Skip to main content

Advertisement

SpringerLink
Log in

Gastrointestinal Quality of Life Improves Significantly After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—a Prospective Cross-Sectional Study Within a 2-Year Follow-up

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Introduction

Morbidly obese patients have lower quality of life (QOL) when compared to the general population. So far, no studies have compared gender and procedural differences in gastrointestinal QOL after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB).

Methods

Patients before and after bariatric surgery completed the gastrointestinal quality of life index (GIQLI), a 36-item questionnaire with five subscores. Differences between SG and RYGB were analyzed, as were gender differences.

Results

Some 186 patients completed the questionnaire, 75 before surgery, 56 within 6 months, and 55 within 24 months after surgery. Total GIQLI score and all subscores were significantly better within 24 months after surgery (80.9 ± 19.2 vs. 109.2 ± 17.7, p < 0.001). The specific gastrointestinal items ‘feeling of fullness’, ‘eating pleasure’, ‘slow speed of eating’, and ‘diarrhea’ were also significantly better after surgery whereas many other gastrointestinal items were not different. Total GIQLI score was significantly higher for SG than for RYGB within 6 months, while there were no significant differences within 24 months after surgery. There were also no significant differences in specific gastrointestinal items between SG and RYGB within 24 months after surgery and in total GIQLI score between female and male patients.

Conclusion

Total GIQLI score and all subscores were higher within 24 months after bariatric surgery. Total GIQLI score was significantly higher after SG when compared to RYGB within 6 months, but not different within 24 months after surgery. There was no difference in total GIQLI score between female and male patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Abbreviations

BMI:

Body mass index

DMII:

Diabetes mellitus type II

EWL:

Excess weight loss

GERD:

Gastroesophageal reflux disease

GIQLI:

Gastrointestinal quality of life index

QOL:

Quality of life

RCT:

Randomized controlled trial

RYGB:

Roux-Y gastric bypass

SG:

Sleeve gastrectomy

References

  1. Gellner R, Domschke W. Epidemiology of obesity. Chirurg. 2008;79(9):807–10. 812-6, 818

    Article  CAS  PubMed  Google Scholar 

  2. Ogden CL et al. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA. 2014;311(8):806–14.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Fruhbeck G et al. Obesity: the gateway to ill health—an EASO position statement on a rising public health, clinical and scientific challenge in Europe. Obes Facts. 2013;6(2):117–20.

    Article  PubMed  Google Scholar 

  4. Guh DP et al. The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. BMC Public Health. 2009;9:88.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Kuk JL et al. Edmonton Obesity Staging System: association with weight history and mortality risk. Appl Physiol Nutr Metab. 2011;36(4):570–6.

    Article  PubMed  Google Scholar 

  6. Andersen JR et al. Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies. Surg Obes Relat Dis. 2015;11(2):466–73.

    Article  PubMed  Google Scholar 

  7. Jia H, Lubetkin EI. The impact of obesity on health-related quality-of-life in the general adult US population. J Public Health (Oxf). 2005;27(2):156–64.

    Article  Google Scholar 

  8. Kolotkin RL, Meter K, Williams GR. Quality of life and obesity. Obes Rev. 2001;2(4):219–29.

    Article  CAS  PubMed  Google Scholar 

  9. Clements RH et al. Gastrointestinal symptoms are more intense in morbidly obese patients and are improved with laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2003;13(4):610–4.

    Article  PubMed  Google Scholar 

  10. Yu P-J. Impairment of gastrointestinal quality of life in severely obese patients. World J Gastroenterol. 2014;20(22):7027.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Poves I et al. Gastrointestinal quality of life after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2006;16(1):19–23.

    Article  PubMed  Google Scholar 

  12. Mingrone G et al. Bariatric–metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial. Lancet. 2015;386(9997):964–73.

    Article  PubMed  Google Scholar 

  13. Sjostrom L. Review of the key results from the Swedish Obese Subjects (SOS) trial—a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273(3):219–34.

