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

Hell, E.; Miller, Karl; Moorehead, Melodie K; Samuels, Norman

doi:10.1381/096089200321643485

Cited by 159 publications

(76 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…93 The only nonrandomized trial comparing the laparoscopic-adjustable gastric band to gastric bypass concluded that gastric bypass caused significantly greater weight loss. 9 Effects of bariatric surgery on obesity comorbidity Each of the reports acknowledges the improvement in obesity comorbidity with surgical weight loss. However, their endorsement of this fact is guarded.…”

Section: Resultsmentioning

confidence: 99%

Evidence-based medicine reports on obesity surgery: a critique

Sugerman

Kral

2005

Int J Obes

View full text Add to dashboard Cite

OBJECTIVE:To evaluate evidence in recent authoritative 'Evidence-Based Medicine' (EBM) reports on surgery for severe obesity. METHODS: Focused review of Index Medicus citations and authors' own databases of publications on surgery for obesity, . RESULTS: EBM criteria for assessment of strength of evidence requiring randomized controlled studies (RCTs) in these reports are inappropriate for evaluating invasive treatments such as surgery, which have robust physiological effects, are difficult to reverse and may have more serious side effects than the drug studies for which the criteria were promulgated. Flaws in these reports include omissions of important studies demonstrating improvements in comorbidity, factual errors in descriptions of operations and faulty analyses of outcomes of laparoscopic approaches. There are misinterpretations of cited papers, and inclusion of obsolete operations as well as a study generated during the 'learning curve' of an avowed complex procedure. CONCLUSION: EBM analyses of surgical modalities affecting access to care require relevant evaluation criteria, true peer review and expert consultation. Authors' claims of objectivity by invoking use of evidence-based criteria applicable to drug treatment and other easily reversible forms of therapy are questionable. Decisions based on flawed EBM reports may adversely affect access to care for millions of severely obese patients.

show abstract

Section: Resultsmentioning

confidence: 99%

Evidence-based medicine reports on obesity surgery: a critique

Sugerman

Kral

2005

Int J Obes

View full text Add to dashboard Cite

show abstract

“…So, our study keeps an interest for the QoL and weight loss follow-up of the patients who benefited from such restrictive procedures. Hell et al (2000) compared QoL (through Moorehead-Ardelt questionnaire), loss of weight and comorbidities improvement with these three types of surgical techniques in a prospective nonrandomized study over 3-8 years in three groups of 30 operated patients from two different institutions as compared with a control group of non-operated obese patients. A significant improvement of QoL and comorbidities was observed in operated obese patients, regardless of the type of surgery, compared to the control group.…”

Section: Discussionmentioning

confidence: 99%

Weight loss and quality of life after bariatric surgery: a study of 200 patients after vertical gastroplasty or adjustable gastric banding

et al. 2007

View full text Add to dashboard Cite

Background and objectives: Long term evaluation of bariatric surgery must include quality of life measurement. Methods: Quality of life (QoL) was evaluated using the original Moorehead-Ardelt questionnaire for 200 patients operated for massive obesity in a single centre between 1994 and 2003. QoL and physical data were obtained by retrospective mail questionnaire. Surgical procedures were vertical-banded gastroplasty according to Mason (VBGM) and adjustable gastric banding (AGB) in 61 and 39% of patients, respectively. The aim of the study was to assess the nutritional outcome and QoL according to the procedure. Results: Overall, the body mass index (BMI) decreased from 5078 kg/m 2 before surgery to 35.277.5 kg/m 2 at the time of the questionnaire. The percentage of weight loss was 28.8712.2%. In the group treated with VBGM, the mean initial weight (P ¼ 0.003) and the percentage of weight loss (Po0.001) were significantly higher, and the QoL was better (P ¼ 0.003) than in the group treated with AGB. On the basis of the time spent since surgery, a regular weight loss was observed during the first 5 years, whereas weight subsequently increased over the five following years. Similarly, the total QoL score gradually improved during the first 5 years and worsened thereafter. However, it remained better than before surgery. A linear regression analysis showed a positive correlation between the percentage of weight loss and the QoL score (Po0.001).Conclusions: This study suggests that the bariatric surgery, particularly the VBGM technique, improved the QoL of obese patients, at least in the first 5 years following surgery.

show abstract

“…One study compared vertical banded gastroplasty (VBG), gastric banding techniques, and gastric bypass with conventional weight loss treatment. 55 Five studies compared surgery patients to normal weight subjects, [51][52][53]56,57 one study to a nonoperated control sample, 58 another study compared VBG with elective, open cholecystectomy. 59 Table 3 illustrates the mean sample sizes, dropout rates, and follow-up periods of the 40 studies reviewed.…”

Section: Methodsmentioning

confidence: 99%

“…Besides the SOS study (EC IIa), 55 three EC IIb studies 58,64,101 and three EC III studies 54,59,102 focused on aspects of general QoL. The SOS study 5,55 applied a battery of generic and study-specific self-assessment instruments or subscales in order to characterize various aspects of QoL such as health perception, mental well-being/mood disorders, eating behavior, and psychosocial functioning in the severely obese.…”

Section: General Quality Of Lifementioning

confidence: 99%

Does obesity surgery improve psychosocial functioning? A systematic review

Herpertz¹,

Kielmann²,

et al. 2003

View full text Add to dashboard Cite

OBJECTIVE:The objective of this study is to present a review of the psychosocial outcome of bariatric surgery with special consideration of psychiatric comorbidity, psychopathology, psychosocial functioning, econometric data, and general quality of life (QoL). PURPOSE: A review of all (non-) controlled trials of the last two decades both with a retrospective and prospective design and a follow-up period of at least 1 y. RESEARCH METHODS AND PROCEDURES:The relevant literature was identified by a search of computerized databases. All articles published in English and German since 1980 were reviewed. Based on the requirements of the evidenced-based guidelines of the Agency for Health Care Policy and Research and the Scottish Intercollegiate Guidelines Network, each study was rated by a level of evidence. RESULTS: In all, 171 publications were reviewed. Using the above inclusion/exclusion criteria, 63 articles including two systematic reviews were identified. A total of 40 studies focused on psychosocial outcome after obesity surgery. CONCLUSION: Mental health and psychosocial status including social relations and employment opportunities improve for the majority of people after bariatric surgery thus leading to an improved QoL. Psychiatric comorbidity, predominantly affective disorders, and psychopathologic symptoms decrease postsurgically. A substantial percentage of bariatric surgery patients suffer from binge eating disorder or binge eating symptoms. The effect of bariatric surgery on the outcome of binge eating symptoms largely depends on the type of operation. With the exception of patients with a severe psychiatric comorbidity, the concern that obesity surgery will reinforce psychic symptoms and lead to a reduction in the QoL seems to be unfounded.

show abstract

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

Cited by 159 publications

References 2 publications

Evidence-based medicine reports on obesity surgery: a critique

Evidence-based medicine reports on obesity surgery: a critique

Weight loss and quality of life after bariatric surgery: a study of 200 patients after vertical gastroplasty or adjustable gastric banding

Does obesity surgery improve psychosocial functioning? A systematic review

Contact Info

Product

Resources

About