background: Web-based patient education literature has been shown to be written at reading levels far above what is recommended. Little is known about the overall readability of current internet-based bariatric surgery information. The purpose of this study was to assess the readability of current bariatric material on the internet. Methods: The term "weight loss surgery" was searched using the Chrome browser on the first 15pages of URLs that appeared with content written in English. Using five readability measures, scores were generated using Readable.io for written content on a sample of 96 websites. Scores were sorted into the readability categories of "easy," "average," and "difficult." Results: Almost 93% of websites, both .com and .org, sampled received an unacceptable readability score on each assessment. Conclusion: Accurate and appropriate information about bariatric procedures is critical for patient comprehension and adherence to recommended protocols.

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Weight loss surgery

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363515x14134529299943 ◽

2015 ◽

Vol 97 (1) ◽

pp. 45-45

Author(s):

Jo Revill

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Weight Loss Surgery ◽

Love Affair

How our ongoing love affair with fad diet stories shapes the debate around bariatric surgery.

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Evaluation and Treatment of Pediatric Obesity

10.2310/gastro.5605 ◽

2018 ◽

Author(s):

Nirav K Desai ◽

Samir Softic

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Environmental Factors ◽

Fast Food ◽

Pediatric Obesity ◽

Behavioral Interventions ◽

Weight Loss Surgery ◽

Pediatric Population ◽

Nonalcoholic Fatty Liver ◽

Sweetened Beverages

Obesity is one of the most significant health problems facing children and adolescents. The definition of overweight in children is a body mass index between the 85th and less than 95th percentile, whereas obesity is greater than or equal to the 95th percentile for age and sex. There are multiple comorbidities associated with obesity, including dyslipidemia, hypertension, type 2 diabetes, sleep apnea, and nonalcoholic fatty liver disease, as well as psychosocial issues. Contributors to obesity are multifactorial, including genetic and environmental factors. Environmental factors associated with obesity include increased availability of inexpensive fast food, sugar-sweetened beverages, and high-fat and -sugar convenience foods; decreased exercise; and increased screen time. Treatment begins with behavioral interventions focusing on dietary modifications and increasing physical activity. Although medications to treat obesity are an area of increased interest, options in the pediatric population are limited. Currently, orlistat is the only FDA-approved option. For the treatment of severe obesity, bariatric surgery should be considered, based on age, weight, and associated comorbidities. Weight loss associated with surgery is robust and long-lasting and results in improvement in/resolution of multiple comorbidities. However, benefits should also be weighed against the long-term risks of vitamin deficiency. This review contains 73 references, 3 figures, and 3 tables. Key words: bariatric surgery, metabolic syndrome, obesity treatment, pediatric obesity, weight loss surgery

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A133 Complications in Diabetic Patients Undergoing Weight Loss Surgery: An Analysis of the Metabolic and Bariatric Surgery Accreditation Quality Improvement Project (MBSAQIP): 2015-2017

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2019.08.079 ◽

2019 ◽

Vol 15 (10) ◽

pp. S23-S24

Author(s):

Andrew Wheeler ◽

John Tann ◽

Jay Jennings ◽

Milot Thaqi ◽

Rama Ganga

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Quality Improvement ◽

Weight Loss Surgery ◽

Quality Improvement Project ◽

Diabetic Patients ◽

Improvement Project ◽

Metabolic And Bariatric Surgery

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Endoscopic plasma argon coagulation in treatment of weight regain after bariatric surgery: what does the patient think about this?

