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Obesity Surgery

, Volume 27, Issue 5, pp 1292–1297 | Cite as

Gastrointestinal Quality of Life Improves Significantly After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—a Prospective Cross-Sectional Study Within a 2-Year Follow-up

  • Felix Nickel
  • Lukas Schmidt
  • Thomas Bruckner
  • Adrian T Billeter
  • Hannes G Kenngott
  • Beat-Peter Müller-Stich
  • Lars FischerEmail author
Original Contributions

Abstract

Introduction

Morbidly obese patients have lower quality of life (QOL) when compared to the general population. So far, no studies have compared gender and procedural differences in gastrointestinal QOL after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB).

Methods

Patients before and after bariatric surgery completed the gastrointestinal quality of life index (GIQLI), a 36-item questionnaire with five subscores. Differences between SG and RYGB were analyzed, as were gender differences.

Results

Some 186 patients completed the questionnaire, 75 before surgery, 56 within 6 months, and 55 within 24 months after surgery. Total GIQLI score and all subscores were significantly better within 24 months after surgery (80.9 ± 19.2 vs. 109.2 ± 17.7, p < 0.001). The specific gastrointestinal items ‘feeling of fullness’, ‘eating pleasure’, ‘slow speed of eating’, and ‘diarrhea’ were also significantly better after surgery whereas many other gastrointestinal items were not different. Total GIQLI score was significantly higher for SG than for RYGB within 6 months, while there were no significant differences within 24 months after surgery. There were also no significant differences in specific gastrointestinal items between SG and RYGB within 24 months after surgery and in total GIQLI score between female and male patients.

Conclusion

Total GIQLI score and all subscores were higher within 24 months after bariatric surgery. Total GIQLI score was significantly higher after SG when compared to RYGB within 6 months, but not different within 24 months after surgery. There was no difference in total GIQLI score between female and male patients.

Keywords

Gastrointestinal symptoms Quality of life Gastric sleeve Roux-Y gastric bypass Bariatric surgery Obesity 

Abbreviations

BMI

Body mass index

DMII

Diabetes mellitus type II

EWL

Excess weight loss

GERD

Gastroesophageal reflux disease

GIQLI

Gastrointestinal quality of life index

QOL

Quality of life

RCT

Randomized controlled trial

RYGB

Roux-Y gastric bypass

SG

Sleeve gastrectomy

Notes

Acknowledgements

We would like to thank Mr. Jonathan D. Hendrie for proofreading of the manuscript, and we would like to thank Ms. Marion Link for helping with the organization of the study.

Author Contributions

Study conception and design: LF, FN, HGK, BPM; acquisition of data: FN, LS, ATB, HGK, LF; analysis and interpretation of data: LF, FN, ATB, LS, TB; drafting of manuscript: FN, LS; critical revision: LF, TB, HGK, BPM.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.

Ethical Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent Statement

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Felix Nickel
    • 1
  • Lukas Schmidt
    • 1
  • Thomas Bruckner
    • 2
  • Adrian T Billeter
    • 1
  • Hannes G Kenngott
    • 1
  • Beat-Peter Müller-Stich
    • 1
  • Lars Fischer
    • 1
    Email author
  1. 1.Department of General, Visceral, and Transplant SurgeryUniversity of HeidelbergHeidelbergGermany
  2. 2.Institute for Medical Biometry and InformaticsUniversity of HeidelbergHeidelbergGermany

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