Skip to main content
Log in

Quality of Life Assessment After Bariatric Surgery—a Single-Center Experience

  • Original Article
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

Obesity is a current pathology with many clinical, molecular, and psychological implications. The number of obese people has doubled in the past 10 years and we can observe an early onset of obesity. We have used a modified BAROS and SF36TM questionnaire to conduct a descriptive study on 34 obese patients undergoing surgery for obesity—laparoscopic sleeve gastrectomy (LSG). The inclusion criteria were the embodiment of surgery for obesity: BMI (body mass index) >40 kg/m2 or BMI > 35 kg/m2 and associated comorbidities. The postoperative BMI was 25.7670 ± 3.74759 kg/m2 (mean ± SD). The average number of lost kilograms was 38.74 ± 12.526 (mean ± SD), and the average percentage of excess body weight loss (% EBWL) was 85.9952 ± 22.69028% (mean ± SD). Patients lost an average of 36.88–38.56 kg at 6–12 months after surgery, and they reach a % EBWL of 94.69 ± 30.02% and a normal BMI of 23.96 kg/m2 at 18 months postoperatively. All patients significantly reduced the amount of food eaten after surgery. More than 2 years after the surgery, patients increased their food intake by about 30%, but maintained their weight loss and a normal BMI. Related to quality of life, 77.78% of patients declared a vast improvement, 11% a good quality of life, and only 3.7% said that the quality of life is worse than before the surgery. Also, a relationship between quality of life and the improvement of sexual life, or with the increased frequency of physical exercise has been observed. Improving quality of life is directly related with the weight loss, with %EBWL, and with the postoperative BMI. Bariatric surgery should be understood in all the positive changes that it generates in everyday life.

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

Access this article

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

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Mokdad AH, M. J. (2005). Actual causes of death in the United States. JAMA, 293:2934

  2. Oria HE, M. M. (1998). Bariatric analysis and reporting outcome system (BAROS). Obes Surg, 8:48799

    Article  CAS  Google Scholar 

  3. Cuenca RM (2014) Quality of life after bariatric surgery. Arq Gastroenterol 51(3):163–164

    Article  Google Scholar 

  4. Conference N (1991) Gastrointestinal surgery for severe obesity. Consensus development conference panel. Ann Intern Med 115:8561

    Google Scholar 

  5. Ciconelli RM, F. M (1999) Validation of SF36 quality of life questionnaire translated into portuguese (Brazil SF36). Rev Bras Reumatol 39:14350

    Google Scholar 

  6. Ware JE, S. C (1992) The MOS 36 item ShortForm health survey (SF36). I. Conceptual framework and item selection. Med Care 30:47383

    Google Scholar 

  7. van Houta G, G. V (2009) Bariatric psychology, psychological aspects of weight. Obesity Facts 2:10–15

    Article  Google Scholar 

  8. Noel P, Nedelcu M, Nocca D, Schneck AS, Gugenheim J, Iannelli A, Gagner M (2014) Revised sleeve gastrectomy: another option for weight loss failure after sleeve gastrectomy. Surg Endosc 28(4):1096–1102. doi:10.1007/s00464-013-3277-9

    Article  Google Scholar 

  9. Pessina A, A. M (2001) Adaptability and compliance of the obese patient to restrictive gastric surgery in the short term. Obes Surg 11:459–463

    Article  CAS  Google Scholar 

  10. John Roger Andersen, A. A. –I (2014) Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies. Surg Obes 466–473

  11. Glinski J, W. S (2001) The psychology of gastric bypass surgery. Obes Surg 11:581–588

    Article  CAS  Google Scholar 

  12. Piotr Major MM (2015) Quality of life after bariatric surgery. Obes Surg 25:1703–1710

    Article  Google Scholar 

  13. da Cunha COSTA RCN, N. Y-J (2014) Outcomes on quality of life, weight loss and comorbidities after Roux-en-Y gastric bypass. Arq Gastroenterol 51(3):165–170

    Article  Google Scholar 

  14. Boan J, Kolotkin LR, Westman CE, McMahon LR, Grant PJ (2004) Binge eating, quality of life and physical activity improve after Roux-en-Y gastric bypass for morbid obesity. Obez surg 14:341–348

    Article  Google Scholar 

  15. Himpens J, Dobbeleir J, Peeters G (2010) Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg 252(2):319–324. doi:10.1097/SLA.0b013e3181e90b31

    Article  Google Scholar 

  16. Sang Kuon Lee, Yoonseok Heo, Joong-Min Park, Yong-Jin Kim, Seong-Min Kim, Do-Joong Park, Sang-Moon Han, Kyung Won Shim, Yeon-Ji Lee, Ja Youn Lee, and Jin-Won Kwon (2016) Roux-en-Y gastric bypass vs. sleeve gastrectomy vs. gastric banding: the first multicenter retrospective comparative cohort study in obese Korean patients Yonsei Med J 2016 Jul;57(4):956–962 doi. 10.3349/ymj.2016.57.4.956

    Article  CAS  Google Scholar 

  17. Farias MM, G. C-C (2014) Short-term skin reactions associated to sleeve gastrectomy in eight patients. Obes Surg 24(10):1826–1829

    Article  Google Scholar 

  18. James E. Mitchell, Martina de Zwaan (2007) Bariatric surgery: a guide for mental health professionals Routledge, 11 dec

  19. Wolf AM, F. A (2000) BAROS: an effective system to evaluate the results of patients after bariatric surgery. Obes Surg 10:445–450

    Article  CAS  Google Scholar 

  20. Barroqueiro (2009) Sexualidade, ansiedade e depressão em mulheres após cirurgia bariátrica. dissertação São Luis: Universidade Federal do Maranhão, Programa de Pós-Graduação em Ciências da Saúde

  21. Araujo AA, B. A (2009) Modificações da qualidade de vida sexual de obesos submetidos à cirurgia de Fobi-Capella. Rev Col Bras Cir 36(1):42–48

    Article  Google Scholar 

  22. Paula MAB, T. R. (2009). Os significados da sexualidade para a pessoa com estoma intestinal definitivo. Rev bras coloproctol, 29(1):77–82.

    Article  Google Scholar 

  23. Sørensen, T. (2000). The changing lifestyle in the world. Body weight and what else? Diabetes Care, 23 Suppl 2:B1-4.

  24. Mariano ML, Deomir Germano Bassi PR (2014) Bariatric surgery: impact on sexuality of the obese person bariatric surgery: impact on sexuality of the obese person bariatric surgery: impact on sexuality of the obese person. Rev Col Bras Cir 41(6):412–420

    Article  Google Scholar 

  25. Strain G (2014) The effects of weight loss after bariatric surgery on health-related quality of life and depression. Nutrition & Diabetes 4:e132

    Article  CAS  Google Scholar 

  26. Lang T, H. R (2002) Impact of gastric banding on eating behavior and weight. Obes Surg 12:100–107

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Octav Ginghina.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mirica, R.M., Ionescu, M., Mirica, A. et al. Quality of Life Assessment After Bariatric Surgery—a Single-Center Experience. Indian J Surg 80, 435–441 (2018). https://doi.org/10.1007/s12262-017-1624-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-017-1624-0

Keywords

Navigation