Quality of Life Parameters, Weight Change and Improvement of Co-morbidities After Laparoscopic Roux Y Gastric Bypass and Laparoscopic Gastric Sleeve Resection—Comparative Study

Abstract

The laparoscopic Roux Y gastric bypass (LRYGB) and the laparoscopic gastric sleeve resection are frequently used methods for the treatment of morbid obesity. Quality of life, weight loss and improvement of the co-morbidities were examined. Match pair analysis of the prospectively collected database of the 47 gastric bypass and 47 gastric sleeve resection patients operated on in our hospital was performed. The quality of life parameters were measured with two standard questionnaires (SF 36 and Moorehead-Ardelt II). The mean preoperative and postoperative BMI was in gastric bypass group 46.1 and 28.1 kg/m(2) (mean follow-up: 15.7 months) and in gastric sleeve group 50.3 and 33.5 kg/m(2) (mean follow-up: 38.3 months). The SF 36 questionnaire yielded a mean total score of 671 for the bypass and 611 for the sleeve resection patients (p = 0.06). The Moorehead-Ardelt II test signed a total score of 2.09 for gastric bypass versus 1.70 for gastric sleeve patients (p = 0.13). Ninety percent of the diabetes was resolved in the bypass and 55% in the sleeve resection group. Seventy-three percent of the hypertension patients needed no more antihypertensive treatment after gastric bypass and 30% after sleeve resection. Ninety-two percent of the gastro-oesophageal reflux were resolved in the bypass group and 25% in the sleeve (with 33% progression) group. Ninety-four percent of the patients were satisfied with the result after gastric bypass and 90% after sleeve resection. The patients have scored a high level of satisfaction in both study groups. The gastric bypass is associated with a trend toward a better quality of life without reaching statistical significance, pronounced loss of weight and more remarkable positive effects on the co-morbidities comparing with the gastric sleeve resection.

A Cohort Study on the Outcomes of Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy Regarding the Change in Body Mass Index, Remission of Comorbidities and Quality of Life After 12-Month Follow-up

“…For example, Fezzi et al [21] demonstrated that LSG resulted in 57.18% EWL and used both WOQUOL-BREF and SF-36 measures to show that quality of life scores improved significantly after surgery, although such changes were not always associated with the amount of weight lost. Mohos et al [14] employed the SF-36 tool to evaluate changes in quality of life after submission to LRYBG and LSG and found that patients expressed high levels of satisfaction with both procedures, although those that had been treated by LRYBG perceived a better, but not statistically significant, quality of life compared with those submitted to LSG. while the main limitation is the short-term follow-up (12 months).…”

Revisional Bariatric Surgery: Focus on Quality of Life

“…This can be measured using quality of life surveys such as short form health survey (SF-36) or Moorehead-Ardelt II (MA-II), which both take into account factors such as appearance, physical health, social functioning, mental health and so on. These surveys have both been used in studies looking at quality of life after bariatric procedures 18. Patients that feel that the improvement in their quality of life is not as much as expected may feel that the primary bariatric procedure was ineffective.…”

“…The attainment and maintenance of good quality of life should be considered as one of the goals of bariatric surgery, and patients who fail to do so or perform persistently low on quality of life surveys post-operatively can be singled out as candidates that may benefit from revisional surgery. A study conducted by Mohos et al18 compared the quality of life of patients after primary and revisional laparoscopic Roux-en-Y gastric bypass (LRYGB) using both SF-36 and MA-II as measurements of quality of life. Although there was no statistically significant difference found between quality of life in both groups using either survey, the scores achieved by both groups corresponded to acceptable standards of quality of life as compared to the normal European population.…”

“…Complications or intolerance effects from the primary procedures are also strong indications for revisional surgery. In the same study by Mohos et al18, they reported 657 patients who underwent LRYGB and 81 patients who underwent revisional LRYGB of which 62 were for inadequate weight loss, 11 were for gastroesophageal reflux disease (GERD) and 8 were for dysphagia. Of the patients that underwent revision for GERD and dysphagia, all of them had presented post-operatively complaining of symptoms that were affecting their quality of life.…”

Use of the magnetic compression technique in sleeve gastrectomy: a preliminary study

“…Unfortunately, stomach leakage may cause severe consequences, such as infection and death, although the incidence rate of this complication is 2.4%. [ 3 ]…”