Background: The last decade brought changes the most frequently performed types of bariatric procedures. Despite the well-documented positive impact of bariatric surgery on depression, somatic comorbidities, lifespan prolongation and cancer risk, there is still insufficient data on patients' quality of life (QoL) after this operation. Methods: PubMed and Scopus databases as well as Mendeley search engine were used to find publications from last ten years focusing on QoL after LSG. 702 abstracts were reviewed. 13 articles with 1630 patients in total were analyzed. Results: Six different QoL assessment tools were described in the reviewed literature: SF-36, BAROS, Moorehead-Ardelt II questionnaire, IWQOL-Lite, GIQLI and SF8. In majority of studies the QoL was improved. Preand postoperative assessment with SF-36 showed significant improvement. The mean BAROS score was 5.1-7.1 with 77-96% of patients achieving "good" to "excellent" outcomes. In some studies, QoL was better in females and in one study QoL was below the general population norms. Some studies demonstrated lack of improvement in QoL after LSG or no correlation between excess weight loss and health related QOL. Conclusions: High quality research about QoL after LSG is limited, though quality of life seems to be better after that procedure.
Purpose This review aims to explore and summarise current knowledge of indocyanine green (ICG) fluorescence application in metabolic and bariatric surgery (MBS) and assess its potential in improving patient safety. Methods The review was prepared according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. Evidence from PubMed, ScienceDirect and Ovid MEDLINE databases was independently screened in October 2022. The primary information and outcomes were the type of fluorescence application with potential patient benefit and the complication rate. The secondary outcomes consisted of the kind of dye, the application protocol, and the equipment used. Results Thirteen publications were included, with six prospective observational studies, five case reports and two retrospective cohort studies and involved a total of 424 patients. The publications were categorized into four groups based on the method of fluorescence application. Sixty-six percent of the cases used fluorescence for LSG, 32.3% used it for RYGB, 1.2% for revisional surgery, 0.2% during removal of an adjustable gastric band, and 0.2% for LSG combined with Rossetti fundoplication. ICG was used on its own in the majority of studies, although in one case, it was used in combination with methylene blue. ICG administration protocols varied significantly. Complications occurred in three patients (0.71%): leaks were diagnosed in two cases, and one patient required a blood transfusion. Conclusion The most popular type of use is intraoperative assessment of the blood supply. ICG application may reduce the risk of complications, with potential benefits in detecting ischemia and leaks, searching for bleeding in areas inaccessible to endoscopy, and non-invasive hepatopathy evaluation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.