Obesity Surgery

, Volume 30, Issue 1, pp 206–213 | Cite as

Overall Treatment Satisfaction 5 Years After Bariatric Surgery

  • Pål André HeglandEmail author
  • Anny Aasprang
  • Ronette L. Kolotkin
  • Grethe S. Tell
  • John Roger Andersen
Original Contributions



Up to 30 % of patients undergoing bariatric surgery are dissatisfied with treatment outcomes in the long term. The aim of this study was to examine overall satisfaction with treatment 5 years after bariatric surgery and its association with body mass index (BMI) and health-related quality of life (HRQOL).


Patients were surveyed 5 years after bariatric surgery; 108 patients had duodenal switch (DS) and 153 patients had laparoscopic sleeve gastrectomy (LSG). The main outcome was overall treatment satisfaction, assessed by a single question, and analyzed by multiple logistic regression. Estimates for continuous independent variables represent the odds ratios (OR) for a 2-standard deviation difference.


Five years after surgery, 82.4 % of the patients were very satisfied or satisfied, whereas 17.6 % were unsure or dissatisfied. The following variables assessed at 5 years were associated with being dissatisfied/unsure: a higher BMI (OR = 6.1, 95 % CI = 2.7–14.0, p < 0.001), reduced obesity-specific HRQOL (OR = 3.0, 95 % CI = 1.1–7.8, p = 0.03), and reduced mental HRQOL (OR = 0.3, 95 % CI = 0.1–0.8, p = 0.02). We also found that a higher proportion of patients who underwent LSG, compared to DS, reported being dissatisfied/unsure (OR = 3.3, 95 % CI = 1.3–8.8, p = 0.01).


Reduced mental HRQOL and obesity-related HRQOL, as well as higher BMI, were associated with less satisfaction with overall treatment outcomes 5 years after bariatric surgery. Differences in overall treatment satisfaction by type of operation warrant further investigation.


Overall treatment satisfaction Bariatric surgery Health-related quality of life Duodenal switch Laparoscopic sleeve gastrectomy 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Faculty of Health and Caring SciencesWestern Norway University of Applied SciencesFørdeNorway
  2. 2.Department of Global Public Health and Primary CareUniversity of BergenBergenNorway
  3. 3.Department of Family Medicine and Community HealthDuke University School of MedicineDurhamUSA
  4. 4.Centre of Health ResearchDistrict General Hospital of FørdeFørdeNorway

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