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-6720201400s100012 ◽

2014 ◽

Vol 27 (suppl 1) ◽

pp. 47-50 ◽

Cited By ~ 5

Author(s):

Simone Dallegrave MARCHESINI ◽

Giorgio Alfredo Pedroso BARETTA ◽

Maria Paula Carlini CAMBI ◽

João Batista MARCHESINI

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Multidisciplinary Team ◽

Weight Regain ◽

Argon Plasma Coagulation ◽

Argon Plasma ◽

The Internet ◽

Bariatric Patients ◽

Second Chance

BACKGROUND: Bariatric surgery, especially Roux-en-Y gastric bypass is an effective treatment for refractory morbid obesity, causing the loss of 75% of initial excess weight. After the surgery, however, weight regain can occur in 10-20% of cases. To help, endoscopic argon plasma coagulation (APC) is used to reduce the anastomotic diameter. Many patients who undergo this treatment, are not always familiar with this procedure and its respective precautions. AIM: The aim of this study was to determine how well the candidate for APC understands the procedure and absorbs the information provided by the multidisciplinary team. METHOD: We prepared a questionnaire with 12 true/false questions to evaluate the knowledge of the patients about the procedure they were to undergo. The questionnaire was administered by the surgeon during consultation in the preoperative period. The patients were invited to fill out the questionnaire. RESULTS: We found out that the majority learned about the procedure through the internet. They knew it was an outpatient treatment, where the anesthesia was similar to that for endoscopy, and that they would have to follow a liquid diet. But none of them knew that the purpose of this diet was to improve local wound healing. CONCLUSION: Bariatric patients who have a second chance to resume weight loss, need continuous guidance. The internet should be used by the multidisciplinary team to promote awareness that APC will not be sufficient for weight loss and weight-loss maintenance in the long term. Furthermore, there is a need to clarify again the harm of drinking alcohol in the process of weight loss, making its curse widely known.

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Support Groups and Behavioral Science

10.1093/med/9780190608347.003.0003 ◽

2018 ◽

Author(s):

Christina M. Rummell

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Substance Use ◽

Behavioral Health ◽

Support Groups ◽

Behavioral Science ◽

Weight Loss Surgery ◽

Process Research ◽

Health Interventions ◽

Severely Obese

While a psychological evaluation is often a required part of a weight-loss surgery workup, providers are becoming aware of the need for behavioral health services during each phase of the surgery process. Research has documented a higher prevalence of psychiatric comorbidities in severely obese patient populations, with those who receive behavioral health interventions before surgery having better outcomes than those who do not. Common recommendations and interventions for pre- and postoperative behavioral health optimization are reviewed and discussed.Statistics indicate a greater lifetime prevalence of substance use disorders in weight-loss surgery patients than in the general population. Postoperative complications have been shown to result from substance abuse, making it one of the top-cited contraindications for surgery. Preliminary recommendations for assessing and addressing substance use in bariatric surgery candidates are discussed.

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Diet Advancement after Weight Loss Surgery

DeckerMed Surgery ◽

10.2310/surg.9027 ◽

2018 ◽

Author(s):

Laura Andromalos

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Gastrointestinal Tract ◽

Gastroesophageal Reflux Disease ◽

Gastroesophageal Reflux ◽

Postoperative Period ◽

Reflux Disease ◽

Weight Loss Surgery ◽

Early Postoperative Period ◽

Defecatory Dysfunction

Diet advancement after bariatric surgery has not been standardized across various bariatric programs. It is generally agreed that patients should advance through a textured progression while the gastrointestinal tract heals; however, the content of each diet stage is open for interpretation. The postoperative diet is intended to promote healing and weight loss while minimizing diet-related complications. This review presents the literature regarding the progression of patients through a postoperative bariatric surgery diet, macro- and micronutrient needs in the early postoperative period, and management of common diet-related complications, including nausea, dumping syndrome, gastroesophageal reflux disease, and defecatory dysfunction. This review contains 5 tables and 45 references Key words: Bariatric surgery, bariatric surgery diet, postoperative diet, macro-nutrient needs, micro-nutrient needs, diet-related complications

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Foregut Issues After Bariatric Surgery

Foregut: The Journal of the American Foregut Society ◽

10.1177/26345161211067499 ◽

2022 ◽

pp. 263451612110674

Author(s):

Fareed Cheema ◽

Aurora D. Pryor

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Postoperative Complications ◽

