Health-related quality of life following vertical banded gastroplasty

Hout, Gerbrand C. M. van; Fortuin, Frederiek A. M.; Pelle, Aline J.; Blokland-Koomen, Marieke E.; Heck, G.L. van

doi:10.1007/s00464-008-9860-9

Cited by 20 publications

(10 citation statements)

References 36 publications

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“…The baseline self-reported HRQOL was very poor and lower than the national norms in our series, as well in several other studies involving morbidly obese candidates for bariatric surgery [8,9,[12][13][14][15][16]. In the first year after surgery, we confirmed the highly significant rapid improvement in HRQOL observed in previous studies of LAGB [7][8][9][10][11].…”

Section: Discussionsupporting

confidence: 87%

“…Several studies investigating HRQOL in morbid obese candidates for bariatric surgery uniformly confirmed that these patients have HRQOL levels significantly lower than the corresponding national norms [8,9,[12][13][14][15][16]. HRQOL is a complex item and refers to the overall effects of medical conditions on physical, mental, and social functioning and well-being, as subjectively evaluated and reported by the patient [17].…”

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confidence: 99%

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Improvement in health-related quality of life in first year after laparoscopic adjustable gastric banding

Pilone

Mozzi

Schettino

et al. 2012

Surgery for Obesity and Related Diseases

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Background: We analyzed the health-related quality of life (HRQOL) and its determinants in the first year after laparoscopic adjustable gastric banding (LAGB). The setting was 10 Italian public and private bariatric surgery centers. Methods: Data collected in an ongoing, prospective, 3-year multicenter Italian study on the changes in HRQOL after LAGB were used. HRQOL was investigated using the Medical Outcomes Study ShortForm 36 questionnaire. Hunger, satiety, and the self-perceived effects of LAGB were recorded. Results: A total of 334 patients were enrolled. The follow-up rate was 92.2%. The percentage of excess weight loss was 39.6% Ϯ 25.8%, with very few side effects or complications. Hunger in the morning (0 -10 scale) was 4.5 Ϯ 2.7 before surgery and 3.8 Ϯ 2.4 after 1 year (P Ͻ.001). Satiety after a meal (0 -10 scale) was 7.1 Ϯ 2.7 before surgery and 8.2 Ϯ 1.9 at 1 year (P Ͻ.001). The self-perceived effect of LAGB on caloric intake (0 -10 scale) was 8.4 Ϯ 1.9 after 1 year. The scores for the 8 Medical Outcomes Study Short-Form 36 subscales were significantly improved after surgery. The physical component summary score was 52.6 Ϯ 11.9 at baseline and 79.1 Ϯ 15.6 after 1 year (P Ͻ.001). The corresponding mental component summary scores were 52.2 Ϯ 12.3 and 76.5 Ϯ 17.2 (P Ͻ.001). Greater physical component summary improvement was independently associated with a low initial physical component summary (P Ͻ.001), high satiety (P ϭ .002), a high percentage of excess weight loss (P ϭ .013), and a high self-perceived effect of the LAGB (P ϭ .026). Greater mental component summary improvement was associated with a low initial mental component summary (P Ͻ.001), high satiety (P Ͻ.001), a low frequency of heartburn (P ϭ .004), and a high percentage of excess weight loss (P ϭ .012). Conclusions: Significant improvements in HRQOL were observed in the first year after LAGB. A poor baseline HRQOL, a high efficacy of the banding in eating control, and better weight loss might influence HRQOL changes. (Surg Obes Relat Dis 2012;8:260 -268.)

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Section: Discussionsupporting

confidence: 87%

mentioning

confidence: 99%

Improvement in health-related quality of life in first year after laparoscopic adjustable gastric banding

Pilone

Mozzi

Schettino

et al. 2012

Surgery for Obesity and Related Diseases

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“…This phenomenon has been shown in previous studies [6, 9, 26, 29, 32, 33]. The present study shows the same trend; 1 year after surgery, practically all values in the HRQoL analysis were significantly improved while after 7 years this was reduced to about half of the values.…”

Section: Discussionsupporting

confidence: 91%

“…After long-term follow-up HRQoL decreases but remains significantly better compared to preoperative values [8–10, 18–20, 23–27]. Although some studies report that variables like gender, marital status, and sport activities are significant factors in HRQoL results [28, 29] most studies agree that improvement and deterioration of HRQoL are mainly associated with the magnitude of weight loss and weight regain, respectively [8, 9, 18–20, 23, 24, 26, 27, 30, 31]. This is confirmed in the present study; significant correlations between weight loss and improvement of eight of the 13 HRQoL domains were found.…”

