Quality of Life After Bariatric Surgery

Piotr Major, Maciej Matłok, Michał Pędziwiatr, Marcin Migaczewski, Piotr Budzyński, Maciej Stanek, Michał Kisielewski, Michał Natkaniec, Andrzej Budzyński, Piotr Major, Maciej Matłok, Michał Pędziwiatr, Marcin Migaczewski, Piotr Budzyński, Maciej Stanek, Michał Kisielewski, Michał Natkaniec, Andrzej Budzyński

Abstract

Introduction and purpose: Morbid obesity together with obesity-related diseases has a negative impact on the quality of life. The aim of the study was to assess the quality of life amongst patients with morbid obesity as well as the impact of bariatric treatment on body weight and obesity-related diseases in addition to conducting an analysis of changes in the quality of life after surgical treatments, in the context of the surgical procedure type and degree of body weight loss.

Material and methods: Sixty-five patients were treated for morbid obesity. The sample group consisted of 34 patients treated with laparoscopic sleeve gastrectomy (LSG) and 31 persons qualified for laparoscopic Roux-en-Y gastric bypass (LRYGB). The average body weight before the procedure was 146.2 kg. In the sample group, 89 % of persons qualified for the surgical treatments were diagnosed with hypertension and 52 % persons that were operated on were diagnosed with diabetes type 2 before the surgical procedure. Before commencement of the surgical treatment, the quality of life was assessed, which in both groups qualified for given types of bariatric procedures was considerably low.

Results and conclusions: Percentage excessive weight loss (%EWL) was 58.8 %. No significant differences in body weight loss were noted between the two types of procedures. Improvement was observed in the treatment of obesity-related diseases. Also, the quality of life was enhanced significantly. No differences were noted in terms of the quality of life improvement between particular types of surgical procedures. No significant differences were observed during the analysis of body weight loss impact on the quality of life improvement.

Conflict of interest statement

There are no actual or potential conflicts of interest in relation to this research.

Figures

Fig. 1
Fig. 1
The global quality of life in the group of patients post surgery, depending on the surgery type
Fig. 2
Fig. 2
An analysis of changes in the quality of life pre- and post-surgery, as determined with the Moorhead-Ardelt Quality of Life Questionnaire II
Fig. 3
Fig. 3
%EWL effect on changes in the quality of life post surgery

References

    1. Maggard MA, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142(7):547–59. doi: 10.7326/0003-4819-142-7-200504050-00013.
    1. Mui WL, et al. Laparoscopic greater curve plication in Asia: initial experience. Obes Surg. 2013;23(2):179–83. doi: 10.1007/s11695-012-0761-6.
    1. Organisation WH. Obesity and overweight. Fact Sheet, 2006. No. 311.
    1. Kushner RF, Foster GD. Obesity and quality of life. Nutrition. 2000;16(10):947–52. doi: 10.1016/S0899-9007(00)00404-4.
    1. Kolotkin RL, Meter K. Quality of life and obesity. Obes Rev. 2001;2(4):219–29. doi: 10.1046/j.1467-789X.2001.00040.x.
    1. Fontaine KR, Cheskin LJ, Barofsky I. Health-related quality of life in obese persons seeking treatment. J Fam Pract. 1996;43(3):265–70.
    1. Coupaye M, et al. Comparison of nutritional status during the first year after sleeve gastrectomy and Roux-en-Y gastric bypass. Obes Surg. 2014;24(2):276–83. doi: 10.1007/s11695-013-1089-6.
    1. Lakdawala MA, et al. Comparison between the results of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass in the Indian population: a retrospective 1 year study. Obes Surg. 2010;20(1):1–6. doi: 10.1007/s11695-009-9981-9.
    1. Boza C, et al. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy: a case-control study and 3 years of follow-up. Surg Obes Relat Dis. 2012;8(3):243–9. doi: 10.1016/j.soard.2011.08.023.
    1. Paluszkiewicz R, et al. Prospective randomized clinical trial of laparoscopic sleeve gastrectomy versus open Roux-en-Y gastric bypass for the management of patients with morbid obesity. Wideochir Inne Tech Malo Inwazyjne. 2012;7(4):225–32.
    1. Bergner M. Quality of life, health status, and clinical research. Med Care. 1989;27(3 Suppl):S148–56. doi: 10.1097/00005650-198903001-00012.
    1. Sarwer DB, et al. Changes in quality of life and body image after gastric bypass surgery. Surg Obes Relat Dis. 2010;6(6):608–14. doi: 10.1016/j.soard.2010.07.015.
    1. Myers JA, et al. Quality of life after laparoscopic adjustable gastric banding using the Baros and Moorehead-Ardelt Quality of Life Questionnaire II. JSLS. 2006;10(4):414–20.
    1. de Zwaan M, et al. Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg. 2002;12(6):773–80. doi: 10.1381/096089202320995547.
    1. Al Harakeh AB, et al. BAROS results in 700 patients after laparoscopic Roux-en-Y gastric bypass with subset analysis of age, gender, and initial body mass index. Surg Obes Relat Dis. 2011;7(1):94–8. doi: 10.1016/j.soard.2010.09.020.

Source: PubMed

Sponsorer och medarbetare

Medicinska tillstånd

Läkemedelsinterventioner

3
Prenumerera