Weight Loss Surgery ◽

Long Term Outcomes ◽

Operative Complications ◽

Complications After Bariatric Surgery ◽

Broad Scale ◽

Post Operative Complications

Weight loss surgery has overall been shown to be very safe and effective. However, long-term outcomes data has allowed codification of post-operative complications specific to the type of weight loss surgery performed. This review focuses specifically on foregut-related postoperative complications after weight loss surgery, most of which are not discussed on a broad scale in the literature yet whose prevalence continues to rise. Clinicians should maintain a broad differential when treating patients with complications after bariatric surgery in order to perform a thorough and precise workup to identify the diagnosis and guide management.

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SP5.1.4 A meta-analysis on the impact of bariatric surgery on lower urinary tract symptoms in men

British Journal of Surgery ◽

10.1093/bjs/znab361.114 ◽

2021 ◽

Vol 108 (Supplement_7) ◽

Author(s):

Irena Stefanova ◽

Andrew Currie ◽

Richard Newton ◽

Lorraine Albon ◽

William Hawkins ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Urinary Tract ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Weight Loss Surgery ◽

Meta Analysis ◽

Urinary Tract Symptoms ◽

The Impact ◽

Lower Urinary

Abstract Background Obesity is a chronic disease with multisystem morbidity. There are multiple studies reporting the effect of bariatric surgery on cardiovascular and metabolic disease but only few examine its impact on lower urinary tract symptoms. This article aims to perform a systematic review with meta-analysis in order to determine the effects of bariatric surgery on lower urinary tract symptoms in male patients. Methods Medline, Embase, conference proceeding and reference lists were searched for studies reporting the quantative measurement of lower urinary tract symptoms score pre- and post-weight loss surgery. The primary outcome was International Prostate Symptom Score (IPSS) before and after bariatric surgery. Secondary outcomes were change in Body Mass Index (BMI) and Total Body Weight (TBW). Weighted mean differences (MD) were calculated for continuous outcomes. Results Seven studies were included in the analysis of 334 patients undergoing bariatric surgery. Mean study follow-up was between 3 and 36 months. There was a statistically significant improvement in the IPSS score following bariatric surgery (MD 2.82, 95% CI 0.96 to 4.69, p = 0.003). Bariatric surgery also resulted in statistically significant reduction of BMI and TBW. Conclusion Bariatric surgery produces a significant improvement on lower urinary tract symptoms in men with obesity. This may be due to improvement of insulin sensitivity, testosterone levels or lipid profile associated with weight loss. Further studies are necessary to investigate in detail the pathophysiological mechanisms through which lower urinary tract symptoms develop in obese patients, and their improvement following weight loss surgery.

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Your patient and weight-loss surgery

Advances in Psychiatric Treatment ◽

10.1192/apt.bp.111.008938 ◽

2012 ◽

Vol 18 (6) ◽

pp. 418-425 ◽

Cited By ~ 5

Author(s):

Tom Stevens ◽

Samantha Spavin ◽

Samantha Scholtz ◽

Lisa McClelland

Keyword(s):

Mental Health ◽

Bariatric Surgery ◽

Mental Illness ◽

Weight Loss ◽

Mental Health Professionals ◽

Weight Loss Surgery ◽

Psychological Impact ◽

Lifestyle Changes ◽

Morbidly Obese ◽

Reduction Methods

SummaryObesity is common in patients with mental illness. Weight-loss surgery, known as bariatric surgery, is becoming a familiar intervention for treating people who are morbidly obese and for whom other weight-reduction methods have failed. This article offers guidance for mental health professionals on the assessment and management of patients with mental illness undergoing such treatment. Assessment is of the patient's suitability for surgery, taking into account their mental health diagnosis, expectations, knowledge and insight into the psychological impact of surgery, and ability to address and cope with lifestyle changes before and after surgery. The patient's capacity and ability to cooperate and engage with services are also assessed. Potential risks and complications of bariatric surgery and how the weight-loss procedures may affect patients' mental health and management of their medication are addressed.

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