Quality of Life and Gastrointestinal Symptoms Following Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy: a Systematic Review

Rausa, Emanuele; Kelly, Michael E.; Galfrascoli, Elisa; Aiolfi, Alberto; Cavalcoli, Federica; Turati, Luca; Bonavina, Luigi; Sgroi, Giovanni

doi:10.1007/s11695-019-03737-3

Cited by 22 publications

(34 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Evaluation of quality of life appears to be a very important parameter both for patients and surgeons. The same conclusion was made in review by Rausa et al, which compared quality of life after LSG and LRYGB [9]. The authors stated that there was no difference in QoL regardless which of the two surgical approaches was used.…”

Section: Discussionsupporting

confidence: 55%

“…QoL in bariatric surgery has been broadly investigated, nevertheless we couldn't find any review focusing directly on QoL changes following LSG [8][9]32]. In the context of the epidemiological forecasts for obesity and the increasing implementation of LSG worldwide, it seems reasonable to intensify the research efforts on obesity treatment outcomes [5,[33][34].…”

Section: Discussionmentioning

confidence: 99%

“…The authors stated that there was no difference in QoL regardless which of the two surgical approaches was used. It leads to conclusion that patient's and surgeon's preference may play an important role in choice of surgical procedure [9].…”

Section: Discussionmentioning

confidence: 99%

“…One of the most important patient-reported outcomes, which is defining failure or success of bariatric surgery is Health-Related Quality of Life (HRQoL), however only few published studies focused on this end point [7][8]. There is some original research and literature reviews about QoL after bariatric surgery, comparing various methods of surgical technique [9]. Nevertheless, to our best knowledge, there are no reviews focusing directly on QoL after LSG and the relevant articles started to appear well after 2004 (2).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Quality of life after laparoscopic sleeve gastrectomy – review of literature

Wityk¹,

Makarewicz²,

Kaczmarkiewicz³

et al. 2020

Eur J Trans Clin Med

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Quality of life after laparoscopic sleeve gastrectomy – review of literature

Wityk¹,

Makarewicz²,

Kaczmarkiewicz³

et al. 2020

Eur J Trans Clin Med

View full text Add to dashboard Cite

show abstract

“…The SF-36 questionnaire has been the most common measure of HRQL used in bariatric surgery studies [28,[31][32][33][34][35][36][37][38]. This is a generic measure of HRQL which includes 36 items across eight domains (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, roleemotional and mental health) which are scored individually and contribute to a physical component score (PCS) and a mental component score (MCS) ( Table 1) [40,41].…”

Section: Impact Of Bariatric Surgery On Generic Hrqlmentioning

confidence: 99%

Health-Related Quality of Life in Bariatric and Metabolic Surgery

Coulman

Blazeby

2020

Curr Obes Rep

View full text Add to dashboard Cite

Purpose of Review This review describes the latest evidence for the impact of bariatric surgery on health-related quality of life (HRQL). Recent Findings The impact of bariatric surgery on HRQL is less well-understood than its clinical effectiveness on weight and co-morbidities. Poor-quality study design and different HRQL measures challenge systematic reviews and meta-analyses. Available limited evidence suggests that physical aspects of HRQL may improve more than mental health aspects of HRQL after bariatric surgery, reaching maximal benefits 1-2 years post-surgery. Comparative HRQL analyses between bariatric procedures cannot be made due to a lack of randomised data. Qualitative research highlights the tensions patients experience after bariatric surgery, which provides insights to observed changes in HRQL. Summary Standardized HRQL measures are being developed and agreed to improve future evidence synthesis. Two multi-centre randomised trials of bariatric surgical procedures including detailed HRQL assessment are in progress. It is hoped that the combination of comparative high-quality HRQL data and information from qualitative studies will provide new insights into patient well-being and health after bariatric surgery.

show abstract

Nonnormative Eating Behaviors and Eating Disorders and Their Associations With Weight Loss and Quality of Life During 6 Years Following Obesity Surgery

et al. 2022

View full text Add to dashboard Cite

ImportanceIndividuals with severe obesity presenting for obesity surgery (OS) frequently show nonnormative eating behaviors (NEBs) and eating disorders (EDs), but the long-term course and prospective associations with weight loss and health-related quality of life (HRQOL) remain unclear.ObjectiveTo examine the prevalence and prospective relevance of presurgical and postsurgical NEBs and EDs according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, diagnosed through clinical interview, for weight loss and HRQOL up to 6 years following OS.Design, Setting, and ParticipantsIn the prospective, multicenter Psychosocial Registry for Obesity Surgery cohort study, patients seeking OS were recruited at 6 OS centers in Germany and assessed at baseline before surgery and at 6 months and 1 to 6 years after surgery. From a consecutive sample of 1040 volunteers with planned OS from March 1, 2012, to December 31, 2020, a total of 748 (71.92%) were included in this study. Across follow-up, 93 of the 748 patients (12.43%) dropped out. Data were analyzed from April to November 2021.InterventionsLaparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy.Main Outcomes and MeasuresBoth NEBs and EDs were identified using the Eating Disorder Examination interview. Main outcomes were the percentage of total body weight loss (%TBWL) and HRQOL (Impact of Weight on Quality of Life-Lite; range, 0-100, with 0 indicating worst and 100 indicating best).ResultsIn 748 patients undergoing OS (mean [SD] age, 46.26 [11.44] years; mean [SD] body mass index [calculated as weight in kilograms divided by height in meters squared], 48.38 [8.09]; 513 [68.58%] female), the mean (SD) %TBWL was 26.70% (9.61%), and the mean (SD) HRQOL improvement was 35.41 (20.63) percentage points across follow-up. Both NEBs and EDs were common before surgery, with postsurgical improvements of varying degrees. Whereas NEBs and EDs did not reveal significant prospective associations with %TBWL, loss-of-control eating at follow-up was concurrently associated with lower %TBWL (estimate, −0.09; 95% CI, −0.14 to −0.04). Loss-of-control eating (estimate, −0.10; 95% CI, −0.17 to −0.03 percentage points) and binge-eating disorder of low frequency and/or limited duration (estimate, −6.51; 95% CI, −12.69 to −0.34 percentage points) at follow-up showed significant prospective associations with lower HRQOL.Conclusions and RelevanceThis cohort study found prospective relevance of loss-of-control eating and binge-eating disorder of low frequency and/or limited duration for reduced long-term HRQOL following OS. These findings underline the importance of monitoring both NEBs, especially loss-of-control eating, and EDs in the long term postsurgically to identify patients in need of targeted prevention or psychotherapy.

show abstract

Quality of Life and Gastrointestinal Symptoms Following Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy: a Systematic Review

Cited by 22 publications

References 30 publications

Quality of life after laparoscopic sleeve gastrectomy – review of literature

Quality of life after laparoscopic sleeve gastrectomy – review of literature

Health-Related Quality of Life in Bariatric and Metabolic Surgery

Nonnormative Eating Behaviors and Eating Disorders and Their Associations With Weight Loss and Quality of Life During 6 Years Following Obesity Surgery

Contact Info

Product

Resources

About