Nutrition and Pregnancy after Bariatric Surgery

Obesity is an escalating problem in all age groups and it is observed to be more common in females than males. About 25% of women meet the criteria of obesity and one-third of them are in the reproductive age. Because morbid obesity requiring surgical treatment is observed with increasing frequency, surgeons and gynecologists are undergoing new challenges. It is not only a matter of women’s health and their quality of life but also proper development of the fetus, which should be a concern during bariatric treatment. Therefore complex perinatal care has to be provided for morbid obesity patients. The paper reviews pregnancy and fertility issues in bariatric surgery patients.

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Dynamics of quality of life in patients with morbid obesity after biliopancreatic diversion and sleeve gastrectomy

Reports of Vinnytsia National Medical University ◽

10.31393/reports-vnmedical-2018-22(3)-32 ◽

2018 ◽

Vol 22 (3) ◽

pp. 548-552

Author(s):

O.V. Perekhrestenko

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Morbid Obesity ◽

Sleeve Gastrectomy ◽

Surgical Treatment ◽

Biliopancreatic Diversion ◽

Comparison Group ◽

Main Group ◽

The Impact

The rapid progress of obesity surgery dictates the necessity to study the quality of life of patients after bariatric procedures. The aim of the study is to assess the dynamics of quality of life of patients with morbid obesity after biliopancreatic diversion in the modification of Hess-Marceau and the sleeve gastrectomy in order to improve the results of surgical treatment of the specified category of patients. The results of surgical treatment of 205 patients with morbid obesity who performed sleeve gastrectomy (main group — 105 patients) or biliopancreatic diversion by Hess-Marceau (comparison group — 100 patients) were analyzed. The study of the dynamics of quality of life of patients was performed in according the Moorehead-Ardelt II method. Statistical data processing was performed using the methods of variational and descriptive statistic using Statistica 6.0 statistical analysis package. Installed that biliopancreatic diversion by Hess-Marceau and sleeve gastrectomy allowed to significantly improve the quality of life of patients with an increase of the quality of life index with -1.5±0.7 in the comparison group and -1.6±0,6 in the main group up to 1.8±0.3 and 2.0±0.4 respectively (p<0.05 compared to pre-operative data) 60 months after surgery. A more pronounced positive dynamics of quality of life in patients of the main group in the time interval of 12–24 months after the operation was achieved due to the absence of severe late metabolic complications and undesirable side effects of biliopancreatic diversion and laparoscopic access for sleeve gastrectomy in 54.3% of patients. Thus, the quality of life of patients with morbid obesity before performing bariatric surgery is critically low and significantly improved after biliopancreatic diversion by Hess-Marceau as well as sleeve gastrectomy. The impact of bariatric surgery on the duration and quality of life of patients requires further multicenter randomized trials.

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Results of surgical treatment of massive localized lymphedema in severely obese patients

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/s0100-69912014000100005 ◽

2014 ◽

Vol 41 (1) ◽

pp. 018-022 ◽

Cited By ~ 4

Author(s):

Wilson Cintra Júnior ◽

Miguel Luiz Antonio Modolin ◽

Rodrigo Itocazo Rocha ◽

Thadeu Rangel Fernandes ◽

Ariel Barreto Nogueira ◽

...

Keyword(s):

Quality Of Life ◽

Morbid Obesity ◽

Surgical Treatment ◽

Lymphatic Vessels ◽

Complication Rates ◽

Blood Capillaries ◽

Tissue Edema ◽

Severely Obese

OBJECTIVE: to evaluate the importance of treatment of deformities caused by massive localized lymphedema (MLL) in the severely obese. METHODS: in a period of seven years, nine patients with morbid obesity and a mean age of 33 years underwent surgical resection of massive localized lymphedema with primary synthesis. This is a retrospective study on the surgical technique, complication rates and improved quality of life. RESULTS: all patients reported significant improvement after surgery, with greater range of motion, ambulation with ease and more effective hygiene. Histological analysis demonstrated the existence of a chronic inflammatory process marked by lymphomonocitary infiltrate and severe tissue edema. We observed foci of necrosis, formation of microabscesses, points of suppuration and local fibrosis organization, and pachydermia. The lymphatic vessels and some blood capillaries were increased, depicting a framework of linfangiectasias. CONCLUSION: surgical treatment of MLL proved to be important for improving patients' quality of life, functionally rehabilitating them and optimizing multidisciplinary follow-up of morbid obesity, with satisfactory surgical results and acceptable complication rates, demonstrating the importance of treatment and awareness about the disease.

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Assessment of quality of life of patients with morbid obesity in a two-stage approach to their surgical treatment.

