Page 122 - When surgery alone won’t cut it - Valerie Maureen Monpellier

Chapter 7
Body contouring surgery
A total of 96 patients (80%) wanted BCS and 24 patients did not want BCS (20%). Patients who wanted BCS were significantly younger (mean age 44.9 yrs. versus 50.1 yrs., p=0.021, Table 1). There was no significant difference between the groups re- garding gender, type of bariatric procedure, BMI before bariatric surgery, current BMI, %TWL and percentage of patients who met the Dutch weight criteria.
Table 1:
Demographics of the group who wanted for body contouring surgery (n=96) and the group who did not want BCS (n=24), presented as mean ± standard deviation or percentage (n).
Parameter
Age, years
Female gender
RYGB
Baseline BMI, kg/m2 Current BMI, kg/m2
BMI change, kg/m2 Current TWL, %
Current EWL, %
Stable weight >12 months BMI < 35 kg/m2 Qualification*
p-value
Want BCS
44.9 ± 8.2
90% (86)
95% (91)
43.9 ± 6.6
13.1 ± 4.9
Does not want BCS
50.1 ± 10.6
92% (22)
0.031
92% (22)
0.761
0.559
0.362
30.8 ± 5.4
45.3 ± 6.0
30.7 ± 3.9
0.971
0.210
29.5 ± 9.5
79.2% (76)
14.5 ± 4.6
0.329
72.2 ± 25.0
31.6 ± 8.3
72.0 ± 18.5
0.982
0.648
77.1% (74)
60.4% (58)
83.3% (20)
79.2% (19)
0.827
70.8% (17)
0.324
RYGB = Roux-en-Y gastric bypass; BMI = Body Mass Index; Baseline BMI = BMI before bariatric surgery; TWL = total weight loss; EWL= Excess weight loss.
*Defined as a stable weight ≥12 months and BMI < 35 kg/m2
BODY-Q
The BODY-Q results were available of 119 patients, one patient did not complete the questionnaire. Patients who wanted BCS scored lower on all BODY-Q scales (Table 2). In the QoL domain differences were significant for body image: mean score 33.4 (±18.9) in patients who want BCS and 55.6 (±22.7) in patients with no interest in BCS (p<0.001). Scores were also significantly lower for sexual functioning (37.6 versus 54.0, p=0.003) and social functioning (61.9 versus 73.0, p=0.010). For the appearance domain, scores in patients who wanted BCS were significantly lower on all scales. The highest difference was on the appraisal of excess skin scale: patients who want- ed BCS scored 33.2 while the patients who weren’t interested in BCS scored 70.5 (p<0.001).
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