Decision Regret after Laparoscopic Sleeve Gastrectomy-5 Years' Perspective

IntroductionPatient's satisfaction after weight loss surgery is in the research spotlight. However, there are still no quantitative data regarding whether patients regret their decision to undergo laparoscopic sleeve gastrectomy (SG).ObjectivesThe present study aimed to evaluate whether patients regret their decision to undergo SG 5 years after surgery. The secondary objective was to identify whether weight loss and a higher quality of life (QoL) score correlate with the regret expressed by patients.SettingMilitary Hospital, PolandMethodsA telephone survey was carried out among patients 5 years after surgery. Patient satisfaction regarding their decision to undergo SG was assessed using the Decision Regret Scale. QoL scores were determined using the 36-Item Short Form Survey (SF-36).ResultsOne hundred and four patients who answered a full telephone survey were enrolled in the study. Change in body mass index (Delta BMI) was 12.316.2, excess body mass index loss (%EBMIL) was 55.45%25.52%, and percent total weight loss (%TWL) was 25.20%11.7%. At the 5-year postoperative telephone survey, the mean general health score was 50.9614.0 and the mean regret score was 32.3313.24 (range, 25-85). A statistically significant negative correlation was observed between %EBMIL and regret score (r=-0.435; p<0.001). There was a significant negative association between regret score and energy/fatigue QoL (r=-0.205; p=0.040). Only eight patients (7.69%) scored >50 on the Decision Regret Scale, which was considered to represent overall regret for their decision.ConclusionOur study suggests that, in general, patients did not regret their decision to undergo SG.

Automated summary

The study aimed to evaluate whether patients regret their decision to undergo laparoscopic sleeve gastrectomy (SG) 5 years after surgery, and to identify the correlation between weight loss, higher quality of life (QoL) scores, and regret. The results suggest that, in general, patients did not regret their decision to undergo SG.