    Article  CAS  PubMed  Google Scholar 

  14. Sjostrom L. Bariatric surgery and reduction in morbidity and mortality: experiences from the SOS study. Int J Obes. 2008;32(Suppl 7):S93–7.

    Article  Google Scholar 

  15. Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23(4):427–36.

    Article  PubMed  Google Scholar 

  16. Sarwer DB, Steffen KJ. Quality of life, body image and sexual functioning in bariatric surgery patients. Eur Eat Disord Rev. 2015;23(6):504–8.

    Article  PubMed  Google Scholar 

  17. Overs SE et al. Food tolerance and gastrointestinal quality of life following three bariatric procedures: adjustable gastric banding, Roux-en-Y gastric bypass, and sleeve gastrectomy. Obes Surg. 2011;22(4):536–43.

    Article  Google Scholar 

  18. Hachem A, Brennan L. Quality of life outcomes of bariatric surgery: a systematic review. Obes Surg. 2015; doi:10.1007/s11695-015-1940-z.

    Google Scholar 

  19. Eypasch E et al. Gastrointestinal quality of life index: development, validation and application of a new instrument. Br J Surg. 1995;82(2):216–22.

    Article  CAS  PubMed  Google Scholar 

  20. Lee YC et al. Gastrointestinal quality of life following bariatric surgery in Asian patients. Hepato-Gastroenterology. 2013;60(124):759–61.

    PubMed  Google Scholar 

  21. Lee WJ et al. Gastro-intestinal quality of life after metabolic surgery for the treatment of type 2 diabetes mellitus. Obes Surg. 2015;25(8):1371–9.

    Article  PubMed  Google Scholar 

  22. Ser KH et al. Experience in laparoscopic sleeve gastrectomy for morbidly obese Taiwanese: staple-line reinforcement is important for preventing leakage. Surg Endosc. 2010;24(9):2253–9.

    Article  PubMed  Google Scholar 

  23. Forgione A et al. Prospective evaluation of functional outcome after laparoscopic sigmoid colectomy. Ann Surg. 2009;249(2):218–24.

    Article  PubMed  Google Scholar 

  24. Mathus-Vliegen EM. Long-term weight loss after bariatric surgery in patients visited at home outside the study environment. Obes Surg. 2006;16(11):1508–19.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We would like to thank Mr. Jonathan D. Hendrie for proofreading of the manuscript, and we would like to thank Ms. Marion Link for helping with the organization of the study.

Author Contributions

Study conception and design: LF, FN, HGK, BPM; acquisition of data: FN, LS, ATB, HGK, LF; analysis and interpretation of data: LF, FN, ATB, LS, TB; drafting of manuscript: FN, LS; critical revision: LF, TB, HGK, BPM.

Author information

Authors and Affiliations

  1. Department of General, Visceral, and Transplant Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany

    Felix Nickel, Lukas Schmidt, Adrian T Billeter, Hannes G Kenngott, Beat-Peter Müller-Stich & Lars Fischer

  2. Institute for Medical Biometry and Informatics, University of Heidelberg, Im Neuenheimer Feld 305, 69120, Heidelberg, Germany

    Thomas Bruckner

Authors
  1. Felix Nickel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Lukas Schmidt
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Thomas Bruckner
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Adrian T Billeter
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hannes G Kenngott
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Beat-Peter Müller-Stich
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Lars Fischer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Lars Fischer.

Ethics declarations

Conflict of Interest

The authors declare that they have no competing interests.

Ethical Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent Statement

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nickel, F., Schmidt, L., Bruckner, T. et al. Gastrointestinal Quality of Life Improves Significantly After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—a Prospective Cross-Sectional Study Within a 2-Year Follow-up. OBES SURG 27, 1292–1297 (2017). https://doi.org/10.1007/s11695-016-2464-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-016-2464-x

Keywords

Search

Navigation