Citation

Szoka N, Szoka S, Friedman K, Portenier D. Bariatr. Surg. Pract. Patient Care 2021; 16(1): 30-35.

Copyright

(Copyright © 2021, Mary Ann Liebert Publishers)

DOI

10.1089/bari.2020.0049

PMID

unavailable

Abstract

BACKGROUND: This article has two aims: review current literature addressing sexual and gender minority (SGM) bariatric patients and describe a pilot study identifying sexual minority (SM) bariatric patients at an academic medical center.

METHODS: The literature review was conducted using keywords: lesbian, gay, bisexual, transgender, and bariatric. Our bariatric program's database from January 1, 2005 to September 10, 2015 was reviewed retrospectively. Chart review of partnered patients identified individuals with same-sex partners. Descriptive demographics and weight loss outcomes were obtained.

RESULTS: The literature review identified two articles about transgender bariatric patients and zero articles about SM bariatric patients. The database review yielded 5576 patients; 145 patients self-identified as partnered, including 16 (0.29%) with same-sex partners (11 women, 5 men). Mean age and preoperative weight were 40 years and 305 lbs (body mass index, BMI 48.5). Bariatric operations included 12 gastric bypass, 2 duodenal switch, 1 sleeve gastrectomy, and 1 gastric band. Twelve-month mean weight was 200 lbs (BMI 30, 50% excess weight loss) with 5 (31%) patients lost to follow-up.

CONCLUSIONS: The published literature discussing SGM bariatric patients is limited. Within our case series, the SM bariatric patient population identified was 0.29%. Documentation of sexual orientation and gender identity within the bariatric screening process could better identify this population. © Copyright 2021, Mary Ann Liebert, Inc., publishers 2021.

Language: en

Keywords

adult; human; systematic review; female; male; Review; case report; transgender; pilot study; suicidal ideation; suicide attempt; gender dysphoria; mood disorder; risk factor; obesity; testosterone; major clinical study; data base; retrospective study; clinical article; automutilation; bisexuality; social psychology; anxiety disorder; follow up; hormonal therapy; body weight; estrogen; preoperative evaluation; physical abuse; LGBT; population; outcome assessment; medical record review; postoperative care; bariatric surgery; preoperative care; body dissatisfaction; gastric banding; sexual assault; homosexual female; body weight loss; sexual and gender minority; sleeve gastrectomy; bariatric; laparoscopic sleeve gastrectomy