Quality of Life after Laparoscopic Adjustable Gastric Banding for Severe Obesity: Postoperative and Retrospective Preoperative Evaluations

Schok, Michaela; Geenen, Rinie; Wit, Pieter de; Brand, Nico; Antwerpen, Tiny van; Ramshorst, Bert van

doi:10.1381/096089200321593698

Cited by 57 publications

(22 citation statements)

References 13 publications

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“…Several authors showed an improving mental health and quality of life by the first year that eroded over the subsequent years. [22][23][24][25][26][27] In our cross-sectional study, performed a mean of 8.7 years after the operation, we were able to show that a more impaired health and psychological status was present in those operated more than 5 years ago compared to subjects operated more recently. The time lapse since operation played an important role as health status scores showed a higher physical, emotional and social dysfunction in those operated more than 5 years ago and out of the psychological features sensitivity was also more present in these subjects.…”

Section: Discussionmentioning

confidence: 55%

Long-term health and psychosocial outcomes from surgically induced weight loss: results obtained in patients not attending protocolled follow-up visits

Mathus-Vliegen

2006

Int J Obes

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Objective: Obesity management is focused at weight loss to obtain health, psychological and social benefits. Outcomes from controlled trials, however, do not reflect the everyday routine practice. Therefore, we aimed to investigate the results from surgically induced weight loss in patients devoid of a protocol-wise follow-up, who were visited at home. Patients and methods: Patients who underwent a vertical banded gastroplasty or a gastric bypass between 1980 and 1997 were eligible. Body weight and height were measured. Patients filled out questionnaires on health status (Nottingham Health Profile (NHP)), psychological symptoms (Symptom Check List (SCL-90-R)), personality traits (Dutch Personality Questionnaire (DPQ)) and eating behaviour (Dutch Eating Behaviour Questionnaire (DEBQ)). Results: Out of 451 operated patients the addresses of 313 subjects could be traced and 236 (75%) agreed to participate. They maintained a mean (s.d.) loss of 32.1 (22.6) kg and 45.2 (29.3) % of excess weight, 8.2 (4.5) years after the operation, about two-third of the largest weight loss they achieved after 17 months postoperatively. The NHP and SCL-90-R conformed to norm values in males except for energy, sleep and emotional reactions. Females differed from norm values in every aspect and even women achieving a BMIo30 kg/m 2 did not catch up to norm values. Weight loss was inversely related to physical immobility and pain. Personality traits (DPQ) showed a higher grievance and dominance and a lower rigidity and self-esteem compared to norm values. Females scored higher in inadequacy and lower in social inadequacy. Eating patterns (DEBQ) showed mainly emotional eating and restrained eating. Effect sizes of X0.8 s.d. were chosen to reflect the clinical relevance of statistically significant findings. Pain, disturbances in sleep, energy and mobility and emotional and restrained eating proved to be clinically relevant. In subjects operated 45 years ago, a higher sensitivity, a higher inadequacy and a lower social inadequacy were observed compared to more recently operated subjects. A more restrained eating pattern was related to an operation of recent date. Conclusions: Surgically induced weight losses are satisfactory in the long-term, even in patients not attending a strict follow-up protocol. Health, psychological symptoms, personality traits and eating behaviour were related to weight loss and time lapse since the operation and did not return to reference normal-weight subject values.

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Section: Discussionmentioning

confidence: 55%

Long-term health and psychosocial outcomes from surgically induced weight loss: results obtained in patients not attending protocolled follow-up visits

Mathus-Vliegen

2006

Int J Obes

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“…This condition is associated with an increased risk of morbidity and mortality from numerous related medical conditions, such as diabetes, coronary artery disease, and several types of cancer; morbid obesity is also related to debilitating psychosocial consequences (11) . Poor HRQL has been repeatedly documented in obese patients (21) , and HRQL impairment relates to increasing BMI (12) . Unfortunately, morbidly obese patients respond poorly to traditional dietary and exercise weight-loss regimens, and when an initial response occurs, it is likely to be poorly maintained (23) .…”

Section: Discussionmentioning

confidence: 99%

Changes in Quality of Life After Short and Long Term Follow-Up of Roux-en-Y Gastric Bypass for Morbid Obesity

Neto

Herbella

2013

Arq. Gastroenterol.

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METHODS Study DesignA controlled cross-sectional design was used. At the same time, a preoperative control group of clinically morbidly obese patients awaiting surgery was compared with two separate groups of patients at two different postsurgical time points: (1) 1-2 years and (2) more than 7 years. -36). Group A -50 preoperative morbidly obese patients; Group B -50 RYGB patients 1-2 years post-surgery; Group C -50 RYGB patients more than 7 years post-surgery. Results -The groups were similar for gender, age and body mass index before surgery. We observed that physical functioning, social function, emotional role functioning and mental health scales did not vary between the three groups. The physical role functioning scale was unchanged in the short-term and decreased compared to the preoperative scale in the long-term follow-up. Bodily pain improved after the operation but returned to the initial level after 7 years. The vitality and general health perceptions improved after the operation and maintained these results after 7 years compared with the preoperative perceptions. Conclusions -RYGB improved health-related quality of life in three SF-36 domains (bodily pain, general health perceptions and vitality) in the short-term and two SF-36 domains (general health perceptions and vitality) in the long-term. HEADINGS -Morbid obesity. Gastric bypass. Weight loss. Quality of life. CHANGES IN QUALITY OF LIFE AFTER

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“…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%

“…QoL improved after 2 and 4 y by substantial weight loss. 74 The results of the other six studies 54,58,59,64,101,102 are based on a single standardized questionnaire such as the SF-36, 54,101,102 the Gothenburg Quality of Life Scale, 59 or the Bariatric Analysis and Reporting Outcome System (BAROS), 58 and yielded significant improvements of QoL in the majority of bariatric patients at follow-up.…”

Section: General Quality Of Lifementioning

confidence: 99%

Does obesity surgery improve psychosocial functioning? A systematic review

Herpertz¹,

Kielmann²,

et al. 2003

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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.

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Quality of Life after Laparoscopic Adjustable Gastric Banding for Severe Obesity: Postoperative and Retrospective Preoperative Evaluations

Cited by 57 publications

References 13 publications

Long-term health and psychosocial outcomes from surgically induced weight loss: results obtained in patients not attending protocolled follow-up visits

Long-term health and psychosocial outcomes from surgically induced weight loss: results obtained in patients not attending protocolled follow-up visits

Changes in Quality of Life After Short and Long Term Follow-Up of Roux-en-Y Gastric Bypass for Morbid Obesity

Does obesity surgery improve psychosocial functioning? A systematic review

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