IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v27y2018i3-4p732-742.html
   My bibliography  Save this article

“It just made me feel so desolate”: Patients’ narratives of weight gain following laparoscopic insertion of a gastric band

Author

Listed:
  • Frances Marjorie May Lloyd
  • Alistair Hewison
  • Nikolaos Efstathiou

Abstract

Aims and objectives To describe the experiences of patients who have failed to maintain weight loss following the insertion of a laparoscopic adjustable gastric band (LAGB) for the treatment of morbid obesity. Background Obesity is a global health problem resulting in physical, psychological and economic problems and presenting challenges for health services. Surgical intervention is an increasingly common approach to treatment; however, some patients do not sustain their weight loss following bariatric surgery and little is known about people's longer‐term experiences following LAGB insertion. Design A narrative‐based qualitative interview study. Methods A purposive sample of ten participants who had undergone LAGB insertion for morbid obesity was recruited. Semistructured interviews were conducted in 2014. Thematic analysis identified codes and emerging themes common to the participants’ experiences. Findings Three major themes emerged: living with the side effects, regret and lack of support. These reflect the difficulties participants experienced and provide new insights on why weight loss is not sustained after 2 years following surgery. Conclusion Participants reported that the surgery had a detrimental effect on their lives and some regretted having the band inserted. These findings identify areas of care that need to be addressed if patients undergoing LAGB are to experience its potential benefits and indicate that further research is needed into the long‐term effects of gastric band insertion. Patients need to be better informed about the consequences of bariatric surgery if it is to have a lasting impact on their weight reduction. Relevance to clinical practice Patients require comprehensive information and support before and after LAGB insertion to develop strategies which will help them lose weight and sustain it over the longer term. Clinicians need to be sensitive to patients’ needs when weight loss plateaus or weight is regained and intensify support during these periods.

Suggested Citation

  • Frances Marjorie May Lloyd & Alistair Hewison & Nikolaos Efstathiou, 2018. "“It just made me feel so desolate”: Patients’ narratives of weight gain following laparoscopic insertion of a gastric band," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 732-742, February.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:3-4:p:732-742
    DOI: 10.1111/jocn.14072
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14072
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.14072?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Lori Liebl & Susan Barnason & Diane Brage Hudson, 2016. "Awakening: a qualitative study on maintaining weight loss after bariatric surgery," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(7-8), pages 951-961, April.
    2. Llewellyn, Henry & Low, Joe & Smith, Glenn & Hopkins, Katherine & Burns, Aine & Jones, Louise, 2014. "Narratives of continuity among older people with late stage chronic kidney disease who decline dialysis," Social Science & Medicine, Elsevier, vol. 114(C), pages 49-56.
    3. Brandner, Susanne & Müller-Nordhorn, Jacqueline & Stritter, Wiebke & Fotopoulou, Christina & Sehouli, Jalid & Holmberg, Christine, 2014. "Symptomization and triggering processes: Ovarian cancer patients' narratives on pre-diagnostic sensation experiences and the initiation of healthcare seeking," Social Science & Medicine, Elsevier, vol. 119(C), pages 123-130.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nicole Brown, 2021. "The Social Course of Fibromyalgia: Resisting Processes of Marginalisation," IJERPH, MDPI, vol. 19(1), pages 1-13, December.
    2. Tan, Catherine D., 2018. "“I'm a normal autistic person, not an abnormal neurotypical”: Autism Spectrum Disorder diagnosis as biographical illumination," Social Science & Medicine, Elsevier, vol. 197(C), pages 161-167.
    3. Haw, Jennie & Cunningham, Shannon & O'Doherty, Kieran C., 2018. "Epistemic tensions between people living with asthma and healthcare professionals in clinical encounters," Social Science & Medicine, Elsevier, vol. 208(C), pages 34-40.
    4. Dassieu, Lise & Kaboré, Jean-Luc & Choinière, Manon & Arruda, Nelson & Roy, Élise, 2020. "Painful lives: Chronic pain experience among people who use illicit drugs in Montreal (Canada)," Social Science & Medicine, Elsevier, vol. 246(C).
    5. Sandra Campbell‐Crofts & Glenn Stewart, 2018. "How perceived feelings of “wellness” influence the decision‐making of people with predialysis chronic kidney disease," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1561-1571, April.
    6. Cluley, Victoria & Burton, James O & Quann, Niamh & Hull, Katherine L & Eborall, Helen, 2023. "Biographical dialectics: The ongoing and creative problem solving required to negotiate the biographical disruption of chronic illness," Social Science & Medicine, Elsevier, vol. 325(C).
    7. Filiz Kabu Hergül & Türkan Özbayır, 2021. "I Am As Normal As Everyone Now. . . : Examination of Experiences of Patients Undergoing Bariatric Surgery According to Roy’s Adaptation Model: A Qualitative Study," Clinical Nursing Research, , vol. 30(4), pages 511-521, May.
    8. Nur Fithriyanti Imamah & Hung-Ru Lin, 2021. "Palliative Care in Patients with End-Stage Renal Disease: A Meta Synthesis," IJERPH, MDPI, vol. 18(20), pages 1-19, October.
    9. Catherine Cook & Margaret Brunton & Tepora Pukepuke & Ai Ling Tan, 2018. "Exploring communication during the journey from noticing bodily changes to a diagnosis of endometrial cancer," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1262-1275, March.
    10. Bell, Sarah L. & Tyrrell, Jessica & Phoenix, Cassandra, 2016. "Ménière's disease and biographical disruption: Where family transitions collide," Social Science & Medicine, Elsevier, vol. 166(C), pages 177-185.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:3-4:p:732-742. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.