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EFFECTS OF SOCIAL AND BEHAVIORAL RISK FACTORS ON BARIATRIC SURGERY SUCCESS

Jamil S Samaan, BS, Evan T Alicuben, MD, Elaine Qian, BS, Yousaf Malik, BS, Stephanie Chang, BS, Kamran Samakar, MD. University of Southern California

INTRODUCTION: Bariatric patients are a unique population whose personal characteristics, behavioral patterns and social risk factors are poorly understood. A greater understanding of this patient population may lead to improved whole person care. We aim to examine the biographical, social, and medical profile of our bariatric patient population and determine if any of these factors correlate with weight loss success after surgery.

METHODS AND PROCEDURES: A retrospective chart review was conducted on patients who underwent laparoscopic sleeve gastrectomy (LSG) and roux-en-y gastric bypass (RYGB) from August 2002 to November 2017 at a single institution, multi-surgeon, tertiary care academic hospital.  Preoperative surveys were reviewed for gathering demographic and personal data. Inclusion criteria was patients who completed preoperative surveys.  Exclusion criteria was those who did not complete preoperative surveys.  Fisher’s exact test was used for statistical analysis. 

RESULTS: 513 patients were included in the study. 72.7% were female, the average age at the time of surgery was 47 (SD=11.98), average BMI at the time of surgery was 44.7 (SD=8.61) and the average follow up was 5.5 years (SD=4.09). Results are reported as percentage of patients achieving greater than 50% excess weight loss. 

CONCLUSION: Demographic data for our patient population is similar to published reports. Weight loss surgery success was improved in younger patients, those who had known someone to previously undergo bariatric surgery, and in patients with lower starting BMI. Boredom as the reason for eating was associated with decreased rates of surgical success.  


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 94786

Program Number: P090

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

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