Advertisement

Obesity Surgery

, Volume 21, Issue 8, pp 1161–1167 | Cite as

Improvement in Quality of Life After Laparoscopic Sleeve Gastrectomy

  • Margherita Fezzi
  • Ronnette L. Kolotkin
  • Marius Nedelcu
  • Audrey Jaussent
  • Roxane Schaub
  • Marie Aude Chauvet
  • Claire Cassafieres
  • Patrick Lefebvre
  • Eric Renard
  • Jacques Bringer
  • Jean Michel Fabre
  • David NoccaEmail author
Clinical Report

Abstract

Few studies have investigated changes in health-related quality of life (HRQOL) in surgical patients who have undergone a laparoscopic sleeve gastrectomy. Prospective data were obtained from 78 consecutive patients undergoing laparoscopic sleeve gastrectomy (LSG; mean age, 42.4 years; mean body weight, 131 kg; mean body mass index (BMI), 47 kg/m2 (24.4% of superobese patients)). Two HRQOL questionnaires were administered preoperatively and 12 months postsurgery: the generic Medical Outcomes Study Short Form-36 and the weight-specific IWQOL-Lite questionnaire. Excess weight loss at 12 months was 57.18%. No mortality was recorded. HRQOL scores revealed a significant improvement in all areas of both questionnaires. However, changes in HRQOL were not associated consistently with amount of weight loss. Laparoscopic sleeve gastrectomy is an effective and safe procedure, with positive changes in health-related quality of life as well as weight reduction. A fruitful area for future research is the investigation of long-term changes in HRQOL after LSG.

Keywords

Laparoscopic sleeve gastrectomy Health-related quality of life SF-36 IWQOL-Lite 

Notes

Disclosure

Dr. Nocca is a consultant for Ethicon Endosurgery and Tutogen Medical.

References

  1. 1.
    Laboratoire ROCHE Enquête ObEpI2006 L’obésité et le surpoids en France—Dossier de presse. 2011.Google Scholar
  2. 2.
    Haute autorité de santé. Obésité: Rapport sur la prise en charge chirurgicale chez l’adulte. Saint-Denis La Plaine: HAS; 2009.Google Scholar
  3. 3.
    Nocca D, Krawczykowsky D, Bomans B, et al. A prospective multicenter study of 163 sleeve gastrectomies: results at 1 and 2 years. Obes Surg. 2008;18(5):560–5.PubMedCrossRefGoogle Scholar
  4. 4.
    Poghosyan T, Polliand C, Bernard K, et al. Qualité de vie des patients obèses relevant d’un traitement chirurgical comparée à celle d’une population témoin. J Chir. 2007;144(2):129–33.CrossRefGoogle Scholar
  5. 5.
    Korolija D, Sauerland S, et al. Evaluation of quality of life after laparoscopic surgery evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc. 2003;18:879–97.CrossRefGoogle Scholar
  6. 6.
    Kolotkin RL, Crosby RD, Gress RE, et al. Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls. Surg Obes Relat Dis. 2009;5(2):250–6.PubMedCrossRefGoogle Scholar
  7. 7.
    Batsis JA, Lopez-Jimenez F, Collazo-Clavell ML, et al. Quality of life after bariatric surgery: a population-based cohort study. Am J Med. 2009;122(11):1055 e1051–10.CrossRefGoogle Scholar
  8. 8.
    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(8):1248–61.CrossRefGoogle Scholar
  9. 9.
    Ware J, Snow K, Kosinski M, et al. SF-36 health survey: manual and interpretation guide. Boston: The Health Institute, New England Medical Center; 1993.Google Scholar
  10. 10.
    Dixon JB, Dixon ME, O'Brien PE. Quality of life after lap-band placement: influence of time, weight loss, and comorbidities. Obes Res. 2001;9(11):713–21.PubMedCrossRefGoogle Scholar
  11. 11.
    Titi M, Jenkins JT, Modak P, et al. Quality of life and alteration in comorbidity following laparoscopic adjustable gastric banding. Postgrad Med J. 2007;83(981):487–91.PubMedCrossRefGoogle Scholar
  12. 12.
    Oria HE. The BAROS and the Moorehead–Ardelt quality of life questionnaire. Obes Surg. 2003;13(6):965.PubMedCrossRefGoogle Scholar
  13. 13.
    Sabbagh C, Verhaeghe P, Dhahri A, et al. Two-year results on morbidity, weight loss and quality of life of sleeve gastrectomy as first procedure, sleeve gastrectomy after failure of gastric banding and gastric banding. Obesity Surgery. 2009.Google Scholar
  14. 14.
    Moorehead MK, Ardelt-Gattinger E, Lechner H, et al. The validation of the Moorehead–Ardelt quality of life questionnaire II. Obes Surg. 2003;13(5):684–92.PubMedCrossRefGoogle Scholar
  15. 15.
    Tarlov AR, Ware JE. The medical outcomes study. An application of methods for monitoring the results of medical care. JAMA. 1989;262(7):925–30.PubMedCrossRefGoogle Scholar
  16. 16.
    Kolotkin RL, Crosby RD. Psychometric evaluation of the impact of weight on quality of life-lite questionnaire in a community sample. Qual Life Res. 2002;11:157–71.PubMedCrossRefGoogle Scholar
  17. 17.
    Haute Autorité de Santé—Gastrectomie longitudinale pour obésité—Avis sur l’acte Février. 2008. p. 9.Google Scholar
  18. 18.
    Sears D, Fillmore G, Bui M, et al. Evaluation of gastric bypass patients 1 year after surgery: changes in quality of life and obesity-related conditions. Obes Surg. 2008;18:1522–5.PubMedCrossRefGoogle Scholar
  19. 19.
    Mathus-Vliegen EMH, de Wit LT. Health-related quality of life after gastric banding. Br J Surg. 2007;94:457–65.PubMedCrossRefGoogle Scholar
  20. 20.
    Torquati A, Lutfi RE, Rochards WO. Predictors of early quality-of-life improvement after laparoscopic gastric bypass surgery. Am J Surg. 2007;193:471–5.PubMedCrossRefGoogle Scholar
  21. 21.
    Kinzl J, Schrattenecker M, Traweger C, et al. Quality of life in morbidly obese patients after surgical weight loss. Obes Surg. 2007;17:229–35.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2011

Authors and Affiliations

  • Margherita Fezzi
    • 1
  • Ronnette L. Kolotkin
    • 2
    • 3
  • Marius Nedelcu
    • 1
  • Audrey Jaussent
    • 1
  • Roxane Schaub
    • 1
  • Marie Aude Chauvet
    • 1
  • Claire Cassafieres
    • 1
  • Patrick Lefebvre
    • 1
  • Eric Renard
    • 1
  • Jacques Bringer
    • 1
  • Jean Michel Fabre
    • 1
  • David Nocca
    • 1
    • 4
    Email author
  1. 1.Digestive Surgery CenterMontpellier HospitalMontpellierFrance
  2. 2.Obesity and Quality of Life ConsultingDurhamUSA
  3. 3.Department of Community and Family MedicineDuke University Medical CenterDurhamUSA
  4. 4.MontpellierFrance

Personalised recommendations