Long-Term Weight Loss, Metabolic Outcomes, and Quality of Life at 10 Years After Roux-en-Y Gastric Bypass Are Independent of Patients’ Age at Baseline

Mantziari, Styliani; Dayer, Anna; Duvoisin, Céline; Demartines, Nicolas; Allemann, Pierre; Calmes, Jean-Marie; Favre, Lucie; Fournier, Pierre; Suter, Michel

doi:10.1007/s11695-019-04181-z

Cited by 24 publications

(19 citation statements)

References 30 publications

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“…In the case of LRYGB, other authors reported %EWL between 58.5 and 78% at 10-year follow-up and %TWL between 26 and 28% [ 29 , 30 , 33 , 34 ]. Mantziari et al reported no significant difference in weight loss between patients < 40 years old, 40–55 years old, and > 50 years old (32.2%, 32.9%, and 32.3% of TWL, respectively) at a 10-year follow-up [ 35 ]. Our results seem to be consistent with the abovementioned research, with a mean %EWL of 62.2% and a mean %TWL of 36.5% at a 10-year follow-up examination.…”

Section: Discussionmentioning

confidence: 99%

“…Raoof et al presented a favorable impact of LRYGB on QoL at a long-term follow-up (7–17 years) in comparison with controls [ 13 ]. According to a study by Mantziari et al, the 10-year mean Moorehead–Ardeldt scores were not significantly different between age groups: 1.67 for patients < 40 years old, 1.66 for a group between 40 and 55 years old, and 1.64 for patients > 55 years old [ 35 ]. The reported outcomes of LRYGB are mostly favorable, although it seems that this operation is also associated with several long-term complications, for instance, internal or incisional hernia, gallstones, or nutritional deficiencies [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

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Quality of Life 10 Years After Bariatric Surgery

et al. 2020

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Purpose Improvement of the quality of life after bariatric surgery is an important outcome of the treatment. Assessing the long-term QoL results provides better insights into the effectiveness of bariatric surgery. Materials and Methods This is a cohort study including patients who underwent bariatric surgery between June 2009 and May 2010 in one academic center. Patients underwent either laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB). Overall, 34 patients underwent LSG (52.3%) and 31 patients underwent LRYGB (47.7%). Preoperatively, and after 1 and 10 years, QoL was assessed using two standardized questionnaires: SF-36 and MA-QoLII. After 10 years, 72% of patients filled out these questionnaires. Results The global QoL score before surgery was 48.3 ± 20.6. At the 1-year follow-up, the global total QoL score was 79.7 ± 9.8. At the 10-year follow-up, the global total QoL score was 65.1 ± 21.4. There was a significant increase in total QoL between measurements before the operation and 10 years after surgery in the whole study group (p = 0.001) and for patients who underwent LSG (p = 0.001). There was no significant difference between total QoL prior to surgery and 10 years after for patients who underwent LRYGB (p = 0.450). Conclusion LSG led to significant improvement in QoL.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Quality of Life 10 Years After Bariatric Surgery

et al. 2020

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“…The other important aspect of bariatric surgery is changes in quality of life. Studies with long-term follow-up show significant improvement in QoL after RYGB, however, factors affecting QoL were explored only in one study [6,8]. Abdominal pain and indigestion symptoms (Gastrointestinal Symptom Rating Scale) GSRS (scores ≥ 3) were associated with low QoL [6].…”

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confidence: 99%

Factors associated with quality of life and weight regain 12 years after Roux-en-Y gastric bypass

et al. 2021

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Background Scarce evidence exists in the literature about the factors influencing the long-term quality of life (QoL) and weight regain (WR) after Roux-en-Y gastric bypass (RYGB). The aim of the present study was to investigate factors associated with WR and QoL, measured by obesity specific Moorehead-Ardelt Quality of Life Questionnaire II (M-A QoLQ II), 12 years after RYGB. Methods This prospective longitudinal cohort study included 74 patients with obesity who had RYGB at the Lithuanian University of Health Sciences hospital Surgery department in 2005. Gastrointestinal and dumping symptoms, hypoglycemia, depression and anxiety disorders, hunger, satiety after meals, portion size, and grazing were assessed in the patients who agreed to participate in the study. General linear models were constructed to estimate the effect of variables on the WR and QoL. Results 12-year follow-up data were available for 50 patients (38 female, median body mass index (BMI) before surgery 42.4). The mean % excess BMI loss (%EBMIL) after 12 years was 63.1 (24.6) and the average %WR was 32.2 (19.4). The mean M-A QoLQ II score was 1.44 (1.3). Majority of the patients (76.6%) reported good or very good QoL. In multivariable analysis, only grazing (17.41% 95% CI 7.61-27.21; P = 0.001) was found to be a significant independent factor associated with WR. Factors independently associated with worse QoL were grazing (− 0.97 95% CI − 1.72, − 0.22; P = 0.013) and frequency of abdominal pain once or more per month (− 1.82 95% CI − 2.79, − 0.85; P = 0.001). Conclusion 12 years after RYGB majority of the patients report good or very good QoL and despite some WR have achieved and maintained significant weight loss. Grazing was associated with both WR and worse QoL, while the frequency of abdominal pain once or more per month was associated with only decreased QoL.

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“…According to a study by Mantziari et al, the 10-year mean Moorehead-Ardeldt scores were not significantly different between age groups: 1.67 for patients < 40 years old, 1.66 for a group between 40 and 55 years old, and 1.64 for patients > 55 years old [35]. The reported outcomes of LRYGB are mostly favorable, although it seems that this operation is also associated with several long-term complications, for instance, internal or incisional hernia, gallstones, or nutritional deficiencies [45].…”

Section: Discussionmentioning

confidence: 89%

Quality of Life 10 Years After Bariatric Surgery

2019

CMR

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Purpose Improvement of the quality of life after bariatric surgery is an important outcome of the treatment. Assessing the longterm QoL results provides better insights into the effectiveness of bariatric surgery. Materials and Methods This is a cohort study including patients who underwent bariatric surgery between June 2009 and May 2010 in one academic center. Patients underwent either laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB). Overall, 34 patients underwent LSG (52.3%) and 31 patients underwent LRYGB (47.7%). Preoperatively, and after 1 and 10 years, QoL was assessed using two standardized questionnaires: SF-36 and MA-QoLII. After 10 years, 72% of patients filled out these questionnaires. Results The global QoL score before surgery was 48.3 ± 20.6. At the 1-year follow-up, the global total QoL score was 79.7 ± 9.8. At the 10-year follow-up, the global total QoL score was 65.1 ± 21.4. There was a significant increase in total QoL between measurements before the operation and 10 years after surgery in the whole study group (p = 0.001) and for patients who underwent LSG (p = 0.001). There was no significant difference between total QoL prior to surgery and 10 years after for patients who underwent LRYGB (p = 0.450). Conclusion LSG led to significant improvement in QoL.

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Long-Term Weight Loss, Metabolic Outcomes, and Quality of Life at 10 Years After Roux-en-Y Gastric Bypass Are Independent of Patients’ Age at Baseline

Cited by 24 publications

References 30 publications

Quality of Life 10 Years After Bariatric Surgery

Quality of Life 10 Years After Bariatric Surgery

Factors associated with quality of life and weight regain 12 years after Roux-en-Y gastric bypass

Quality of Life 10 Years After Bariatric Surgery

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