{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T09:34:45Z","timestamp":1758706485875,"version":"3.37.3"},"reference-count":67,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T00:00:00Z","timestamp":1508716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"SWBH NHS Trust"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To describe the experiences of patients who have failed to maintain weight loss following the insertion of a laparoscopic adjustable gastric band (<jats:styled-content style=\"fixed-case\">LAGB<\/jats:styled-content>) for the treatment of morbid obesity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>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\u2010term experiences following <jats:styled-content style=\"fixed-case\">LAGB<\/jats:styled-content> insertion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A narrative\u2010based qualitative interview study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A purposive sample of ten participants who had undergone <jats:styled-content style=\"fixed-case\">LAGB<\/jats:styled-content> insertion for morbid obesity was recruited. Semistructured interviews were conducted in 2014. Thematic analysis identified codes and emerging themes common to the participants\u2019 experiences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>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\u00a0years following surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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 <jats:styled-content style=\"fixed-case\">LAGB<\/jats:styled-content> are to experience its potential benefits and indicate that further research is needed into the long\u2010term 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Patients require comprehensive information and support before and after <jats:styled-content style=\"fixed-case\">LAGB<\/jats:styled-content> insertion to develop strategies which will help them lose weight and sustain it over the longer term. Clinicians need to be sensitive to\u00a0patients\u2019 needs when weight loss plateaus or weight is regained and intensify support during these periods.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14072","type":"journal-article","created":{"date-parts":[[2017,9,14]],"date-time":"2017-09-14T10:56:47Z","timestamp":1505386607000},"page":"732-742","source":"Crossref","is-referenced-by-count":4,"title":["\u201cIt just made me feel so desolate\u201d: Patients\u2019 narratives of weight gain following laparoscopic insertion of a gastric band"],"prefix":"10.1111","volume":"27","author":[{"given":"Frances Marjorie May","family":"Lloyd","sequence":"first","affiliation":[{"name":"Sandwell and West Birmingham Hospitals NHS Trust Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alistair","family":"Hewison","sequence":"additional","affiliation":[{"name":"College of Medical and Dental Sciences Institute of Clinical Sciences School of Nursing University of Birmingham Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5811-8982","authenticated-orcid":false,"given":"Nikolaos","family":"Efstathiou","sequence":"additional","affiliation":[{"name":"College of Medical and Dental Sciences Institute of Clinical Sciences School of Nursing University of Birmingham Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,23]]},"reference":[{"volume-title":"How many qualitative interviews is enough?","year":"2012","author":"Baker S. E.","key":"e_1_2_11_2_1"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(01)00241-0"},{"key":"e_1_2_11_4_1","first-page":"63","volume-title":"Women's words: The feminist practice of oral history","author":"Borland K.","year":"1991"},{"volume-title":"Transforming qualitative information: Thematic analysis and code development","year":"1998","author":"Boyatzis R. E.","key":"e_1_2_11_5_1"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.08.022"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"issue":"12","key":"e_1_2_11_8_1","first-page":"972","article-title":"Laparoscopic adjustable gastric banding. Effects, side effects and challenges","volume":"38","author":"Brown W.","year":"2009","journal-title":"Australian Family Physician"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-009-0014-5"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0260-6917(91)90009-Y"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c4296"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1353\/pbm.2003.0049"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2012.02.001"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089204322917954"},{"volume-title":"Women talk: Conversation between women friends","year":"1996","author":"Coates J.","key":"e_1_2_11_15_1"},{"key":"e_1_2_11_16_1","first-page":"543","article-title":"Role for a sense of self\u2010worth in weight loss treatments: Helping people develop self\u2010efficacy","volume":"54","author":"Cochrane G.","year":"2008","journal-title":"Canadian Family Physician"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2014.08.010"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089206776116499"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1332\/174426411X591780"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-007-9043-0"},{"key":"e_1_2_11_21_1","first-page":"71","volume-title":"Health research in practice: Personal experiences, public issues","author":"Harrison L.","year":"1996"},{"volume-title":"Qualitative research in health care","year":"2005","author":"Holloway I.","key":"e_1_2_11_22_1"},{"volume-title":"Qualitative research in nursing and healthcare","year":"2010","author":"Holloway I.","key":"e_1_2_11_23_1"},{"key":"e_1_2_11_24_1","first-page":"e009389","article-title":"Expectations and patients\u2019 experiences of obesity prior to bariatric surgery: A qualitative study","volume":"6","author":"Homer C. V.","year":"2016","journal-title":"British Medical Journal Open"},{"volume-title":"Medical nemesis\u2010the expropriation of health","year":"1976","author":"Illich I.","key":"e_1_2_11_25_1"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.57.12.919"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089206779319301"},{"key":"e_1_2_11_28_1","first-page":"31","volume-title":"Doing qualitative research","author":"Kuzel A. J.","year":"1992"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13129"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"volume-title":"The constructivist credo","year":"2013","author":"Lincoln Y. S.","key":"e_1_2_11_31_1"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2010.00720.x"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.05.037"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1381\/0960892055002356"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jesp.2007.01.001"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep10933316"},{"volume-title":"Qualitative data analysis","year":"1994","author":"Miles M. B.","key":"e_1_2_11_37_1"},{"volume-title":"Qualitative data analysis\u2014A methods sourcebook","year":"2014","author":"Miles M. B.","key":"e_1_2_11_38_1"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1037\/e426492005-001"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(01)00379-2"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH09708"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0080-623420140000800027"},{"volume-title":"Obesity: Guidance on the prevention, assessment and management of overweight and obesity in adults and children. NICE clinical guideline 43","year":"2006","author":"National Institute for Health and Clinical Excellence","key":"e_1_2_11_43_1"},{"volume-title":"Obesity: Clinical assessment and management (QS127)","year":"2016","author":"National Institute for Health and Clinical Excellence","key":"e_1_2_11_44_1"},{"volume-title":"Bariatric surgery for obesity","year":"2010","author":"National Obesity Observatory","key":"e_1_2_11_45_1"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089202320995709"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-144-9-200605020-00005"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31827b6c02"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089206778026316"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2010.514608"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOG.0b013e3283422482"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare2010047"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12012"},{"volume-title":"Narrative analysis","year":"1993","author":"Riessman C. K.","key":"e_1_2_11_54_1"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770160309"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12013"},{"key":"e_1_2_11_57_1","first-page":"769","volume-title":"Handbook of qualitative research","author":"Ryan G. W.","year":"2000"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.1991.tb00662.x"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770180211"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-007-9212-1"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.3233\/EFI-2004-22201"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.63.7.824"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690900800107"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2010.01239.x"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1159\/000193564"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2015.04.014"},{"volume-title":"Obesity and overweight (factsheet)","year":"2016","author":"WHO","key":"e_1_2_11_67_1"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.1037\/0882-7974.20.4.657"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.14072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.14072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.14072","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.14072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T11:16:51Z","timestamp":1693912611000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.14072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,23]]},"references-count":67,"journal-issue":{"issue":"3-4","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1111\/jocn.14072"],"URL":"https:\/\/doi.org\/10.1111\/jocn.14072","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"type":"print","value":"0962-1067"},{"type":"electronic","value":"1365-2702"}],"subject":[],"published":{"date-parts":[[2017,10,23]]}}}