Quality of life after laparoscopic adjustable gastric banding using the Baros and Moorehead-Ardelt Quality of Life Questionnaire II

Jonathan A Myers, James C Clifford, Sharfi Sarker, Margaret Primeau, Gretchen L Doninger, Vafa Shayani, Jonathan A Myers, James C Clifford, Sharfi Sarker, Margaret Primeau, Gretchen L Doninger, Vafa Shayani

Abstract

Objectives: The goal of weight reduction surgery is not only to decrease excess weight, but also to improve obesity related comorbidities and quality of life (QoL). Until now, few studies have utilized objective methods to evaluate all of these issues. Hereafter, using the newly developed Moorehead-Ardelt Quality of Life Questionnaire II (M-A QoLQ II) incorporated into the Bariatric Analysis and Reporting Outcome System (BAROS), we report our results for patients undergoing laparoscopic adjustable gastric banding (LAGB).

Methods: M-A QoLQ II questionnaires were sent to patients undergoing LAGB at a single institution. Nonresponders were contacted by a second mailing and telephone calls. The respondents' data were scored according to BAROS guidelines.

Results: Data from 67 patients with a mean follow-up of 27 months (22-35) were analyzed. Mean age was 43.8 years (range, 21 to 68) with a mean preoperative body mass index (BMI) of 49.8 kg/m2 (range, 38.4 to 67.7). Mean postoperative BMI was 37.1 kg/m2 (range, 23.0 to 53.4) for a mean excess weight loss (EWL) of 53.2% (range, -7.5% to 108.6%). According to the BAROS scoring system, 8 patients (12%) were classified as failures, 13 patients (19%) had fair, 24 (36%) had good, 13 (19%) had very good, and 9 (13%) had excellent results. There was considerable improvement in patient's comorbidities, and positive scores for self-esteem, and activity level.

Conclusions: The use of the M-A QoLQ II is an efficient method of assessing the success of bariatric surgery. Widespread use of the questionnaire would assist in standardizing reporting of results following bariatric surgery. Our results suggest that LAGB may lead to excellent results with regards to resolution of comorbidities, improvement in QoL, and overall weight loss.

Figures

Figure 1.
Figure 1.
Moorehead-Ardelt Quality of Life Questionnaire II.
Figure 2.
Figure 2.
Weight and comorbidity questionnaire.
Figure 3.
Figure 3.
Bariatric analysis and reporting outcome system (BAROS) with Moorehead-Ardelt Quality of Life Questionnaire II scoring key.

References

    1. Waxman A. World health assembly. WHO global strategy on diet, physical activity and health. Food & Nutrition Bulletin. 2004; 25: 292–302
    1. Oria HE, Moorehead MK. Bariatric analysis and reporting outcome system (BAROS). Obes Surg. 1998; 8: 487–499
    1. National Institutes of Health Consensus Development Conference Draft Statement. Gastrointestinal surgery for severe obesity 25-27 March 1991. Obes Surg. 1991; 1: 257–266
    1. Oria HE. The BAROS and Moorehead-Ardelt Quality of Life Questionnaire [correspondence]. Obes Surg. 2003; 13: 965.
    1. Ware JE, Jr., Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36). Med Care. 1992; 30: 6
    1. Stunkard AJ, Messick S. Eating Inventory Manual. Toronto: The Psychological Corporation; 1986
    1. Beck AT, Steer RA, Brown GK. Beck Depression Inventory-II. Toronto: The Psychological Corporation; 1996
    1. Moorehead MK, Ardelt-Gattinger E, Lechner H, Oria HE. The validation of the Moorehead-Ardelt Quality of Life Questionnaire II. Obes Surg. 2003; 13: 684–692
    1. Dixon JB, O'Brien PE. Changes in co-morbidities and improvement in quality of life after Lap-Band placement. Am J Surg. 2002; 184: 51S–54S
    1. Nini E, Slim K, Scesa JL, Chipponi J. Evaluation of laparoscopic bariatric surgery using the BAROS score [in French]. Ann Chir. 2002; 127: 107–114
    1. Weiner R, Blanco-Engert R, Weiner S, Matkowitz R, Schaefer L, Pomhoff I. Outcome after laparoscopic adjustable gastric banding-8 years experience. Obes Surg. 2003; 13: 427–434
    1. Zinzindohoue F, Chevallier JM, Douard R, et al. Laparoscopic gastric banding: a minimally invasive surgical treatment for morbid obesity. Ann Surg. 2003; 237: 1–9
    1. Martikainen T, Pirinen E, Alhava E, et al. Long-term results, late complications and quality of life in a series of adjustable gastric banding. Obes Surg. 2004; 14: 648–654
    1. Tolonen P, Victorzon M. Qualify of life following laparoscopic adjustable gastric banding-the Swedish band and the Moorehead-Ardelt Questionnaire. Obes Surg. 2003; 13: 424–426
    1. Favretti F, Cadiere GB, Segato G, et al. Bariatric Analysis and Reporting Outcome System (BAROS) applied to laparoscopic gastric banding patients. Obes Surg. 1998; 8: 500–504
    1. Hell E, Miller KA, Moorehead MK, Samuels N. Evaluation of health status and quality of life after bariatric surgery: Comparison of standard Roux-en-Y gastric bypass, vertical banded gastroplasty and laparoscopic adjustable silicone gastric banding. Obes Surg. 2000; 10: 214–219
    1. Wolf AM, Falcone AR, Kortner B, Kuhlmann HW. BAROS: an effective system to evaluate the results of patients after bariatric surgery. Obes Surg. 2000; 10: 445–450
    1. Victorzon M, Tolonen P. Bariatric Analysis and Reporting Outcome System (BAROS) following laparoscopic adjustable gastric banding in Finland. Obes Surg. 2001; 11: 740–743
    1. Ballantyne GH. Measuring outcomes following bariatric surgery: weight loss parameters, improvement in co-morbid conditions, change in quality of life and patient satisfaction. Obes Surg. 2003; 13: 954–964
    1. Dymek MP, le Grange D, Neven K, Alverdy J. Quality of life after gastric bypass surgery: a cross-sectional study. Obes Res. 2002; 10: 1135–1142
    1. Nguyen NT, Goldman C, Rosenquist CJ, et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001; 234: 279–291
    1. Marinari GM, Murelli F, Camerini G, et al. A 15-year evaluation of biliopancreatic diversion according to the bariatric analysis reporting outcome system (BAROS).
    1. Moneghini D, Mittempergher F, Terraroli C, DiFabio F. Bariatric Analysis and Reporting Outcome System (BAROS) following biliopancreatic diversion. Annali italiani di chirurgia 2004; 75: 417–420
    1. Elia M, Arribas D, Gracia JA, et al. Results of biliopancreatic diversion after five years. Obes Surg. 2004; 14: 766–772
    1. O'Brien PE, Dixon JB. Lap-Band®: Outcomes and results. J Laparoendosc Adv Surg Tech. 2003; 13: 265–270

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