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Published in:

01-03-2009

Health-related quality of life following vertical banded gastroplasty

Authors: Gerbrand C. M. van Hout, Frederiek A. M. Fortuin, Aline J. M. Pelle, Marieke E. Blokland-Koomen, Guus L. van Heck

Published in: Surgical Endoscopy | Issue 3/2009

Abstract

Background

Morbid obesity is associated with increased risks of morbidity and mortality as well as poor quality of life (QoL). Therefore, the goal of bariatric surgery should not only be reducing weight and treatment of comorbid conditions, but also improving QoL. Moreover, enhanced QoL may motivate patients to adhere to adequate health behavior in order to maintain the surgically established weight loss.

Methods

We evaluated early postoperative health-related quality of life (HRQoL) over time. Preoperatively as well as 6, 12, and 24 months after vertical banded gastroplasty (VBG), 107 patients were psychologically assessed using a semistructured interview and the RAND 36-item Health Survey (RAND-36).

Results

Over time, we found significant changes in weight: 2 years after surgery, excess weight loss (EWL) was 58.4%. HRQoL showed significant improvements over time, especially in the physical domains. Two years after surgery, 74% of patients were satisfied with the results of the operation and 94.1% would opt for surgery again.

Conclusions

VBG not only leads to considerable weight loss, but also to significant improvements in HRQoL. However, some of the initially reported improvements lessened over time and not all patients appeared to profit in the same way.

Fabricatore AN, Wadden TA, Sarwer DB, Faith MS (2005) Health-related quality of life and symptoms of depression in extremely obese persons seeking bariatric surgery. Obes Surg 15:304–309PubMedCrossRef

Van Hout GCM, Boekestein P, Fortuin FAM, Pelle AJM, Van Heck GL (2006) Psychosocial functioning following bariatric surgery. Obes Surg 16:787–794PubMedCrossRef

Schirmer B, Watts SH (2004) Laparoscopic bariatric surgery. Surg Endosc 18:1875–1878

Foster GD, Wadden TA, Phelan SP, Sarwer DB, Sanderson RS (2001) Obese patients’ perceptions of treatment outcomes and the factors that influence them. Arch Intern Med 161:2133–2139PubMedCrossRef

Oria HE, Moorehead MK (1998) Bariatric analysis and reporting outcome system (BAROS). Obes Surg 8:487–499PubMedCrossRef

Callegari A, Michelini I, Sguazzin C, Catona A, Klersy C (2005) Efficacy of the SF-36 questionnaire in identifying obese patients with psychological discomfort. Obes Surg 15:254–260PubMedCrossRef

Bocchieri LE, Meana M, Fisher BL (2002) A review of psychosocial outcomes of surgery for morbid obesity. J Psychosom Res 52:155–165PubMedCrossRef

Mathus-Vliegen EM, de Weerd S, de Wit LT (2004) Health-related quality-of-life in patients with morbid obesity after gastric banding for surgically induced weight loss. Surgery 135:489–497PubMedCrossRef

Mamplekou E, Komesidou V, Bissias CH, Papakonstantinou A, Melissas J (2005) Psychological condition and quality of life in patients with morbid obesity before and after surgical weight loss. Obes Surg 15:1177–1184PubMedCrossRef

10.

Sabbioni ME, Dickson MH, Eychmuller S, Franke D, Goetz S, Hürny C, Naef M, Balsiger B, de Marco D, Bürgy U, Büchler MW (2002) Intermediate results of health related quality of life after vertical banded gastroplasty. Int J Obes Relat Metab Disord 26:277–280PubMedCrossRef

11.

Tolonen P, Victorzon M, Makela J (2004) Impact of laparoscopic adjustable gastric banding for morbid obesity on disease-specific and health-related quality of life. Obes Surg 14:788–795PubMedCrossRef

12.

Hell E, Miller KA, Moorehead MK, Norman S (2000) Evaluation of health status and quality of life after bariatric surgery: comparison of standard Roux-en-Y gastric bypass, vertical banded gastroplasty and laparoscopic adjustable silicone gastric banding. Obes Surg 10:214–219PubMedCrossRef

13.

Buddeberg-Fischer B, Klaghofer R, Sigrist S, Buddeberg C (2004) Impact of psychosocial stress and symptoms on indication for bariatric surgery and outcome in morbidly obese patients. Obes Surg 14:361–369PubMedCrossRef

14.

Buddeberg-Fischer B, Klaghofer R, Krug L, Buddeberg C, Müller MK, Schoeb O, Weber M (2006) Physical and psychosocial outcome in morbidly obese patients with and without bariatric surgery: a 4 ½ year follow up. Obes Surg 16:321–330PubMedCrossRef

15.

Shai I, Henkin Y, Weitzman S, Levi I (2003) Determinants of long-term satisfaction after vertical banded gastroplasty. Obes Surg 13:269–274PubMedCrossRef

16.

Pérez N, Baltasar A, Serra C, Ferri L, Bou R, Bengochea M (2005) Comparative analysis of vertical banded gastroplasty and duodenal switch at five years follow-up. Obes Surg 15:1061–1065PubMedCrossRef

17.

Ballantyne GH (2003) Measuring outcomes following bariatric surgery: weight loss parameters, improvement in co-morbid conditions, change in quality of life and patient satisfaction. Obes Surg 13:954–964PubMedCrossRef

18.

Foster GD, Wadden TA, Vogt RA, Brewer G (1997) What is a reasonable weight loss? Patients’ expectations and evaluations of obesity treatment outcomes. J Consult Clin Psychol 65:79–85PubMedCrossRef

19.

