Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 10/2020

Open Access 01-10-2020 | Obesity | Original Contributions

Quality of Life 10 Years After Bariatric Surgery

Authors: Piotr Major, Tomasz Stefura, Błażej Dziurowicz, Joanna Radwan, Michał Wysocki, Piotr Małczak, Michał Pędziwiatr

Published in: Obesity Surgery | Issue 10/2020

Login to get access

Abstract

Purpose

Improvement of the quality of life after bariatric surgery is an important outcome of the treatment. Assessing the long-term QoL results provides better insights into the effectiveness of bariatric surgery.

Materials and Methods

This is a cohort study including patients who underwent bariatric surgery between June 2009 and May 2010 in one academic center. Patients underwent either laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB). Overall, 34 patients underwent LSG (52.3%) and 31 patients underwent LRYGB (47.7%). Preoperatively, and after 1 and 10 years, QoL was assessed using two standardized questionnaires: SF-36 and MA-QoLII. After 10 years, 72% of patients filled out these questionnaires.

Results

The global QoL score before surgery was 48.3 ± 20.6. At the 1-year follow-up, the global total QoL score was 79.7 ± 9.8. At the 10-year follow-up, the global total QoL score was 65.1 ± 21.4. There was a significant increase in total QoL between measurements before the operation and 10 years after surgery in the whole study group (p = 0.001) and for patients who underwent LSG (p = 0.001). There was no significant difference between total QoL prior to surgery and 10 years after for patients who underwent LRYGB (p = 0.450).