Section: Discussionmentioning

confidence: 99%

Influence of Reoperations on Long-Term Quality of Life After Restrictive Procedures: A Prospective Study

et al. 2011

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Quality of life improves after bariatric surgery. However, long-term results and the influence of reoperations are not well known. A prospective quality of life assessment before, 1 and 7 years after laparoscopic adjustable gastric banding (LAGB) and vertical banded gastroplasty (VBG) was performed in order to determine the influence of reoperations during follow-up. One hundred patients were included in the study. Fifty patients underwent VBG and 50 LAGB. Patients completed the quality of life questionnaires prior to surgery and two times during follow-up. Health-related quality of life (HRQoL) questionnaires included the Nottingham Health Profile I and II and the Sickness Impact Profile 68. Follow-up was 84% with a mean duration of 84 months (7 years). During follow-up, 65% of VBG patients underwent conversion to Roux-en-Y gastric bypass while 44% of LAGB patients underwent a reoperation or conversion. One year after the procedure, nearly all quality-of-life parameters significantly improved. After 7 years, the Nottingham Health Profile (NHP)-I domain “physical ability”, the NHP-II and the SIP-68 domains “mobility control”, “social behavior”, and “mobility range” were still significantly improved in both groups. The domains “emotional reaction”, “social isolation” (NHP-I), and “emotional stability” (SIP-68) remained significantly improved in the VBG group while this was true for the domain “energy level” (NHP-I) in the LAGB group. Both the type of procedure and reoperations during follow-up were not of significant influence on the HRQoL results. Weight loss and decrease in comorbidities were the only significant factors influencing quality of life. Restrictive bariatric surgery improves quality of life. Although results are most impressive 1 year after surgery, the improvement remains significant after long-term follow-up. Postoperative quality of life is mainly dependent on weight loss and decrease in comorbidities and not on the type of procedure or surgical complications.

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“…Bariatric surgery requires lifelong compliance with behavior changes by the patient to maintain the weight loss [40]. Following bariatric surgery, improvements are found in personality features, psychopathology, depressive symptoms, body image, eating behavior, social functioning, and HRQoL; most improvements are seen in the first one or two years after surgery [41]. However, studies show great variation in outcome, and, unfortunately, bariatric surgery does not lead to identical results in every patient.…”

Section: Bariatric Surgerymentioning

confidence: 99%

Bariatric Psychology, Psychological Aspects of Weight Loss Surgery

Hout

Heck

2009

Obes Facts

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Obesity is the ‘disease of the 21st century’ and results in physical and psychosocial co-morbidities as well as poor quality of life (QoL). In contrast to the nonsurgical treatment of obesity, bariatric surgery is treatment of choice for morbid obesity. Since improved QoL and enhanced psychosocial functioning are important goals of bariatric surgery, success following bariatric surgery should not only include weight loss and improvement or cure of co-morbid conditions, but also improvements in eating behavior, psychosocial variables, and QoL. Unfortunately, bariatric surgery does not lead to identical results in every patient. Patients who fail to adjust their eating behavior and lifestyle after bariatric surgery may experience adverse reactions. Compliance and adjustment may be attributed largely to psychological factors, implying that the operation on its own represents only one element in bariatric surgery. Considering the role of psychosocial factors in the outcomes of bariatric surgery and the impact of the operation on the psychological and social situation, mental health professionals should be a part of the process of evaluation and treatment of bariatric surgery patients. In the Netherlands, between 2000 and 2005, bariatric surgery has increased tremendously, and most Dutch hospitals have a multidisciplinary selection process.

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Health-related quality of life following vertical banded gastroplasty

Abstract: VBG not only leads to considerable weight loss, but also to significant improvements in HRQoL. However, some of the initially reported improvements lessened over time and not all patients appeared to profit in the same way.

Cited by 20 publications

References 36 publications

Improvement in health-related quality of life in first year after laparoscopic adjustable gastric banding

Improvement in health-related quality of life in first year after laparoscopic adjustable gastric banding

Influence of Reoperations on Long-Term Quality of Life After Restrictive Procedures: A Prospective Study

Bariatric Psychology, Psychological Aspects of Weight Loss Surgery

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