Decision Regret after Laparoscopic Sleeve Gastrectomy-5 Years' Perspective

Area of Science:

• Bariatric Surgery
• Surgical Outcomes
• Patient Satisfaction

Background:

• Patient satisfaction following bariatric surgery is crucial, yet quantitative data on regret after laparoscopic sleeve gastrectomy (SG) is limited.
• Understanding long-term patient sentiment is essential for evaluating the success of SG procedures.

Purpose of the Study:

• To assess patient regret five years after undergoing sleeve gastrectomy (SG).
• To identify correlations between weight loss, quality of life (QoL), and patient regret following SG.

Main Methods:

• A 5-year postoperative telephone survey was conducted among 104 patients who had undergone SG.
• The Decision Regret Scale and the 36-Item Short Form Survey (SF-36) were used to assess regret and QoL.

Main Results:

• The majority of patients (92.31%) did not express significant regret regarding their decision to undergo SG.
• A statistically significant negative correlation was found between excess body mass index loss (%EBMIL) and regret scores (r=-0.435, p<0.001).
• Regret scores showed a significant negative association with energy/fatigue QoL scores (r=-0.205, p=0.040).

Conclusions:

• Sleeve gastrectomy (SG) generally leads to high patient satisfaction with low rates of regret at the 5-year follow-up.
• Greater weight loss and improved energy/fatigue levels are associated with decreased patient regret after SG.