Conclusion

LSG led to significant improvement in QoL.
Literature
1.
Mitchell N Catenacci V Wyatt HR Hill J. Obesity: overview of an epidemic 2011;34:717–32.
2.
Waledziak M, Rozanska-Waledziak AM, Kowalewski PK, et al. Present trends in bariatric surgery in Poland. Wideochir Inne Tech Maloinwazyjne. Poland. 2019;14:86–9.PubMed
3.
Padwal R, Klarenbach S, Wiebe N, et al. Bariatric surgery: a systematic review of the clinical and economic evidence. J Gen Intern Med. 2011;26:1183–94.PubMedPubMedCentral
4.
Picot J, Jones J, Colquitt JL, Gospodarevskaya E, Loveman E, Baxter L, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Assess. 2009;13:1+.
5.
Courcoulas AP, Yanovski SZ, Bonds D, et al. Long-term outcomes of bariatric surgery a National Institutes of Health symposium. JAMA Surg. 2014;149:1323–9.PubMedPubMedCentral
6.
Courcoulas AP, King WC, Belle SH, et al. Seven-year weight trajectories and health outcomes in the longitudinal assessment of bariatric surgery (LABS) study. JAMA Surg United States. 2018;153:427–34.PubMed
7.
Sheng B, Truong K, Spitler H, Zhang L, Tong X. The long-term effects of bariatric surgery on type 2 diabetes remission, microvascular and macrovascular complications, and mortality : a systematic review and meta-analysis. Obes Surg; 2017.
8.
9.
10.
Urbach DR. Measuring quality of life after surgery. Surg Innov United States. 2005;12:161–5.PubMed
11.
Trooboff SW, Stucke RS, Riblet NBV, et al. Psychosocial outcomes following adolescent metabolic and bariatric surgery : a systematic review and meta-analysis. Obes Surg. 2019;29:3653–64.PubMed
12.
Biron S, Biertho L, Marceau S, et al. Long-term follow-up of disease-specific quality of life after bariatric surgery. Surg Obes Relat Dis. United States. 2018;14:658–64.PubMed
13.
Raoof M, Näslund I, Rask E, et al. Health-related quality-of-life (HRQoL) on an average of 12 years after gastric bypass surgery. Obes Surg. 2015;25:1119–27.PubMed
14.
de Zwaan M, Lancaster KL, Mitchell JE, et al. Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg. United States. 2002;12:773–80.PubMed
15.
Laurino Neto RM, Herbella FAM. Changes in quality of life after short and long term follow-up of Roux-en-Y gastric bypass for morbid obesity. Arq Gastroenterol Brazil. 2013;50:186–90.PubMed
16.
Budzyński A, Major P, Głuszek S, et al. Polskie rekomendacje w zakresie chirurgii bariatrycznej i metabolicznej. Med Prakt – Chir. 2016;6:13–25.
17.
Major P, Stefura T, Malczak P, et al. Postoperative care and functional recovery after laparoscopic sleeve gastrectomy vs. laparoscopic Roux-en-Y gastric bypass among patients under ERAS protocol. Obes Surg. 2018;28:1031–9.PubMed
18.
Ware JEJ, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. United States. 1992;30:473–83.PubMed
19.
Moorehead MK, Ardelt-Gattinger E, Lechner H, et al. The validation of the Moorehead-Ardelt quality of life questionnaire II. Obes Surg. 2003;13:684–92.PubMed
20.
21.
Lindekilde N, Gladstone BP, Lubeck M, et al. The impact of bariatric surgery on quality of life: a systematic review and meta-analysis. Obes Rev England. 2015;16:639–51.PubMed
22.
Kolotkin RL, Andersen JR. A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life. Clin Obes England. 2017;7:273–89.PubMedPubMedCentral
23.
Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014.
24.
Hayoz C, Hermann T, Raptis DA, et al. Comparison of metabolic outcomes in patients undergoing laparoscopic roux-en-Y gastric bypass versus sleeve gastrectomy - a systematic review and meta-analysis of randomised controlled trials. Swiss Med Wkly. Switzerland. 2018;148:w14633.PubMed
25.
Peterli R, Wolnerhanssen BK, 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;319:255–65.PubMedPubMedCentral
26.
Salminen P, Helmio 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;319:241–54.PubMedPubMedCentral
27.
Osland E, Yunus RM, Khan S, et al. Weight loss outcomes in laparoscopic vertical sleeve gastrectomy (LVSG) versus laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures: a meta-analysis and systematic review of randomized controlled trials. Surg Laparosc Endosc Percutan Tech. United States. 2017;27:8–18.PubMed
28.
Kowalewski PK, Olszewski R, Waledziak MS, et al. Long-term outcomes of laparoscopic sleeve gastrectomy-a single-center, Retrospective Study. Obes Surg United States. 2018;28:130–4.PubMed
29.
Mehaffey JH, LaPar DJ, Clement KC, et al. 10-year outcomes after Roux-en-Y gastric bypass. Ann Surg United States. 2016;264:121–6.PubMed
30.
Kothari SN, Borgert AJ, Kallies KJ, et al. Long-term (>10-year) outcomes after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. United States. 2017;13:972–8.PubMed
31.
Mandeville Y, Van Looveren R, Vancoillie P-J, et al. Moderating the enthusiasm of sleeve gastrectomy: up to fifty percent of reflux symptoms after ten years in a consecutive series of one hundred laparoscopic sleeve gastrectomies. Obes Surg. United States. 2017;27:1797–803.PubMed
