The Effect of Laparoscopic Sleeve Gastrectomy on Patients’ Quality of Life in Shiraz (original) (raw)
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Quality of Life after Sleeve “Bariatric” Operations
2023
Background and objectives: Laparoscopic sleeve gastrectomy consider as one of the most effective and common bariatric treatments to lose weight and improve quality of life. Our aim is to evaluate the quality of life after laparoscopic sleeve gastrectomy, in view of their health, social, and psychological well-being. Methods: This study is carried out at Paky Hospital between 01.09.2019 and 31.03.202. We recorded the body mass index, physical examination, and medical history of 50 patients before sleeve gastrectomy with assessing the quality of life after sleeve gastrectomy through a special questionnaire where it is included with core symptoms, physical, psychological, social, operation-specific items and medical updates. Results: More than three-quarter of the patients (90%) became happier with the results after the surgery, (86%) of them became more able to do their daily activities and to cope with stress. 50% of the sample had poor sleep quality, this rate decreased to 26% after the surgery. Out of 50 Patients 10 of them had cardiovascular disease and 9 of them had diabetes, while after operation it decreased to 2 and 3 respectively. Conclusions: Sleeve gastrostomy is associated with significant weight reduction and improvement in the quality of life of obese patients.
2019
Objectives: Although weight loss is the main goal in bariatric surgeries, it is not the only criteria for success. It is necessary to assess patients' Quality of Life (QOL) and overall improvement after Laparoscopic Sleeve Gastrectomy (LSG). Many studies suggest QOL improves following LSG. This study aimed to assess the improvement in QOL and obesity-related co-morbidities post LSG. Methods: A prospective descriptive study was conducted using records of 120 patients who underwent LSG between 2011 and 2017 at three different hospitals in the Qassim region. The BAROS questionnaire was used to assess QOL post-surgery. Patient Health Questionnaire-9 was used to assess depression. The SF-8 Health Survey was also used. Data analysis was carried out using SPSS version 21 and descriptive statistics were used to characterize the patients. We used chi-square for categorical variables and t-test for continuous variables. P-values <0.05 were considered significant. Results: The total BAROS score in 120 patients was n=7(5.8%) failure, n=17(14.2%) fair, n=29 (24.2%) good, n=43 (35.8%) very good, n=24 (20%) excellent. The percentage of excess weight loss was 80.27 ± 21.79%. The QOL score in regard to physical activity, social life, ability to work, and sexual life suggested that most patients showed great improvement except in sexual interest. The most common obesity-related comorbidity was osteoarthritis (27.5%). Conclusions: LSG is a very effective and safe procedure for reducing excess body weight, improving obesity-related comorbidities, and improving QOL in obese individuals.
Obesity surgery, 2016
The aims of our study were to compare quality of life (QOL) in obese patients after bariatric surgery with that in controls seeking surgery and to investigate which factors are associated with QOL in the Moorehead-Ardelt Quality of Life Questionnaire II (MA II). This was a cross-sectional study. The operated group consisted of patients after laparoscopic sleeve gastrectomy or laparoscopic Roux-en-Y gastric bypass. The MA II was administered by e-mail to 305 patients 12-18 months after surgery. The control groups consisted of 101 obese patients. We compared the QOL scores and considered good and very good outcomes to be satisfactory. Multiple logistic regression and correlation analysis was performed to identify factors associated with QOL. In the operated group, the total MA II score was 1.70 ± 0.76, which was higher than 0.59 ± 1.17 in the control group. The score adjusted for the type of surgery was comparable. The prevalence of satisfactory QOL outcomes was similar in both post-o...
Cureus, 2022
Background Obesity has become a major global health challenge, and its prevalence has tripled in the last four decades. Impaired quality of life (QoL) is a strong incentive for severely obese patients to seek help. Sleeve gastrectomy (SG) is the most frequently practiced bariatric procedure worldwide. This study aimed to investigate the QoL and changes in body weight three years post laparoscopic SG. Methods A cross-sectional, observational study was performed in outpatient clinics in Taif city, Saudi Arabia. The study included 147 adult patients who underwent SG at least three years before inclusion in the study. Data were collected using a questionnaire designed based on the validated Bariatric quality of life (BQL) and Gastroesophageal Reflux Disease Health-Related Quality of Life (GERD-HRQoL) surveys. Results All patients were suffering from class I, class II, or class III obesity before undergoing SG. Three years postsurgery, 72.8% reached their normal weight or were overweight (P<0.001). The mean± SD BMI (45± 7.0 kg/m 2) significantly decreased to 26.8± 4.6 kg/m 2 (P<0.001). Most of the participants (78.2%) achieved an excess weight loss percent (EWL%) of 75% or more. The mean± SD BQL score was 45.5± 5.2 points and the median (IQR) GERD-HRQoL score was 7 (15). Higher EWL% was significantly associated with a higher BQL score (P=0.041). Conclusions The current study revealed a better quality of life among patients experiencing higher rates of excess weight loss percent (EWL%) after three years of sleeve gastrectomy as compared to other patients.
