Original articleQuality of life before and after laparoscopic sleeve gastrectomy. A prospective cohort study
Section snippets
Methods
Morbidly obese patients, admitted for LSG in our Bariatric Unit, over a 30-month period, were consecutively enrolled. Patients who had undergone other bariatric intervention in the past were excluded. The validated Greek version of the MAII obesity-specific questionnaire [14] was offered to the patients, filled in, and collected on the day before operation. MAII questionnaire is a validated, disease-specific instrument that measures QOL in the morbidly obese population before and after surgery.
Results
A total of 118 patients were recruited of which 111 were included in the study (60 females, 51 males). Three patients were excluded due to a prior bariatric operation and 4 were lost in follow-up. The mean age of the patients was 36.8±9.2 years (range 20–56), and the mean BMI was 49.1±7.5 kg/m2 (range 37.4–71.0). Perioperative mortality was 0%.
The percentage of excess BMI loss (%EBL) reached 51.1±14.9, 64.2±17.9, and 66.4±18.0 at 6, 12, and 24 months, respectively. At 24 months postoperatively,
Discussion
LSG has been established as a standalone bariatric operation [19], [20], [21], with proved efficacy on weight loss and co-morbidity resolution in the long term [19], [20], [21], [22], [23]. However, with the exception of a single study addressing QOL after LSG by using an obesity-specific QOL instrument [8], prospective QOL results are extremely scarce in the literature. Herein, we present the first prospective, QOL-oriented, cohort study regarding LSG, with the use of the obesity-specific MAII
Conclusion
LSG, a safe and effective procedure, results in a significant improvement in all aspects of QOL as measured by a disease-specific questionnaire. This improvement seems to be better maintained in female patients at the end of the 2nd postoperative year. Higher QOL is associated with weight loss, but more importantly with the resolution of co-morbidities and especially type 2 diabetes and sleep apnea syndrome.
Disclosures
The authors have no commercial associations that might be a conflict of interest in relation to this article.
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2017, Journal of Surgical ResearchCitation Excerpt :This improvement in QoL is consistent with other studies that have investigated QoL changes for bariatric surgery patients. Charalampakis et al. reported that MAQoLII scores increased from −0.40 to +1.75 at 6 mo, +2.18 at 12 mo, and +1.95 at 24 mo in a Greek population.16 Zhang et al. found in a prospective Chinese study of 64 LRYGB and LSG patients that MAQoLII scores increased from 0.42 to 1.59 for LRYGB patients and 0.38 to 1.62 for LSG patients 1 y after surgery.18