32.
Sadot E, Spivak H. Weight loss after laparoscopic band-to-bypass revision compared with primary gastric bypass: long-term outcomes. Surg Laparosc Endosc Percutan Tech. United States. 2015;25:258–61.PubMed
33.
Spivak H, Abdelmelek MF, Beltran OR, et al. Long-term outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in the United States. Surg Endosc. Germany. 2012;26:1909–19.PubMed
34.
Maciejewski ML, Arterburn DE, Van Scoyoc L, et al. Bariatric surgery and long-term durability of weight loss. JAMA Surg. United States. 2016;151:1046–55.PubMedPubMedCentral
35.
Mantziari S, Dayer A, Duvoisin C, et al. Long-term weight loss, metabolic outcomes, and quality of life at 10 years after Roux-en-Y gastric bypass are independent of patients’ age at baseline. Obes Surg. 2020;30:1181–8.PubMed
36.
Golzarand M, Toolabi K, Farid R. The bariatric surgery and weight losing: a meta-analysis in the long- and very long-term effects of laparoscopic adjustable gastric banding, laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy on weight loss in adults. Surg Endosc Germany. 2017;31:4331–45.PubMed
37.
Charalampakis V, Bertsias G, Lamprou V, et al. Quality of life before and after laparoscopic sleeve gastrectomy. A prospective cohort study. Surg Obes Relat Dis. United States. 2015;11:70–6.PubMed
38.
Amichaud R, Donatini G, Barussaud ML, et al. Health-related quality of life after laparoscopic sleeve gastrectomy. A multicentric experience. Minerva Chir. Italy. 2016;71:245–51.PubMed
39.
40.
Macano CAW, Nyasavajjala SM, Brookes A, et al. Comparing quality of life outcomes between laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass using the RAND36 questionnaire. Int J Surg England. 2017;42:138–42.PubMed
41.
Biter LU, van Buuren MMA, Mannaerts GHH, et al. Quality of life 1 year after laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass: a randomized controlled trial focusing on gastroesophageal reflux disease. Obes Surg. United States. 2017;27:2557–65.PubMed
42.
Takemoto E, Wolfe BM, Nagel CL, et al. Physical and mental health-related quality of life changes among insurer subgroups following bariatric surgery. Obesity (Silver Spring). 2020;28:669–75.
43.
Driscoll S, Gregory DM, Fardy JM, et al. Long-term health-related quality of life in bariatric surgery patients: a systematic review and meta-analysis. Obesity (Silver Spring). United States. 2016;24:60–70.
44.
Csendes A, Orellana O, Martinez G, Burgos AM, Figueroa M, Lanzarini E. Clinical, endoscopic, and histologic findings at the distal esophagus and stomach before and late (10.5 years) after laparoscopic sleeve gastrectomy: results of a prospective study with 93% follow-up. Obes Surg. United States; 2019;
45.
Obinwanne KM, Fredrickson KA, Mathiason MA, et al. Incidence, treatment, and outcomes of iron deficiency after laparoscopic Roux-en-Y gastric bypass: a 10-year analysis. J Am Coll Surg United States. 2014;218:246–52.PubMed
46.
Sharples AJ, Cheruvu CVN. Systematic review and meta-analysis of occupational outcomes after bariatric surgery. Obes Surg United States. 2017;27:774–81.PubMed
47.
Higa K, Ho T, Tercero F, et al. Laparoscopic Roux-en-Y gastric bypass: 10-year follow-up. Surg Obes Relat Dis United States. 2011;7:516–25.PubMed
48.
Angrisani L, Cutolo PP, Formisano G, et al. Laparoscopic adjustable gastric banding versus Roux-en-Y gastric bypass: 10-year results of a prospective, randomized trial. Surg Obes Relat Dis. United States. 2013;9:405–13.PubMed
Metadata
Title
Quality of Life 10 Years After Bariatric Surgery
Authors
Piotr Major
Tomasz Stefura
Błażej Dziurowicz
Joanna Radwan
Michał Wysocki
Piotr Małczak
Michał Pędziwiatr
Publication date
01-10-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04726-7

Other articles of this Issue 10/2020

Obesity Surgery 10/2020 Go to the issue

Brief Communication

What Is the Impact of Residual Obesity on the Risk for Postoperative Body-Contouring Surgery Complications in Postbariatric Patients?

Original Contributions

Different Malabsorptive Obesity Surgery Interventions Result in Distinct Postprandial Amino Acid Metabolomic Signatures

Original Contributions

Weight Regain After Gastric Plication: Reoperative Sleeve Gastrectomy or Roux-en-Y Gastric Bypass?—Analysis of 116 Consecutive Cases

Original Contributions

Weight Loss and Eating Pattern 7 Years After Sleeve Gastrectomy: Experience of a Bariatric Center of Excellence

Original Contributions

Cancer Risk After Bariatric Surgery in a Cohort Study from the Five Nordic Countries

Original Contributions

Gastroesophageal Reflux and Laparoscopic Sleeve Gastrectomy: Results of the First International Consensus Conference