Prospective Analysis Regarding Health-Related Quality of Life (HR-QOL) between Morbid Obese Patients Following Bariatric Surgery Versus on a Waiting List

Gijón, María Moreno; Vico, Tamara Díaz; Miravalles, J L Rodicio; Cueto, E López-Negrete; Sánchez, Aida Suárez; Pais, Sónia; Navarro, Sandra; Arias, Covadonga Valdés; Santos, Estrella Olga Turienzo; Álvarez, Lourdes María Sanz

doi:10.1007/s11695-020-04652-8

Cited by 2 publications

(2 citation statements)

References 40 publications

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“…Unfortunately, the whole process can take a few years in our public institution. Given that waiting for [5][6][7]28], it is understandable that even believing that perioperative risks had increased under the current circumstances, the vast majority of patients were still willing to undergo immediate surgery. This point should be noticed by health administrators when planning the reintroduction of regular activities, in order not to overlook old known pandemics for the sake of the new.…”

Section: Discussionmentioning

confidence: 99%

Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception

Beisani

Vilallonga

Petrola

et al. 2020

Langenbecks Arch Surg

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Purpose The COVID-19 outbreak has forced a 2-month lockdown (LD) in Spain. We aimed to assess how that had affected our cohort of bariatric patients waiting for surgery. Methods A review of electronic records and a structured phone interview with each patient were conducted. Changes in severity of obesity were analyzed using the Obesity Surgery Score (OSS) and changes in health-related quality of life (HRQoL) using the validated EQ-5D questionnaire. Other miscellaneous questions about behavior modifications and surgical risk perception were also analyzed. Results All 51 patients fully answered the questionnaires. Mean age was 47 years and mean time on waiting list 91 days. Mean BMI increased during LD (42.7 vs 43.2; p < 0.001). Both OSS (2.84 vs 3; p = 0.011) and EQ-5D (69 vs 64; p < 0.001) mildly worsened during LD, mainly due to psychosocial issues. Twenty-seven patients (53%) thought that perioperative risks were higher under the current circumstances but they were as willing to undergo surgery as those who believed that the risks had not increased (74% vs 87%, p = 0.2). Conclusions COVID-19 LD had a significant but mild effect on our cohort of bariatric surgery waiting list patients. Although perioperative risk perception had increased, patients were still willing to undergo their planned surgeries.

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Section: Discussionmentioning

confidence: 99%

Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception

Beisani

Vilallonga

Petrola

et al. 2020

Langenbecks Arch Surg

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“…Obesity has continuously increased worldwide over the last decades and so has its associated medical problems (AMP) [ 1 ]. Especially AMP decrease patients’ life expectancy and quality of life (QOL) [ 2 , 3 ]. At present, bariatric/metabolic surgery is the best treatment for both, weight loss and remission of AMP [ 4 , 5 ].…”

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confidence: 99%

Esophageal function and non-acid reflux evaluated by impedance-24 h-pH-metry, high-resolution manometry, and gastroscopy after one-anastomosis gastric bypass—outcomes of a prospective mid-term study

et al. 2023

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Background One-Anastomosis Gastric Bypass (OAGB) is the third most common bariatric operation for patients with obesity worldwide. One concern about OAGB is the presence of acid and non-acid reflux in a mid- and long-term follow-up. The aim of this study was to objectively evaluate reflux and esophagus motility by comparing preoperative and postoperative mid-term outcomes. Setting Cross-sectional study; University-hospital based. Methods This study includes primary OAGB patients (preoperative gastroscopy, high-resolution manometry (HRM), and impedance-24 h-pH-metry) operated at Medical University of Vienna before 31st December 2017. After a mean follow-up of 5.1 ± 2.3 years, these examinations were repeated. In addition, history of weight, remission of associated medical problems (AMP), and quality of life (QOL) were evaluated. Results A total of 21 patients were included in this study and went through all examinations. Preoperative weight was 124.4 ± 17.3 kg with a BMI of 44.7 ± 5.6 kg/m2, total weight loss after 5.1 ± 2.3 years was 34.4 ± 8.3%. In addition, remission of AMP and QOL outcomes were very satisfactory in this study. In gastroscopy, anastomositis, esophagitis, Barrett´s esophagus, and bile in the pouch were found in: 38.1%, 28.3%, 9.5%, and 42.9%. Results of HRM of the lower esophageal sphincter pressure were 28.0 ± 15.6 mmHg, which are unchanged compared to preoperative values. Nevertheless, in the impedance-24 h-pH-metry, acid exposure time and DeMeester score decreased significantly to 1.2 ± 1.2% (p = 0.004) and 7.5 ± 8.9 (p = 0.017). Further, the total number of refluxes were equal to preoperative; however, the decreased acid refluxes were replaced by non-acid refluxes. Conclusion This study has shown decreased rates of acid reflux and increased non-acid reflux after a mid-term outcome of primary OAGB patients. Gastroscopy showed signs of chronic irritation of the gastrojejunostomy, pouch, and distal esophagus, even in asymptomatic patients. Follow-up gastroscopies in OAGB patients after 5 years may be considered. Graphical Abstract

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Prospective Analysis Regarding Health-Related Quality of Life (HR-QOL) between Morbid Obese Patients Following Bariatric Surgery Versus on a Waiting List

Cited by 2 publications

References 40 publications

Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception

Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception

Esophageal function and non-acid reflux evaluated by impedance-24 h-pH-metry, high-resolution manometry, and gastroscopy after one-anastomosis gastric bypass—outcomes of a prospective mid-term study

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