Abstract
Background
Previous studies have described that many obese patients who undergo bariatric surgery develop surplus skin. However, there is a lack of knowledge about where on the body the problems are located and to what extent surplus skin affects the person. The aim of this study was to examine whether and where patients develop surplus skin after laparoscopic gastric bypass and if there is any relation between surplus skin and the patient’s sex, age, weight loss, or activity level.
Materials and Methods
A questionnaire was constructed which included questions about surplus skin. The questionnaire was sent to 148 patients who had been operated with laparoscopic gastric bypass. One hundred and twelve (76%) responded of whom 77 were women and 35 men.
Results
At follow-up, 94 persons (84%) reported problems with surplus skin. The surplus skin was situated most commonly on the abdomen, the upper arms, and the inside of the thighs, but also on the back, the cheek and over the knees. Significantly, more women than men reported complications with surplus skin (p = 0.018), distributed over more body parts, specifically on the upper arms, medial thigh, and lateral back (p < 0.05). The surplus skin caused problems with fungal infections and itching, physical unpleasantness and complicated physical activity. There was no correlation between degree of problems with surplus skin and age, weight loss, or activity rate.
Discussion
Weight loss after gastric bypass reduces the medical risks of obesity but the psychosocial problems remain in many patients due to problems with surplus skin.
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References
Sjöström L, Lindroos AK, Peltonen M, et al. Swedish Obese Subjects Study Scientific Group. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683–93.
Buchwald H, Avidor Y, Braunwald E et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004 Oct 13;292(14):1724-37. Review. Erratum in: JAMA. 2005, 293(14):1728
Olbers T, Björkman S, Lindroos AK, et al. Body composition, dietary intake, and energy expenditure after laparascopic Roux-en-Y gastric bypass and laparascopic vertical banded gastroplasty: a randomized clinical trial. Ann Surg. 2006;244(5):715–22.
WHO http://www.who.int/en/ Available 2006-11-06
Grindel M, Grindel CG. Nursing care of the person having bariatric surgery. Medsurg Nurs. 2006;15(3):129–46.
Kinzl JF, Traweger C, Trefalt E, et al. Psychosocial consequences of weight loss following gastric banding for morbid obesity. Obes Surg. 2003;13(1):105–10.
Heddens CJ. Body contouring after massive weight loss. Plast Surg Nurs. 2004;24(3):107–15.
Ellabban MG, Hart NB. Body contouring by combined abdominoplasty and medial vertical thigh reduction: experience of 14 cases. Br J Plast Surg. 2004;57(3):222–27.
Taylor J, Shermak M. Body contouring following massive weight loss. Obes Surg. 2004;14(8):1080–85.
Datta G, Cravero L, Margara A, et al. The plastic surgeon in the treatment of obesity. Obes Surg. 2006;16(1):5–11.
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Biörserud, C., Olbers, T. & Fagevik Olsén, M. Patients’ Experience of Surplus Skin After Laparoscopic Gastric Bypass. OBES SURG 21, 273–277 (2011). https://doi.org/10.1007/s11695-009-9849-z
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DOI: https://doi.org/10.1007/s11695-009-9849-z