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Open Access 01-03-2021 | Sleeve Gastrectomy | Brief Communication

Long-Term Quality of Life Outcomes After Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—a Comparative Study

Authors: Cristina Fiorani, Sophie R. Coles, Myutan Kulendran, Emma Rose McGlone, Marcus Reddy, Omar A. Khan

Published in: Obesity Surgery | Issue 3/2021

Abstract

Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have been shown to improve metabolic comorbidities as well as quality of life (QoL) in the obese population. The vast majority of previous studies have investigated the metabolic effects of bariatric surgery and there is a dearth of studies examining long-term QoL outcomes post bariatric surgery. The outcomes of 43 patients who underwent bariatric surgery were prospectively assessed, using BAROS questionnaires to quantify QoL and metabolic status pre-operatively, at 1 year and at 8 years. Total weight loss and comorbidity resolution were similar between RYGB and SG. The RYGB cohort experienced greater QoL improvement from baseline and had higher BAROS scores at 8 years. RYGB may provide more substantial and durable long-term benefits as compared to SG.

Salminen P, Helmiö M, Ovaska J, et al. Effect of laparoscopic sleeve gastrectomy vs laparoscopic roux-en-Y gastric bypass on weight loss at 5 years among patients with morbid obesity: the SLEEVEPASS randomized clinical trial. Jama. 2018;319(3):241–54. https://doi.org/10.1001/jama.2017.20313.CrossRefPubMedPubMedCentral

Peterli R, Wölnerhanssen B, Peters T, et al. Effect of laparoscopic sleeve gastrectomy vs laparoscopic roux-en-Y gastric bypass on weight loss in patients with morbid obesity: the SM-BOSS randomized clinical trial. Jama. 2018;319(3):255–65. https://doi.org/10.1001/jama.2017.20897.CrossRefPubMedPubMedCentral

Oria HE, Moorehead MK. Bariatric analysis and reporting outcome system (BAROS). Obes Surg. 1998;8(5):487–99. https://doi.org/10.1381/096089298765554043.CrossRefPubMed

Khan OA, McGlone ER, Maynard W, et al. Single-stage conversions from failed gastric band to sleeve gastrectomy versus Roux-en-Y gastric bypass: results from the United Kingdom National Bariatric Surgical Registry. Surg Obes Relat Dis. 2018;14(10):1516–20. https://doi.org/10.1016/j.soard.2018.06.017.CrossRefPubMed

Bobowicz M, Lehmann A, Orlowski M, et al. Preliminary outcomes 1 year after laparoscopic sleeve gastrectomy based on bariatric analysis and reporting outcome system (BAROS). Obes Surg. 2011;21(12):1843–8. https://doi.org/10.1007/s11695-011-0403-4.CrossRefPubMedPubMedCentral

D’Hondt M, Vanneste S, Pottel H, et al. Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss. Surg Endosc. 2011;25(8):2498–504. https://doi.org/10.1007/s00464-011-1572-x.CrossRefPubMed

Suter M, Donadini A, Romy S, et al. Laparoscopic Roux-En-Y gastric bypass: significant long-term weight loss, improvement of obesity-related comorbidities and quality of life. Ann Surg. 2011;254(2):267–73. https://doi.org/10.1097/SLA.0b013e3182263b66.CrossRefPubMed

Harakeh AB, Larson CJ, Mathiason MA, et al. BAROS results in 700 patients after laparoscopic Roux-en-Y gastric bypass with subset analysis of age, gender, and initial body mass index. Surg Obes Relat Dis. 2011;7(1):94–8. https://doi.org/10.1016/j.soard.2010.09.020.CrossRefPubMed

McGlone ER, Bond A, Reddy M, et al. Super-obesity in the elderly: is bariatric surgery justified? Obes Surg. 2015;25(9):1750–5. https://doi.org/10.1007/s11695-015-1776-6.CrossRefPubMed

10.

Gulliford MC, Booth HP, Reddy M, et al. Effect of contemporary bariatric surgical procedures on type 2 diabetes remission. A population-based matched cohort study. Obes Surg. 2016;26(10):2308–15. Published online 2016 Feb 27. https://doi.org/10.1007/s11695-016-2103-6.CrossRefPubMedPubMedCentral

Title: Long-Term Quality of Life Outcomes After Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—a Comparative Study
Authors: Cristina Fiorani
Sophie R. Coles
Myutan Kulendran
Emma Rose McGlone
Marcus Reddy
Omar A. Khan
Publication date: 01-03-2021
Publisher: Springer US
Keywords: Sleeve Gastrectomy
Bariatric Surgery
Bariatric Surgery
Published in: Obesity Surgery / Issue 3/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-020-05049-3

At a glance: The STEP trials

Springer Medicine

Long-Term Quality of Life Outcomes After Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—a Comparative Study

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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