Weight loss and quality of life after bariatric surgery: a study of 200 patients after vertical gastroplasty or adjustable gastric banding

Abstract

Background and objectives: Long term evaluation of bariatric surgery must include quality of life measurement. Methods: Quality of life (QoL) was evaluated using the original Moorehead-Ardelt questionnaire for 200 patients operated for massive obesity in a single centre between 1994 and 2003. QoL and physical data were obtained by retrospective mail questionnaire. Surgical procedures were vertical-banded gastroplasty according to Mason (VBGM) and adjustable gastric banding (AGB) in 61 and 39% of patients, respectively. The aim of the study was to assess the nutritional outcome and QoL according to the procedure. Results: Overall, the body mass index (BMI) decreased from 5078 kg/m 2 before surgery to 35.277.5 kg/m 2 at the time of the questionnaire. The percentage of weight loss was 28.8712.2%. In the group treated with VBGM, the mean initial weight (P ¼ 0.003) and the percentage of weight loss (Po0.001) were significantly higher, and the QoL was better (P ¼ 0.003) than in the group treated with AGB. On the basis of the time spent since surgery, a regular weight loss was observed during the first 5 years, whereas weight subsequently increased over the five following years. Similarly, the total QoL score gradually improved during the first 5 years and worsened thereafter. However, it remained better than before surgery. A linear regression analysis showed a positive correlation between the percentage of weight loss and the QoL score (Po0.001).Conclusions: This study suggests that the bariatric surgery, particularly the VBGM technique, improved the QoL of obese patients, at least in the first 5 years following surgery.

Relationship between Quality of Life and Weight Loss 1 Year after Gastric Bypass

“…To our knowledge, in the literature, the social field of the HRQoL is explored by a multitude of different questions in different HRQoL questionnaires. This fact makes results difficult to compare and explains the lack of consensus in that field, results ranging from not significant to highly significant improvement in populations similar to ours [8,15,21]. …”

“…This was an expected evolution as this phenomenon has been widely described in the literature [2,7,8,9,14,15,16]. Significant improvement of HRQoL is the rule for all morbidly obese subjects who lost significant amounts of weight due to bariatric surgery [16,17].…”

“…It has been widely proved that weight loss generally improves HRQoL [7,8,9]. What is less clear is which areas of HRQoL improve the most when losing weight and whether the initial HRQoL has an influence or not on weight loss after gastric bypass.…”

Safety, feasibility and weight loss after transoral gastroplasty: First human multicenter study

“…They can be performed by laparoscopy or minilaparotomy (for vertical gastroplasty). Although VBG is now performed less frequently, weight loss from this procedure is good and it remains part of the armamentarium of some expert bariatric surgeons [8]. The vertical sleeve gastrectomy is a newer primarily restrictive procedure with significant weight loss in the short term.…”

A Qualitative Longitudinal Exploration of the Lived Experience of Laparoscopic Adjustable Gastric Banding Surgery

“…Complications following surgery such band slippage, oesophageal dilatation and pouch dilatation have also been explored [29,30]. Data indicates individuals experiencing nausea and vomiting following LAGB have significantly lower weight loss compared to individuals who do not have this complication [31]. Quantitative studies generally indicate that LAGB has positive impacts on individuals, but highlights this is not the case for every individual undergoing surgery [32].…”