Tu1810 Longterm Effect on Co-Morbidities and Quality of Life in Obese Patients Undergoing Sleeve Gastrectomy

Introduction: Morbid obesity is nowadays one of the major problems of well developed countries. Treatment of this disease comprises many modalities, but the most successful are surgical ones. With the advent of laparoscopic operations it became clear that these are particularly useful for operation in obese patients due to their minimal invasiveness. The aim of the study was to compare the effectiveness and quality of life of patients operated on for morbid obesity by laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux‍‑en‍‑Y gastric by‍‑pass (LRYGB) by one surgeon in one surgical centre.Material and methods: Between 2006–2011 in the Department of General and Vascular Surgery, Szczecin‍‑Zdunowo Specialist Hospital, 74 morbidly obese patients (54 F, 20 M) were operated on by two methods. Mean age (42.4 and 45 years), and body mass index (46.5 ±8.9 kg/m2 for LSG and 45.1 ±4.4 kg/m2 for LRYGB) respectively, were comparable. One surgeon in one centre performed LSG in 33 patients (24 F, 9 M) and LRYGB in 41 patients (30 F, 11 M). An independent observer evaluated patients at times of up to 6 months (37 pts), and after 7 months to 36 months (37 pts) postoperatively. Quality of life was assessed by the Gastrointestinal Quality of Life Index (GIQLI) questionnaire, with accessory questions concerning sexual, physical and other activities before and after intervention.Results: There were no serious short or long term complications in either group of patients, although one patient in each group felt permanent postoperative discomfort (2.44% and 3.03%). Percentages of excess weight loss in both groups were similar and reached after 6 months 38.5% for LSG, 39.9% for LRYGB, and after 7–36 months 64.5% for LSG, 66.9% for LRYGB respectively. Quality of life assessment revealed significantly lower values in core symptoms for patients after LRYGB compared to LSG, but after LSG constipation was slightly more frequent. However, the general GIQLI score for patients after both types of surgery was statistically insignificant (110.6 for LSG versus 108.7 for LRYGB). In both groups sexual and physical activities significantly improved after operation.Conclusion: There were no significant differences in effectiveness and quality of life in patients after laparoscopic sleeve gastrectomy and laparoscopic Roux‍‑en‍‑Y gastric by‍‑pass.

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Health-related quality of life in morbid obesity: the impact of laparoscopic sleeve gastrectomy

Open Medicine ◽

10.2478/s11536-013-0294-y ◽

2014 ◽

Vol 9 (3) ◽

pp. 374-381 ◽

Cited By ~ 1

Author(s):

Radka Bužgová ◽

Marek Bužga ◽

Pavol Holéczy

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Morbid Obesity ◽

Sleeve Gastrectomy ◽

Laparoscopic Sleeve Gastrectomy ◽

World Health ◽

Morbidly Obese ◽

Obese Patients ◽

The Impact

AbstractOur aim in this prospective study was to determine the impact of laparoscopic sleeve gastrectomy on the quality of life of patients with morbid obesity in comparison with population standards. The study evaluated 76 morbidly obese patients who underwent laparoscopic sleeve gastrectomy. The short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) was used to evaluate quality of life in the following four areas: physical health, mental health, social relations, and environment. Patients completed the questionnaire before their planned operation and again 3 and 6 months after surgery. Compared with the population standard, patients with morbid obesity had significantly lower quality of life scores in the physical and mental health domains, including on independent questions related to of overall health and quality of life (p<0.001). Women scored lower on indicators of mental health than men. Three and 6 months following surgery a significant trend of body mass index (BMI) reduction was seen, as well as increased quality of life in all indicated areas (p<0.001). Laparoscopic sleeve gastrectomy treatment in morbidly obese patients reduced BMI on a long-term basis, a change seen as early as 3 months after surgery. By 6 months after surgery, patients had the same quality of life scores as the reference population.

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Weight Loss, Adipokines, and Quality of Life After Sleeve Gastrectomy in Obese Patients With Stages 3-4 CKD: A Randomized Controlled Pilot Study

American Journal of Kidney Diseases ◽

10.1053/j.ajkd.2014.06.011 ◽

2014 ◽

Vol 64 (4) ◽

pp. 660-663 ◽

Cited By ~ 19

Author(s):

Helen L. MacLaughlin ◽

Wendy L. Hall ◽

Ameet G. Patel ◽

Rochelle M. Blacklock ◽

Pauline A. Swift ◽

...

Keyword(s):

Quality Of Life ◽

Weight Loss ◽

Sleeve Gastrectomy ◽

Pilot Study ◽

Obese Patients ◽

Randomized Controlled

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Peer review report 1 on "Th Pattern of changes in Quality of Life of obese patients after sleeve gastrectomy in Sulaimani Provence -Kurdistan-Iraq"

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2018.03.013 ◽

2018 ◽

Vol 25 ◽

pp. 6

Author(s):

Mohamed Farid

Keyword(s):

Quality Of Life ◽

Sleeve Gastrectomy ◽

Peer Review ◽

Obese Patients

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Single Anastomosis Duodenoileal Bypass or Roux-en-Y Gastric Bypass After Failed Sleeve Gastrectomy: Medium-Term Outcomes

Obesity Surgery ◽

10.1007/s11695-021-05609-1 ◽

2021 ◽

Author(s):

Phillip J. Dijkhorst ◽

May Al Nawas ◽

Laura Heusschen ◽

Eric J. Hazebroek ◽

Dingeman J. Swank ◽

...

Keyword(s):

Quality Of Life ◽

Weight Loss ◽

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Revisional Surgery ◽

Complication Rates ◽

Total Weight Loss ◽

Micronutrient Deficiencies ◽

Single Anastomosis

Abstract Background Although the sleeve gastrectomy (SG) has good short-term results, it comes with a significant number of patients requiring revisional surgery because of insufficient weight loss or functional complications. Objective To investigate the effectiveness of the single anastomosis duodenoileal bypass (SADI-S) versus the Roux-en-Y gastric bypass (RYGB) on health outcomes in (morbidly) obese patients who had previously undergone SG, with up to 5 years of follow-up. Methods Data from patients who underwent revisional SADI-S or RYGB after SG were retrospectively compared on indication of surgery, weight loss, quality of life, micronutrient deficiencies, and complications. Results From 2007 to 2017, 141 patients received revisional laparoscopic surgery after SG in three specialized Dutch bariatric hospitals (SADI-S n=63, RYGB n=78). Percentage total weight loss following revisional surgery at 1, 2, 3, 4, and 5 years was 22%, 24%, 22%, 18%, and 15% for SADI-S and 10%, 9%, 7%, 8%, and 2% for RYGB (P<.05 for 1–4 years). Patients who underwent RYGB surgery for functional complications experienced no persistent symptoms of GERD or dysphagia in 88% of cases. No statistical difference was found in longitudinal analysis of change in quality of life scores or cross-sectional analysis of complication rates and micronutrient deficiencies. Conclusion Conversion of SG to SADI-S leads to significantly more total weight loss compared to RYGB surgery with no difference in quality of life scores, complication rates, or micronutrient deficiencies. When GERD in sleeve patients has to be resolved, RYGB provides adequate outcomes. Graphical abstract

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