Long-Term Quality of Life Outcomes After Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—a Comparative Study

Abstract

Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have been shown to improve metabolic comorbidities as well as quality of life (QoL) in the obese population. The vast majority of previous studies have investigated the metabolic effects of bariatric surgery and there is a dearth of studies examining long-term QoL outcomes post bariatric surgery. The outcomes of 43 patients who underwent bariatric surgery were prospectively assessed, using BAROS questionnaires to quantify QoL and metabolic status pre-operatively, at 1 year and at 8 years. Total weight loss and comorbidity resolution were similar between RYGB and SG. The RYGB cohort experienced greater QoL improvement from baseline and had higher BAROS scores at 8 years. RYGB may provide more substantial and durable long-term benefits as compared to SG.

Fifteen Years After Sleeve Gastrectomy: Weight Loss, Remission of Associated Medical Problems, Quality of Life, and Conversions to Roux-en-Y Gastric Bypass—Long-Term Follow-Up in a Multicenter Study

“…The reason for the increased score is simply based on the high conversion rate, as patients converted due to weight regain were not included in this analysis and weight loss has a major impact on this score. A recently published study by Fiorani C. et al reported a BAROS of 1.47 at an 8-year follow-up after SG [21].…”

Quality of Life After Bariatric Surgery—a Systematic Review with Bayesian Network Meta-analysis

“…Bariatric surgery causes significant changes in patients' life, including HRQoL. There is a growing body of literature demonstrating an improvement of both the physical and psychological status of the patients following bariatric procedures [2].…”

Weight regain in association with macronutrient diet composition and quality of life in women at least 5 years after bariatric surgery

“…On the other hand, both in this study and in the one from Canada, the contribution of protein in the diet increased in the SWL group and was very close to the 5% significance level. This suggests that the role of proteins should be further explored, considering that in the Swedish study, protein played a relevant role in the analyzed isoenergetic diets, either because of its greater satiety effect 23 or perhaps because of the anatomical barrier produced by surgery, which may impact meat consumption. A relevant aspect in the context of weight loss by bariatric surgery is that some groups have insisted on ensuring a minimum protein intake of 60 g per day through supplementation in order to ensure muscle reserves, promote continued weight loss, and prevent osteoporosis 34 .…”

“…maintained to preserve historical comparison 23 . Although less sensitive, this instrument can identify impairment in the quality of life caused by a low weight regain.…”

“…BAROS was developed in 1998 by Oria et al 20 and updated in 2009 21 . However, depending on the historical series, some studies continued to be published based on the 1998 version of BAROS 22,23 . BAROS has a dimension that assesses quality of life in a simplified way as the HRQoL, which was adopted as a reference standard.…”