Clinical Research

Obesity Surgery

, 21:1225

First online:

Observations Regarding ‘Quality of Life’ and ‘Comfort with Food’ After Bariatric Surgery: Comparison Between Laparoscopic Adjustable Gastric Banding and Sleeve Gastrectomy

  • Paul BrunaultAffiliated withClinique Psychiatrique Universitaire, CHRU de Tours
  • , David JacobiAffiliated withService de Médecine Interne-Nutrition, CHRU de ToursInserm U 921, Université François Rabelais de Tours Email author 
  • , Julie LégerAffiliated withInserm CIC 0202CHRU de Tours
  • , Céline Bourbao-TournoisAffiliated withService de Chirurgie Digestive et Endocrinienne, CHRU de Tours
  • , Noël HutenAffiliated withService de Chirurgie Digestive et Endocrinienne, CHRU de Tours
  • , Vincent CamusAffiliated withClinique Psychiatrique Universitaire, CHRU de ToursUMR Inserm U 930, CNRS ERL 3106, Université François Rabelais de Tours
  • , Nicolas BallonAffiliated withUMR Inserm U 930, Université François Rabelais de ToursEquipe de Liaison et de Soins en Addictologie, CHRU de Tours
  • , Charles CouetAffiliated withService de Médecine Interne-Nutrition, CHRU de ToursInserm U 921, Université François Rabelais de Tours

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Abstract

Background

Although laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) are coexisting first-choice restrictive procedures for bariatric surgery candidates, it is possible, given their different modes of action, that these procedures have different effects on quality of life (QOL). We hypothesized that improvement of QOL and comfort with food could be better with LSG compared to LAGB.

Methods

This cohort study included 131 obese patients who had either LAGB (n = 102) or LSG (n = 29). Patients were assessed during preoperative and at 6- and 12-month postoperative visits. Five QOL dimensions were assessed using the ‘Quality of Life, Obesity and Dietetics’ rating scale: physical impact, psycho-social impact, impact on sex life, comfort with food and diet experience. We compared QOL evolution between LAGB and LSG using linear mixed models adjusted for gender and body mass index at each visit.

Results

Excess weight loss was 28.4 ± 14.7% and 34.8 ± 18.4% for LAGB and 35.7 ± 14.3% and 43.8 ± 17.8% for LSG at 6 and 12 months postoperatively, respectively. Both LAGB and LSG provided significant improvement in the physical, psycho-social, sexual and diet experience dimensions of QOL. LSG was associated with better improvement than LAGB in short-term (6-month) comfort with food.

Conclusions

Our results add further evidence to the benefit of LSG and LAGB in obesity management. Within the first year of follow-up, there is no lasting difference in the comfort with food dimension between LSG and LABG.

Keywords

Obesity Bariatric surgery Quality of life Sleeve gastrectomy Gastric banding Cohort study