Medicni perspektivi (Medical perspectives) ◽

10.26641/2307-0404.2018.3.147949 ◽

2018 ◽

Vol 23 (3) ◽

pp. 20-26

Author(s):

M. S. Kryvopustov

Keyword(s):

Quality Of Life ◽

Morbid Obesity ◽

Surgical Treatment ◽

Two Stage

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Erratum to: Health-related Quality of Life in Adult Patients with Morbid Obesity Coming for Bariatric Surgery

Obesity Surgery ◽

10.1007/s11695-008-9781-7 ◽

2009 ◽

Vol 19 (6) ◽

pp. 820-820 ◽

Cited By ~ 2

Author(s):

Chi-Yang Chang ◽

Chih-Kun Huang ◽

Yu-Yin Chang ◽

Chi-Ming Tai ◽

Jaw-Town Lin ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Morbid Obesity ◽

Adult Patients ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Evaluation of the Quality of Life in Women of Reproductive Age After Bariatric Surgery

Bariatric Surgical Practice and Patient Care ◽

10.1089/bari.2019.0051 ◽

2020 ◽

Vol 15 (2) ◽

pp. 88-92

Author(s):

Ana Paula P.S. Vieira ◽

Fernando Santa Cruz ◽

Agostinho S. Machado Júnior ◽

Álvaro Antônio Bandeira Ferraz ◽

Flávio Kreimer

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Reproductive Age ◽

Women Of Reproductive Age

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QUALITY OF LIFE AFTER BARIATRIC SURGERY FOR MORBID OBESITY

Psychosomatic Medicine ◽

10.1097/00006842-199901000-00106 ◽

1999 ◽

Vol 61 (1) ◽

pp. 102 ◽

Cited By ~ 3

Author(s):

M. H. Dickson ◽

M. E. Sabbioni ◽

D. Franke ◽

S. Eychmueller ◽

S. Goetz ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Morbid Obesity

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Influence of endometriosis and some methods of its treatment on the quality of life of women of reproductive age

Journal of obstetrics and women s diseases ◽

10.17816/jowd95608 ◽

2021 ◽

Vol 50 (3) ◽

pp. 100-102

Author(s):

V. I. Konovalov ◽

M. A. Zvychayny

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Operative Treatment ◽

Hormonal Therapy ◽

Life Quality ◽

Reproductive Age ◽

Control Group ◽

Women Of Reproductive Age ◽

Surgical Interventions

The aim of the study was to investigate the effect of endometriosis and somewide-spread contemporary methods of its conservative hormonal and operative treatment on the life quality of women of reproductive age. 546 women, aged 20-40, were examined: 371 patients with initially diagnosed endometriosis, 64 after conservative hormonal therapy, 111 after efficient surgical interventions and 30 healthy women (a control group). The following conclusion has been made: endometriosis arising at the reproductive age greatly deteriorates the life quality of women as compared to the healthy ones but none of the studied methods of its conservative hormonal therapy and efficient surgical treatment enables its rehabilitation.

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Quality-adjusted life expectancy benefits of laparoscopic bariatric surgery: A United States perspective

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462310000437 ◽

2010 ◽

Vol 26 (3) ◽

pp. 280-287 ◽

Cited By ~ 6

Author(s):

Lyndon V. Hernandez ◽

Dominic Klyve

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Gastric Banding ◽

Census Data ◽

Age Groups ◽

Laparoscopic Bariatric Surgery ◽

Life Years ◽

Surgical Methods ◽

Quality Adjusted Life

Objectives: The method of choice for bariatric surgery remains controversial. The aim of this study was to compare the outcome of laparoscopic Roux-en-Y gastric bypass (L-RYGB) versus laparoscopic adjustable gastric banding (LAGB) using quality-adjusted life-years (QALYs).Methods: We developed a Markov model of the quality of life and survival of L-RYGB and LAGB in obese patients. Using census data, we estimated the probability of dying and quality of life for each year of each cohort.Results: For all cohorts, L-RYGB offers the highest advantage in QALYs compared with gastric banding. The youngest cohort showed the greatest discrepancy between the two surgical methods, with 7.8, 6.4, and 4.7 QALYs gained with L-RYGB over LAGB for the age groups 35, 45, and 55, respectively. Those with the highest presurgical body mass index (BMI) acquired the most advantage with L-RYGB, with 2.8, 6.4, and 9.6 QALYs gained with L-RYGB over LAGB for the BMI groups 40, 50, and 60. Males had a slightly higher advantage with L-RYGB, with 6.5 QALYs gained with L-RYGB over LAGB compared with 6.0 QALYs for females.Conclusions: For the cohorts studied, L-RYGB is the preferred surgical treatment for obesity if the sole metric is QALYs. The young and extremely obese are core groups who will gain the most QALYs following L-RYGB.

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