MacLean LD, Rhode BM, Forse RA (1993) A gastroplasty that avoids stapling in continuity. Surgery 113:380–388PubMed

20.

Van Gemert WG, Adang EMM, Kop M, Vos G, Greve JW, Soeters PB (1999) A prospective cost-effectiveness analysis of vertical banded gastroplasty for the treatment of morbid obesity. Obes Surg 9:484–491PubMedCrossRef

21.

Hays RD, Sherbourne CD, Mazel RM (1993) The RAND-36 Item Health Survey 1.0. Health Econ 2:217–227PubMedCrossRef

22.

Van der Zee KI, Sanderman R (1993) Het meten van de algemene gezondheidstoestand met de RAND-36. Een handleiding [Measuring of general health-state with the RAND–36. A manual] Noordelijk Centrum voor Gezondheidsvraagstukken/ RUG, Groningen

23.

Ware JE, Sherbourne CD (1992) The RAND-36 Short-form Health Status Survey: 1. Conceptual framework and item selection. Med Care 30:473–481PubMedCrossRef

24.

Ware JE, Kosinski MA, Kelle SD (1994) Sf-36 physical and mental health summary scales: a user’s manual The Health Institute. New England Medical Center, Boston

25.

Evers A, Vliet-Mulder JC van, Groot CJ (2000) Documentatie van tests en testresearch in Nederland [Documentation of tests and testresearch in the Netherlands] NIP 2000, Amsterdam

26.

de Zwaan M, Lancaster KL, Mitchell JE, Howell LM, Monson N, Roerig JL, Crosby RD (2002) Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg 12:773–780PubMedCrossRef

27.

IFSO (1997) Statement on patient selection for surgery. Obes Surg 7:41CrossRef

28.

Deitel M, Gawdat K, Melissas J (2007) Reporting weight loss 2007. Obes Surg 17:565–568PubMedCrossRef

29.

Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, Hillsdale, NJ

30.

Kalfarentzos F, Skroubis G, Kehagias I, Mead N, Vagenas K (2006) A prospective comparison of vertical banded gastroplasty and Roux-en-Y gastric bypass in a non-superobese population. Obes Surg 16:151–158PubMedCrossRef

31.

Wang W, Yu P-J, Lee Y-C, Wei PL, Lee WJ (2005) Laparoscopic vertical banded gastroplasty: 5 year results. Obes Surg 15:1299–1303PubMedCrossRef

32.

Ahroni JH, Montgomery KF, Watkins BM (2005) Laparoscopic adjustable gastric banding: weight loss, co-morbidities, medication usage and quality of life at one year. Obes Surg 15:641–647PubMedCrossRef

33.

Eypasch E, Williams JI, Wood-Dauphinée S, Ure BM, Schmulling C, Neugebauer E, Troidl H (1995) Gastrointestinal Quality of Life Index: development, validation and application of a new instrument. Br J Surg 82:216–222PubMedCrossRef

34.

Kolotkin RL, Crosby RD, Kosloski KD, Williams GR (2001) Development of a brief measure to assess quality of life in obesity. Obes Res 9:102–111PubMedCrossRef

35.

Van Gemert W, Adang EM, Greve JW, Soeters PB (1998) Quality of life assessment of morbidly obese patients: effect of weight-reducing surgery. Am J Clin Nutr 67:197–201PubMed

36.

Hörchner R, Tuinebreijer MW, Kelder PH (2001) Quality-of-life assessment of morbidly obese patients who have undergone a Lap-Band® operation: 2-year follow-up study. Is the MOS SF-36 a useful instrument to measure quality of life in morbidly obese patients? Obes Surg 11:212–219PubMedCrossRef

37.

Sauerland F, Angrisani L, Belachew M, Chevallier JM, Favretti M, Finer N, Fingerhut A, García Caballero M, Guisado Macias JA, Mittermair R, Morino M, Msika S, Rubino F, Tacchino R, Weiner R, Neugebauer E (2005) Obesity surgery: evidence-based guidelines of the European Association for Endoscopic Surgery (EAES). Surg Endosc 19:200–221PubMedCrossRef

38.

Standards Committee, American Society for Bariatric Surgery (1997) Guidelines for reporting results in bariatric surgery. Obes Surg 7:521–522CrossRef

39.

Renquist KE, Cullen JJ, Barnes D, Tang S, Doherty C, Mason EE (1995) The effect of follow up on reporting success for obesity surgery. Obes Surg 5:285–292PubMedCrossRef

40.

Bocchieri LE, Meana M, Fisher BL (2002) A review of psychosocial outcomes of surgery for morbid obesity. J Psychosom Res 52:155–165PubMedCrossRef

41.

Sarwer DB, Wadden TA, Fabricatore AN (2005) Psychosocial and behavioral aspects of bariatric surgery. Obes Res 13:639–648PubMedCrossRef

42.

Arribas del Amo D, Martínez Díez M, Guedea ME, Diago VA (2004) Vertical banded gastroplasty: is it a durable operation for morbid obesity? Obes Surg 14:536–538CrossRef

Title: Health-related quality of life following vertical banded gastroplasty
Authors: Gerbrand C. M. van Hout
Frederiek A. M. Fortuin
Aline J. M. Pelle
Marieke E. Blokland-Koomen
Guus L. van Heck
Publication date: 01-03-2009
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 3/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-008-9860-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Health-related quality of life following vertical banded gastroplasty

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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