Pattern of changes in quality of life of obese patients after sleeve gastrectomy in Sulaimani provence –Kurdistan-Iraq, based on 4 years experience in two bariatric centers

Abstract

BackgroundObesity influences all aspects of the life of obese patients physically, psychologically, socially and monetarily, it is not only a disease but rather a beginning point of a group of ailments and inabilities, which gradually impacts and changes all aspects of their life.ObjectivesThe changes in the Quality of life in respect to the amount of access weight lost after sleeve gastrectomy.Patients, materials and methodsA prospective longitudinal study evaluating 40 female patients who underwent laparoscopic sleeve gastrectomy within 4 years, starting from July 4th, 2012 up to July 5th, 2016.ResultsMore than three-quarter of the patients were not satisfied with their body before their operation, but six to twelve months after their weight loss; (N = 36, 90%) of them were satisfied with their new body image. Half of the patients were unhappy before their operation, but twelve months later (N = 31, 77.5%) of them became much happier. Regarding satisfaction with the body image, noticeable improvement occurred since (N = 36, 90%) of them were satisfied with their new body image. While, most of them have had low self-esteem and (N 27, 67.5%) of the patients had no self-esteem at all, 12 months after the operation (N = 35, 87.5%) felt great improvement in their self-esteem (p-value = .040). A significant decrease in appetite was noticed in (N = 39, 97.5%) of the patients after 12 months.ConclusionSignificant changes in the parallel pattern to the extent of EWL were noticed in the quality of life of morbidly obese patients after laparoscopic sleeve gastrectomy.

Impact of the halitosis on QoL in overweight and obese patients: Based on six years of experience in two centers in sulaimani governorate, Kurdistan Region/Iraq, and case series study

“…A relation of overweight and obesity with some oral conditions causing halitosis was mentioned in the literature like periodontitis and a dysbiotic inflammatory disease [ 10 , 11 , 23 , 25 ], besides this a good number of overweight and obese patients are eating rapidly, not chewing adequately [ 12 , 26 ], have dry mouth and coating of tongue [ 12 , 27 ], food particles may remain between teeth and cause unpleasant odor from the mouth [ 3 , 4 , 7 , 8 ] with intensity beyond a socially acceptable level [ 27 , 28 ].…”

“…The patients who are overweight and obese, are under stress of excess body weight, embarrassed [ 23 ], one may imagine the impact of halitosis on this group of patients, this is an attempt to evaluate this extra impact, and which aspect of quality of life (QoL) will be affected in the overweight and obese, the patients in this case series unified by their extra body weight and halitosis.…”

Bariatric surgery in the Middle East and North Africa: narrative review with focus on culture-specific considerations

“…Quality of life (QoL) has been shown to improve following LSG in Egypt (31) as well as in KSA among adults (32,33) and adolescents. (34) Moreover, studies of patients who underwent LSG in Lebanon (35) and female patients who underwent LSG in Iraq (36) showed post-surgery changes in QoL paralleled weight loss. Thus, numerous studies document improvements in QoL among adults and adolescents in several countries of the MENA region following LSG.…”

Positive psychological well‐being in women with obesity: A scoping review of qualitative and quantitative primary research

“…The studies were conducted in the United States (n = 11), 2,[33][34][35][36][37][38][39][40][41][42][43][44] Australia (n = 5), [45][46][47][48][49][50] England (n = 2), 51,52 Iraq (n = 2), 53,54 Turkey (n = 3), [55][56][57] Canada (n = 1), 58 Denmark (n = 1), 59 Finland (n = 1), 60 Japan (n = 1), 61 Spain (n = 1), 62 and United Kingdom (n = 1). 3 The disciplines of lead authors were predominantly psychology and medicine.…”

“…40 There was no indication of the source of the questions used to measure self-esteem in two studies. 53,54 Satisfaction was measured using the Satisfaction with Life scale (SWLS) 37,49 and twice with different questions. In two cases, a single question rating life satisfaction was used (question source not identified).…”