Quality of Life before and after Sleeve Gastrectomy in Lebanese Population

Abstract

Introduction. Obesity is increasing worldwide and in Lebanon with a negative impact on the quality of life. The primary objective of this study is to measure the quality of life in obese subjects before and after bariatric surgery, depending on age, sex, and degree of weight loss. A secondary objective is to determine the impact of bariatric surgery on comorbidities associated with obesity. Materials and methods. Patients undergoing laparoscopic sleeve gastrectomy for BMI ≥ 30 kg/m2 between August 2016 and April 2017 were included. Participants completed the Moorehead-Ardelt Quality of Life Questionnaire II (MA II) prior to operation and one year after. Statistical analysis was carried out using SPSS statistics version 20.0. Results. 75 patients participated in the study. The majority were women (75%), and the mean age was 36.3 years. The mean weight loss was 36.57 kg (16–76). Initially, the total MA II score was −0.33 ± 0.93. Postoperatively, it increased to 1.68 ± 0.62 (p≤0.001). All MA II parameters improved after surgery (p≤0.001), but this improvement was independent of age and sex. Improvement in self-esteem, physical activity, work performance, and sexual pleasure was influenced by the degree of weight loss (p≤0.001). All comorbidities associated with obesity regressed significantly after sleeve gastrectomy (p<0.05) with the exception of gastroesophageal reflux and varicose veins of the lower limbs. Conclusion. Sleeve gastrectomy improves quality of life and allows reduction of comorbidities.

Effects of Nursing Guidelines on Postoperative Complications and Quality of Life in Patients Undergoing Bariatric Surgeries

“…Regarding the obesity-related comorbidity, the current study showed that nearly half of the study and control groups were suffering from hypertension and nearly one-quarter of them were suffering from DM (type I & II), while there was no statistically significant difference between the two groups. These results were consistent with Alkassis et al, (23) who conducted a study to assess the QOL pre and post weight loss surgery among the Lebanese population, and reported that a large proportion of the participants were hypertensive, diabetic and dyslipidemic.…”

“…Bahgat, (28) who mentioned that improving the level of knowledge in patients had a significant impact on reducing or preventing postoperative complications, improving the quality of life, and improve health. These findings were supported by another study held by Alkassis et al, (23) who reported that the weight loss surgery improves QOL and allows the reduction of concomitant diseases.…”

Mudanças ocorridas após a cirurgia bariátrica: revisão integrativa da literatura

“…A caracterização dos resultados está descrita no Quadro 1. Dos artigos, notou-se que a técnica cirúrgica de Sleeve e Bypass gástrico, foram os procedimentos mais frequentes (Lechaux, Foll & Rascle, 2020;Akkayaoglu & Çelik, 2020;Cherick et al, 2019;Castanha et al, 2018;Major et al, 2016;Alkassis et al, 2019;Griauzde et al, 2018;Mendes &Vargas, 2017;Vegel et al, 2017;Tarride et al, 2016). Somente um Research, Society and Development, v. 10, n. 3, e31410313329, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i3.13329 estudo (Edward et al, 2018) foi realizado exclusivamente com participantes do sexo masculino.…”

“…Ao diminuir o peso corporal, houve melhora no perfil bioquímico (Oliveira et al, 2018;Castanha et al, 2018;Alkassis et al, 2019;Mendes & Vargas, 2017). Observou-se também, que a cirurgia bariátrica foi eficaz para minimizar os efeitos e/ou sintomas das comorbidades, como diabetes mellitus e hipertensão arterial (Lechaux, Foll & Rascle, 2020;Yilmaz & Yilmaz, 2019;Castanha et al, 2018;Vegel et al, 2017;Alkassis et al, 2019;Mendes & Vargas, 2017).…”

“…Na classe II, demonstrou-se que a perda de peso impactou positivamente a qualidade de vida dos participantes que se submeteram a cirurgia bariátrica (Oliveira et al, 2018;Lechaux, Foll & Rascle, 2020;Yilmaz & Yilmaz, 2019;Major et al, 2016;Vegel et al, 2017;Alkassis et al, 2019;Mendes & Vargas, 2017;Tarride et al, 2017), observando-se aumento na satisfação em relação ao corpo, melhora na função sexual, nos sintomas depressivos, na autoestima e nas relações interpessoais (Cherick et al, 2019;Griauzde et al, 2018). Além destes, após a cirurgia bariátrica, os participantes modificaram seus hábitos de vida, adotando uma alimentação saudável e tornando-se mais ativos (Akkayaoğlu & Çelik, 2020), o que resultou na redução de dores e desconfortos associadas a atividades do cotidiano (Tarride et al, 2017).…”