Relationship between recovery from stigma and achieving re-employment after bariatric and metabolic surgery: A case report and reviews

抄録

Bariatric surgery is performed worldwide to address morbid obesity. The benefits of this surgery are continued weight loss and decreased obesity-related complications. The relationship between bariatric metabolic surgery and reemployment has already been evaluated in Western countries, but there are few papers reporting these relationships in Japan since the number of bariatric metabolic surgery is small. Few Japanese studies have evaluated the effects of bariatric surgery on obesity stigma, which affects obese people's chances of employment and advancement, and may result in dismissal. We describe a 39-year-old man who underwent bariatric surgery after being dismissed from his job because of morbid obesity. Traditional weight loss methods failed to maintain weight loss. Preoperatively, the patient was treated for type 2 diabetes, hypertension, and abnormal lipid metabolism. He underwent sleeve gastrectomy and lost 50.4 kg (percent excess weight loss: 68.1%) in the first postoperative year. All medications were stopped after improved blood laboratory test results, and he was re-employed 8 months after surgery. Increased social activity associated with employment is a factor in suppressing rebound weight gain after bariatric surgery, and the weight loss associated with bariatric surgery helps decrease anti-obesity social stigma.