title: The meaning of awaiting bariatric surgery due to morbid obesity.
abstract: BACKGROUND
  The understanding of the association between the objective conditions of health and the subjective perceptions of morbidly obese patients appears to be poor. The use of objective indicators alone produces results totally unrelated to the feelings and experiences of the bariatric patients studied. No study has approached the bariatric patient from both an inside and a preoperative perspective.
  
  
  OBJECTIVE
  The aim of this study was to investigate the meaning of awaiting bariatric surgery due to morbid obesity.
  
  
  METHODS
  Twenty-three patients admitted to a Swedish University Hospital for bariatric surgery were included. Data were collected by interviews and the analysis was performed using the phenomenological hermeneutics method developed by Lindseth and Norberg.
  
  
  RESULTS
  Two structural thematic analyses revealed six main themes: experiencing food as a complex element in life, feeling hopeless regarding weight loss, living in fear of future sickness and death, living a restricted life, being ignored by health care professionals and hoping for control and opportunities. The informants experienced addiction to food and dependence on others for managing their daily life, which constituted an infringement of their freedom. Loss of control meant giving in to the desire for food, but also being subjected to stigmatizing remarks from persons in their environment or uncaring approaches from health care professionals.
  
  
  CONCLUSIONS
  Being scheduled for bariatric surgery meant developing an awareness of how completely dependent they were on surgery for their survival and prospective health. The scheduled bariatric surgery constituted tangible confirmation that weight loss and restored health were possible.
authors.affiliation: Department of Gastrosurgical Research and Education, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden. my.engstrom@vgregion.se
authors.forename: My
authors.initials: M
authors.lastname: Engström
authors.forename: Malin
authors.initials: M
authors.lastname: Wiklund
authors.forename: Monika Fagevik
authors.initials: MF
authors.lastname: Olsén
authors.forename: Hans
authors.initials: H
authors.lastname: Lönroth
authors.forename: Anna
authors.initials: A
authors.lastname: Forsberg