Obesity Surgery

, Volume 18, Issue 12, pp 1551–1557 | Cite as

Quality of Life After Bariatric Surgery—A Comparative Study of Laparoscopic Banding vs. Bypass

  • Markus K. Müller
  • Christa Wenger
  • Marc Schiesser
  • Pierre-Alain Clavien
  • Markus WeberEmail author
Research Article


Laparoscopic gastric banding and Roux-en-Y gastric bypass are widely used for the treatment of morbid obesity. The impact of these two procedures on health-related quality of life has not been analyzed in comparative studies.


A matched-pair analysis of a prospectively collected database was performed. Fifty-two consecutive patients with laparoscopic gastric bypass were randomly matched to fifty-two patients with laparoscopic gastric banding according to age, BMI, and gender. Quality of life was assessed using two standardized questionnaires (SF 36 and Moorehead–Ardelt II).


Mean preoperative BMI was 45.7 kg/m2 for the bypass patients and 45.3 kg/m2 for the banding patients. Mean BMI after 3 years follow-up of was 30.4 kg/m2 and 33.1 kg/m2 (p = 0.036). In the SF 36 questionnaire, gastric bypass patients yielded a mean total score of 613 versus 607 points in the gastric banding group (p = 0.543), which is comparable to the normal population in Europe. In the Moorhead–Ardelt II questionnaire, the gastric bypass patients scored a mean total of 1.35 points and the gastric banding patients 1.28 points (p = 0.747). Of the patients, 97% with a gastric bypass and 83% with a gastric banding were satisfied with the result of the operation (p = 0.145).


The patients after laparoscopic gastric bypass and laparoscopic gastric banding have a high level of satisfaction 3 years after the operation and have similar quality of life scores compared to the normal population. Quality of life indexes were not different between the two procedures and were independent of weight loss in successfully operated patients.


Quality of life Bariatric surgery Laparoscopic gastric banding Laparoscopic gastric bypass 



This study was supported by a research grant from Covidien Switzerland Ltd.

Competing interest statements Nothing to disclose.


