Long-Term Outcomes and Quality of Life at More than 10 Years After Laparoscopic Roux-en-Y Gastric Bypass Using Bariatric Analysis and Reporting Outcome System (BAROS)

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Abstract

Introduction

Literature on long-term (> 10 years) outcomes in terms of weight loss, resolution of co-morbidities, and quality of life (QoL) after bariatric surgery is limited. The aim of this study was to investigate the excess weight loss (EWL), resolution of comorbidities, and QoL more than 10 years after laparoscopic Roux-en-Y gastric bypass (LRYGB) using the Bariatric Analysis and Reporting Outcome System (BAROS).

Methods

Data on patient demographics, weight, body mass index (BMI), comorbidities, type of surgery, complications, and QoL were collected from a prospectively maintained database.

Results

A total of 92 patients out of 104 who underwent LRYGB during the study period and completed a median follow-up of 130 months were successfully contacted. The median age was 48 years (IQR 42–54 years) and 85.9% had a BMI of more than 40. The median excess weight loss (EWL) was 46.5% (IQR 27.9–64.3%). Type 2 diabetes mellitus reduced from 56.5 to 23.9% (p < 0.001), hypertension from 51.1 to 39.1% (p = 0.016), and obstructive sleep apnoea from 33.7 to 12.0% (p < 0.001). Participants reported feeling better (median 0.2, IQR 0.2–0.4), engaging in more physical activity (0.1, IQR 0.1–0.3), having more satisfactory social contacts (0.4, IQR 0.2–0.5), a better ability to work (0.3, IQR − 0.1–0.5), and a healthier approach to food (0.2, IQR − 0.3–0.3) at the end of follow-up.

Conclusion

LRYGB leads to positive outcomes in terms of weight loss, reduction in comorbidities, and improvement in QoL at a follow-up of more than 10 years.

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Data Availability

All data generated or analysed during this study are included in this published article.

References

  1. 1.

    Hatoum IJ, Blackstone R, Hunter TD, et al. Clinical factors associated with remission of obesity-related comorbidities after bariatric surgery. JAMA Surg. 2016;151:130–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26465084

    Article  Google Scholar 

  2. 2.

    Noria SF, Grantcharov T. Biological effects of bariatric surgery on obesity-related comorbidities. Can J Surg. 2013;56:47–57. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23351555

    Article  Google Scholar 

  3. 3.

    Wolf AM, Falcone AR, Kortner B, et al. BAROS: an effective system to evaluate the results of patients after bariatric surgery. Obes Surg. 2000;10:445–50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11054250

    CAS  Article  Google Scholar 

  4. 4.

    Navez J, Dardamanis D, Thissen J-P, et al. Laparoscopic roux-en-Y gastric bypass for morbid obesity: comparison of primary versus revisional bypass by using the BAROS score. Obes Surg. 2015;25:812–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25366292

    Article  Google Scholar 

  5. 5.

    Prevedello CF, Colpo E, Mayer ET, et al. Analysis of the bariatric surgery impact in a population from the center area of Rio Grande do Sul state, Brazil, using the BAROS method. Arq Gastroenterol. 2009;46:199–203. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19918686

    Article  Google Scholar 

  6. 6.

    von Elm E, Altman DG, Egger M, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Prev Med. 2007;45:247–51. Available from: https://www.strobe-statement.org/

    Article  Google Scholar 

  7. 7.

    O’Brien PE, Hindle A, Brennan L, et al. Long-term outcomes after bariatric surgery: a systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-centre review of 20-year outcomes after adjustable gastric banding. Obes Surg. 2019;29:3–14. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30293134

    Article  Google Scholar 

  8. 8.

    O’Brien PE, MacDonald L, Anderson M, et al. Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013;257:87–94. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23235396

    Article  Google Scholar 

  9. 9.

    Raaijmakers LCH, Pouwels S, Thomassen SEM, et al. Quality of life and bariatric surgery: a systematic review of short- and long-term results and comparison with community norms. Eur J Clin Nutr. 2017;71:441–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27804961

    CAS  Article  Google Scholar 

  10. 10.

