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Surgical Innovation
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Body Esteem Improves After Bariatric Surgery

Atul K. Madan, MD, FACS

Division of Laparoendoscopic and Bariatric Surgery, University of Miami Mills of Science, Miami, Florida, atulkmadan{at}yahoo.com, Section of Minimally Invasive Surgery, Departments of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee

Bettina M. Beech, Dr.PH, MPH

Vanderbilt University School of Medicine, Nashville, Tennessee

David S. Tichansky, MD, FACS

Section of Minimally Invasive Surgery, Departments of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee

Body esteem is an issue for the morbidly obese. Although the primary goal of bariatric surgery is to improve, cure, and prevent medical comorbidities, the psychological aspect of bariatric surgery is just as important. Few studies have investigated the body esteem of patients after laparoscopic gastric bypass. This investigation tested the hypothesis that body esteem improves after bariatric surgery. Preoperative and postoperative patients were asked to fill out an institutional review board—exempted survey that included the Body-Esteem Scale for Adolescents and Adults (BESAA). The subscales include Appearance, Weight, and Attribution. Postoperative patients were told to fill the BESAA as they felt currently and as they felt before surgery. They felt that they had better scores currently than before surgery. Preoperative patients had worse scores than postoperative patients. As in many medical issues, body esteem improves after bariatric surgery. When discussing its benefits, psychological aspects of body esteem should be touted as well.

Key Words: laparoscopic surgery • psychology • bariatric surgery • body image • gastric bypass • Lap Band

This version was published on March 1, 2008

Surgical Innovation, Vol. 15, No. 1, 32-37 (2008)
DOI: 10.1177/1553350608316135
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