Background: Laparoscopic sleeve gastrectomy surgery was viewed as an effective
therapy for morbid obesity. The lifestyle of obese patients must be changed
to complete surgery success and sustain a permanent loss of weight without recurrence.
Objectives: To evaluate the effect of an instructional guide on lifestyle modification for
morbidly obese patients undergoing sleeve gastrectomy surgery at Zagazig University
Hospitals. Method: An interventional study was conducted at outpatients' clinic for
obesity at Zagazig University Hospitals in stages that included assessment of patients'
knowledge regarding lifestyle modification after laparoscopic sleeve gastrectomy surgery.
All patients were clinically examined, investigations were done. Then applying a health
education program about lifestyle modification after laparoscopic sleeve gastrectomy
surgery. Reassessment of patients' knowledge about lifestyle modification following
laparoscopic sleeve gastrectomy surgery, re-examining all patients post-operatively to
evaluate the intervention. The post-operative assessments: 1-month post-surgery, 6 months
post-surgery and 12 months post-surgery were done. Results: A total sample of 38
patients with a mean age 34.6 ± 5.7 years. Thirty-nine (39) co-morbidities were identified
among them, 56.4% of them were resolved. The majority of patients (94.8%) had
unsatisfactory knowledge regarding lifestyle modification after laparoscopic sleeve
gastrectomy surgery before applying health education program, while after applying
health education program the patients' knowledge was satisfactory (81.6%). Laparoscopic
sleeve gastrectomy accompanied by lifestyle modification achieved a marked reduction in
body weight and body mass index. Conclusion: Lifestyle modification has an additive
role in weight loss with surgical intervention.