Sexual and Gender Minority Bariatric Patients: An Unseen Population
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.
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