  1. 1.
    Nguyen NT, Root J, Zainabadi K, et al. Accelerated growth of bariatric surgery with the introduction of minimally invasive surgery. Arch Surg. 2005;140(12):1198–202, discussion 1203.Google Scholar
  2. 2.
    Shapiro S. Bariatric Surgery Complication Rates High In Some Hospitals, New HealthGrades Ratings And Study Show. 2007.
  3. 3.
    Schirmer B. Laparoscopic bariatric surgery. Surg Endosc. 2006;20 Suppl 2:S450–5.PubMedCrossRefGoogle Scholar
  4. 4.
    Nguyen NT, Silver M, Robinson M, et al. Result of a national audit of bariatric surgery performed at academic centers: a 2004 University HealthSystem Consortium Benchmarking Project. Arch Surg. 2006;141(5):445–9; discussion 449–50.PubMedCrossRefGoogle Scholar
  5. 5.
    DeMaria EJ, Sugerman HJ, Kellum JM, et al. Results of 281 consecutive total laparoscopic Roux-en-Y gastric bypasses to treat morbid obesity. Ann Surg. 2002;235(5):640–5; discussion 645–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Biertho L, Steffen R, Ricklin T, et al. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding: a comparative study of 1,200 cases. J Am Coll Surg. 2003;197(4):536–44; discussion 544–5.PubMedCrossRefGoogle Scholar
  7. 7.
    Belachew M, Zimmermann JM. Evolution of a paradigm for laparoscopic adjustable gastric banding. Am J Surg. 2002;184(6B):21S–5S.PubMedCrossRefGoogle Scholar
  8. 8.
    Pories WJ, Swanson MS, MacDonald KG, et al. Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg. 1995;222(3):339–50; discussion 350–2.PubMedCrossRefGoogle Scholar
  9. 9.
    Weber M, Muller MK, Bucher T, et al. Laparoscopic gastric bypass is superior to laparoscopic gastric banding for treatment of morbid obesity. Ann Surg. 2004;240(6):975–82; discussion 982–3.PubMedCrossRefGoogle Scholar
  10. 10.
    Hell E, Miller KA, Moorehead MK, Norman S. Evaluation of health status and quality of life after bariatric surgery: comparison of standard Roux-en-Y gastric bypass, vertical banded gastroplasty and laparoscopic adjustable silicone gastric banding. Obes Surg. 2000;10(3):214–9.PubMedCrossRefGoogle Scholar
  11. 11.
    Wolf AM, Falcone AR, Kortner B, Kuhlmann HW. BAROS: an effective system to evaluate the results of patients after bariatric surgery. Obes Surg. 2000;10(5):445–50.PubMedCrossRefGoogle Scholar
  12. 12.
    Lang T, Hauser R, Schlumpf R, et al. [Psychological comorbidity and quality of life of patients with morbid obesity and requesting gastric banding]. Schweiz Med Wochenschr. 2000;130(20):739–48.PubMedGoogle Scholar
  13. 13.
    Flanagan SA. Obesity: The Last Bastion of Prejudice. Obes Surg. 1996;6(5):430–7.PubMedCrossRefGoogle Scholar
  14. 14.
    Dymek MP, le Grange D, Neven K, Alverdy J. Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: a brief report. Obes Surg. 2001;11(1):32–9.PubMedCrossRefGoogle Scholar
  15. 15.
    de Zwaan M, Lancaster KL, Mitchell JE, et al. Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg. 2002;12(6):773–80.PubMedCrossRefGoogle Scholar
  16. 16.
    O’Brien PE, Dixon JB, Brown W, et al. The laparoscopic adjustable gastric band (Lap-Band): a prospective study of medium-term effects on weight, health and quality of life. Obes Surg. 2002;12(5):652–60.PubMedCrossRefGoogle Scholar
  17. 17.
    Horchner R, Tuinebreijer W. Improvement of physical functioning of morbidly obese patients who have undergone a Lap-Band operation: one-year study. Obes Surg. 1999;9(4):399–402.PubMedCrossRefGoogle Scholar
  18. 18.
    Bundesgesetz über die Krankenversicherung der Schweizerischen Eidgenossenschaft. Anhang 1 des Artikels 1 der Leistungsverordnung (in Kraft ab 1.1.2000).Google Scholar
  19. 19.
    Belachew M, Legrand MJ, Defechereux TH, et al. Laparoscopic adjustable silicone gastric banding in the treatment of morbid obesity. A preliminary report. Surg Endosc. 1994;8(11):1354–6.PubMedCrossRefGoogle Scholar
  20. 20.
    Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4(4):353–7.PubMedCrossRefGoogle Scholar
  21. 21.
    Deitel M, Gawdat K, Melissas J. Reporting weight loss 2007. Obes Surg. 2007;17(5):565–8.PubMedCrossRefGoogle Scholar
  22. 22.
    McHorney CA, Ware JE Jr, Raczek AE. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993;31(3):247–63.PubMedCrossRefGoogle Scholar
  23. 23.
    Moorehead MK, Ardelt-Gattinger E, Lechner H, Oria HE. The validation of the Moorehead–Ardelt Quality of Life Questionnaire II. Obes Surg. 2003;13(5):684–92.PubMedCrossRefGoogle Scholar
  24. 24.
    Ellert U, Bellach BM. [The SF-36 in the Federal Health Survey–description of a current normal sample]. Gesundheitswesen. 1999;61 Spec No:S184–90.PubMedGoogle Scholar
  25. 25.
    Mognol P, Chosidow D, Marmuse JP. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: a comparative study of 290 patients. Obes Surg. 2005;15(1):76–81.PubMedCrossRefGoogle Scholar
  26. 26.
    Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683–93.PubMedCrossRefGoogle Scholar
  27. 27.
    Ballantyne GH. Measuring outcomes following bariatric surgery: weight loss parameters, improvement in co-morbid conditions, change in quality of life and patient satisfaction. Obes Surg. 2003;13(6):954–64.PubMedCrossRefGoogle Scholar
  28. 28.
    Courcoulas A, Perry Y, Buenaventura P, Luketich J. Comparing the outcomes after laparoscopic versus open gastric bypass: a matched paired analysis. Obes Surg. 2003;13(3):341–6.PubMedCrossRefGoogle Scholar
  29. 29.
    Duval K, Marceau P, Perusse L, Lacasse Y. An overview of obesity-specific quality of life questionnaires. Obes Rev. 2006;7(4):347–60.PubMedCrossRefGoogle Scholar
  30. 30.
    Deitel M. From the Editor’s Desk. Obes Surg. 2000;10(1):1.PubMedCrossRefGoogle Scholar
  31. 31.
    Buddeberg-Fischer B, Klaghofer R, Krug L, et al. Physical and psychosocial outcome in morbidly obese patients with and without bariatric surgery: a 4 1/2-year follow-up. Obes Surg. 2006;16(3):321–30.PubMedCrossRefGoogle Scholar
  32. 32.
    Karlsson J, Taft C, Ryden A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes (Lond). 2007;31:1248–61.CrossRefGoogle Scholar
  33. 33.
    Weber M, Muller MK, Michel JM, et al. Laparoscopic Roux-en-Y gastric bypass, but not rebanding, should be proposed as rescue procedure for patients with failed laparoscopic gastric banding. Ann Surg. 2003;238(6):827–33; discussion 833–4.PubMedCrossRefGoogle Scholar
  34. 34.
    Dixon JB, Dixon ME, O’Brien PE. Pre-operative predictors of weight loss at 1-year after Lap-Band surgery. Obes Surg. 2001;11(2):200–7.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Markus K. Müller
    • 1
  • Christa Wenger
    • 1
  • Marc Schiesser
    • 1
  • Pierre-Alain Clavien
    • 1
  • Markus Weber
    • 1
    Email author
  1. 1.Division of Visceral and Transplantation SurgeryUniversity Hospital ZürichZurichSwitzerland

Personalised recommendations