    Mendes GA, Vargas GP. Quality of life after vertical gastrectomy evaluated by the BAROS questionnaire. Arq Bras Cir Dig. 2019;30:14–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28489161

    Article  Google Scholar 

  11. 11.

    Kirkil C, Aygen E, Korkmaz MF, et al. Quality of life after laparoscopic sleeve gastrectomy using BAROS system. Arq Bras Cir Dig. 2018;31:e1385. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30133677

    Article  Google Scholar 

  12. 12.

    de Queiroz C, Sallet JA, DE Barros E Silva PGM, et al. Application of BAROS’ questionnaire in obese patients undergoing bariatric surgery with 2 years of evolution. Arq Gastroenterol. 54:60–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28079242

  13. 13.

    Al Harakeh AB, Larson CJ, Mathiason MA, et al. BAROS results in 700 patients after laparoscopic Roux-en-Y gastric bypass with subset analysis of age, gender, and initial body mass index. Surg Obes Relat Dis. 2011;7:94–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21126928

    Article  Google Scholar 

  14. 14.

    Ribeiro EF, de Ávila RI, de Sousa Santos RR, et al. Impact of bariatric surgery on patients from Goiás, Brazil, using the BAROS method - a preliminary study. GE Port J Gastroenterol. 2015;22:93–102. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28868385

    Article  Google Scholar 

  15. 15.

    Bobowicz M, Lehmann A, Orlowski M, et al. Preliminary outcomes 1 year after laparoscopic sleeve gastrectomy based on bariatric analysis and reporting outcome system (BAROS). Obes Surg. 2011;21:1843–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21491136

    Article  Google Scholar 

  16. 16.

    Marchesini JB, Nicareta JR. Comparative study of five different surgical techniques for the treatment of morbid obesity using BAROS. Arq Bras Cir Dig. 2014;27 Suppl 1:17–20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25409959

    Article  Google Scholar 

  17. 17.

    Skogar ML, Sundbom M. Duodenal switch is superior to gastric bypass in patients with super obesity when evaluated with the bariatric analysis and reporting outcome system (BAROS). Obes Surg. 2017;27:2308–16. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28439748

    Article  Google Scholar 

  18. 18.

    Favretti F, Cadiere GB, Segato G, et al. Bariatric analysis and reporting outcome system (BAROS) applied to laparoscopic gastric banding patients. Obes Surg. 1998;8:500–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9819080

    CAS  Article  Google Scholar 

  19. 19.

    Victorzon M, Tolonen P. Bariatric analysis and reporting outcome system (BAROS) following laparoscopic adjustable gastric banding in Finland. Obes Surg. 2001;11:740–3. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11775573

    CAS  Article  Google Scholar 

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Acknowledgements

The authors are grateful to the research committee members of Obesity Service, Luton, and Dunstable University Hospital, UK, for the support he received to carry out this research, including acceptance of the study protocol and analysis plan.

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Authors

Contributions

MTA suggested the importance of carrying out this research. AA performed the statistical analysis and wrote the manuscript. DD, CT, CC, and SH were involved in the collection of data. MTA was involved in the extraction of data. AA and MTA were involved in data analysis and interpretation. All authors contributed to the write-up, corrections, validation, and final approval of the manuscript.

Corresponding author

Correspondence to Alan Askari.

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Ethics Approval

The study protocol was approved by the research committee of Obesity Service, Luton and Dunstable University Hospital including research methodology and analysis plan detailed in the manuscript.

Consent to Participate

All patients gave their informed consent to participate in this study.

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We declare that consent to publish is not applicable to this study.

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The authors declare that they have no competing interests.

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Askari, A., Dai, D., Taylor, C. et al. Long-Term Outcomes and Quality of Life at More than 10 Years After Laparoscopic Roux-en-Y Gastric Bypass Using Bariatric Analysis and Reporting Outcome System (BAROS). OBES SURG 30, 3968–3973 (2020). https://doi.org/10.1007/s11695-020-04765-0

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Keywords

  • Long-term outcomes
  • Quality of life
  • Bariatric surgery
  • Gastric bypass
  • BAROS