Original articleImprovement in quality of life after bariatric surgery: sleeve versus bypass
Section snippets
Methods
A retrospective study of prospectively collected data including QoL of patients who underwent a bariatric procedure was conducted at a large obesity center in the Netherlands. Approximately 1000 bariatric procedures are performed in this hospital each year by dedicated bariatric surgeons. In March 2012, QoL assessment with RAND 36-item Health Survey questionnaire was introduced as standard of care. Data was collected from all adult patients who underwent a primary bariatric (i.e., laparoscopic
Demographic characteristics
A total of 3768 unique patients were operated from January 2012 until January 2017. First, the revision procedures, band removal, and 1 anastomosis bypasses were excluded (n = 588). Those operated in the first 3 months of 2012 and those of 2016 without a completed 1-year follow-up were excluded as well (n = 996). A total of 2184 were eligible, follow-up rate at the department was 96%, the rate of completed preoperative and postoperative questionnaires was 55%. A total of 1184 patients were
Discussion
The worldwide increase of obesity has led to an increase in bariatric procedures. While laparoscopic bypass has been the gold standard for several decades, laparoscopic SG has caught up to almost equal amounts of yearly procedures worldwide [7]. Reduction in weight, stabilization in weight, and reduction of obesity-related co-morbidity are mostly considered as primary outcomes in studies differentiating between both procedures, while the differences on health-related QoL remains unclear.
The
Conclusion
Health-related QoL greatly improved after both SG and gastric bypass. The improvement was comparable between the techniques, except for more increase in physical functioning after RYGB. QoL could influence decision-making between SG and gastric bypass. So far no clinically relevant differences were found. Future research should focus on both longer follow-up and more specific questionnaires.
Disclosures
The authors have no commercial associations that might be a conflict of interest in relation to this article.
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2020, Surgery for Obesity and Related DiseasesCitation Excerpt :Janik et al. [27] compared the QoL of patients before and after surgery for the 2 types of surgery and concluded that LSG and LRYGB improved the QoL of patients after surgery. Another study also came to similar conclusions, and obese patients had gotten great improvement in the QoL after either LSG or LRYGB [30]. However, not all bariatric surgeries improve QoL [3].