Quality of Life after Bariatric Surgery: A Population-based Cohort Study
The American Journal of Medicine, 2009
BACKGROUND: Bariatric surgery leads to profound weight loss, but postoperative complications and psychosocial issues may impact long-term quality of life. The primary aim of this project was to examine whether such patients have better quality of life and self-reported functional status compared with obese adults who do not have bariatric surgery. METHODS: This population-based study of patients evaluated for Roux-en-Y gastric bypass surgery involved a survey consisting of baseline and follow-up single-item overall quality-of-life items (Linear Analogue Self-Assessment Questionnaire; LASA), follow-up quality of life (Short-Form-12), and activity (Goldman's Specific Activity Scale). A total of 268 and 273 surveys were mailed, with 148 (55.2%) operative and 88 (32.2%) nonoperative survey responders assessed, respectively. Linear regression was used, adjusting for changes in co-morbidity and functional status, to assess the differences in quality of life and activity level. Individual predictors of higher or better quality-of-life scores also were assessed. RESULTS: There were no major differences in baseline characteristics between survey responders and nonresponders. Mean follow-up was 4.0 and 3.8 years in the operative and nonoperative groups, respectively. The change in overall LASA from baseline to follow-up between groups was 3.1 Ϯ 0.4 (P Ͻ.001). The adjusted Short-Form-12 score was 14.4 points higher in operative patients (P Ͻ.001) at follow-up. Operative patients had symptomatic improvement as measured by Specific Activity Scale status (odds ratio 7.5, P Ͻ.001) and self-reported exercise tolerance (odds ratio 2.61, P ϭ .01) at follow-up compared with nonoperative patients. Predictors of a high follow-up LASA (P Ͻ.05) included initial treatment for depression, percent of weight lost, and absence of dyslipidemia and cardiovascular disease. Follow-up Short-Form-12 predictors included percent of weight loss, absence of baseline diabetes, baseline depression treatment, and follow-up cardiovascular disease. CONCLUSIONS: Profound weight loss after bariatric surgery, seeking treatment for depression, and absence of medical co-morbidities appears to predict better quality of life and self-reported functional status.
Quality of Life After Bariatric Surgery
Obesity Surgery, 2015
Introduction and Purpose Morbid obesity together with obesity-related diseases has a negative impact on the quality of life. The aim of the study was to assess the quality of life amongst patients with morbid obesity as well as the impact of bariatric treatment on body weight and obesity-related diseases in addition to conducting an analysis of changes in the quality of life after surgical treatments, in the context of the surgical procedure type and degree of body weight loss. Material and Methods Sixty-five patients were treated for morbid obesity. The sample group consisted of 34 patients treated with laparoscopic sleeve gastrectomy (LSG) and 31 persons qualified for laparoscopic Roux-en-Y gastric bypass (LRYGB). The average body weight before the procedure was 146.2 kg. In the sample group, 89 % of persons qualified for the surgical treatments were diagnosed with hypertension and 52 % persons that were operated on were diagnosed with diabetes type 2 before the surgical procedure. Before commencement of the surgical treatment, the quality of life was assessed, which in both groups qualified for given types of bariatric procedures was considerably low. Results and Conclusions Percentage excessive weight loss (%EWL) was 58.8 %. No significant differences in body weight loss were noted between the two types of procedures. Improvement was observed in the treatment of obesity-related diseases. Also, the quality of life was enhanced significantly. No differences were noted in terms of the quality of life improvement between particular types of surgical procedures. No significant differences were observed during the analysis of body weight loss impact on the quality of life improvement.
Bariatric surgery makes dramatic difference to health-related quality of life
The New Zealand medical journal, 2012
To explore the impact of bariatric surgery on health-related quality of life (HRQoL). An audit of patients referred for bariatric procedures. Patients completed Short Form-36 questionnaires at their first pre-operative clinic and at their 6-month follow up appointment after surgery. SF-36 scores were compared with standard parametric tests. 40 patients completed baseline SF-36 questionnaires and underwent bariatric surgery, 28 were surveyed again 6 months post-procedure during the audit period between December 2008 and December 2010. Twenty-three patients underwent laparoscopic Roux-en-Y gastric bypass and five underwent laparoscopic sleeve gastrectomy. The patients were predominantly New Zealand European, female, with a body mass index greater than 40 kg/m2. Significant improvements in health-related quality of life were observed. The physical and mental component summary scores were initially well below the population norms, but increased to the norm 6 months after surgery. The HR...