Skip to main content
SpringerLink
Log in

Quality of Life in Patients Undergoing Revisional Bariatric Surgery: From Sleeve Gastrectomy to Roux-en-Y Gastric Bypass

  • Review
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Sleeve gastrectomy (SG) is the most performed bariatric surgery worldwide. However, this surgery may be associated with long-term weight regain and severe gastroesophageal reflux disease (GERD), sometimes necessitating conversion to Roux-en-Y gastric bypass (RYGB) to improve quality of life (QoL). We conducted a systematic review on QoL measures following the conversion of SG to RYGB. We searched various databases for studies conducted between January 2005 and September 2023. Four studies, involving 196 participants in total, met the inclusion criteria. Different assessment methods were used to evaluate QoL following the conversion. In the included studies, we observed that GERD symptoms and proton pump inhibitor (PPI) use both decreased following conversion to RYGB. Excess weight loss (EWL) was also observed in all studies.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg. 2017;27(9):2279–89.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Franken RJ, Sluiter NR, Franken J, et al. Treatment options for weight regain or insufficient weight loss after sleeve gastrectomy: a systematic review and meta-analysis. Obes Surg. 2022;32(6):2035–46.

    Article  PubMed  Google Scholar 

  3. Naeem Z, Yang J, Park J, et al. A step in the right direction: trends over time in bariatric procedures for patients with gastroesophageal reflux disease. Obes Surg. 2020;30(11):4243–9.

    Article  PubMed  Google Scholar 

  4. Spaniolas K, Bates AT, Docimo Jr S, et al. Single stage conversion from adjustable gastric banding to sleeve gastrectomy or Roux-en-Y gastric bypass: an analysis of 4875 patients. Surg Obes Relat Dis. 2017;13(11):1880–4.

    Article  PubMed  Google Scholar 

  5. Li S, Jiao S, Zhang S, et al. Revisional surgeries of laparoscopic sleeve gastrectomy. Diabetes Metab Syndr Obes. 2021;14:575–88.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Himpens J, Dobbeleir J, Peeters G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010;252(2):319–24.

    Article  PubMed  Google Scholar 

  7. Lauti M, Kularatna M, Hill AG, et al. Weight regain following sleeve gastrectomy-a systematic review. Obes Surg. 2016;26(6):1326–34.

    Article  PubMed  Google Scholar 

  8. Bolckmans R, Roriz Silva R, Mazzini G, et al. Long-term implications of GERD after sleeve gastrectomy. Current Surgery Reports. 2021:9.

  9. Boza C, Daroch D, Barros D, et al. Long-term outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure. Surg Obes Relat Dis. 2014;10(6):1129–33.

    Article  PubMed  Google Scholar 

  10. Rawlins L, Rawlins MP, Brown CC, et al. Sleeve gastrectomy: 5-year outcomes of a single institution. Surg Obes Relat Dis. 2013;9(1):21–5.

    Article  PubMed  Google Scholar 

  11. Bohdjalian A, Langer FB, Shakeri-Leidenmühler S, et al. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg. 2010;20(5):535–40.

    Article  PubMed  Google Scholar 

  12. Sierżantowicz R, Ładny JR, Lewko J. Quality of life after bariatric surgery-a systematic review. Int J Environ Res Public Health. 2022;19(15)

  13. Revicki DA, Wood M, Maton PN, et al. The impact of gastroesophageal reflux disease on health-related quality of life. Am J Med. 1998;104(3):252–8.

    Article  CAS  PubMed  Google Scholar 

  14. Dimenäs E. Methodological aspects of evaluation of Quality of life in upper gastrointestinal diseases. Scand J Gastroenterol Suppl. 1993;199:18–21.

    Article  PubMed  Google Scholar 

  15. Boru CE, Greco F, Giustacchini P, et al. Short-term outcomes of sleeve gastrectomy conversion to R-Y gastric bypass: multi-center retrospective study. Langenbecks Arch Surg. 2018;403(4):473–9.

    Article  PubMed  Google Scholar 

  16. Lins L, Carvalho FM. SF-36 total score as a single measure of health-related quality of life: scoping review. SAGE Open Med. 2016;4:2050312116671725.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Velanovich V. 25 Years of the GERD-HRQL symptom severity instrument: an assessment of published applications. Surg Endosc. 2023;37(1):255–65.

    Article  PubMed  Google Scholar 

  18. Costa JM, Soares JB. Bariatric analysis and reporting outcome system (BAROS): toward the uniform assessment of bariatric surgery outcomes. GE Port J Gastroenterol. 2015;22(3):85–6.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Kanchibhotla D, Sharma P, Subramanian S. Improvement in gastrointestinal quality of life index (GIQLI) following meditation: an open-trial pilot study in India. J Ayurveda Integr Med. 2021;12(1):107–11.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Kolotkin RL, Williams VSL, Ervin CM, et al. Validation of a new measure of quality of life in obesity trials: impact of Weight on Quality of Life-Lite Clinical Trials version. Clin Obes. 2019;9(3):e12310.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Ohlsson-Nevo E, Karlsson J. Impact of health-related stigma on psychosocial functioning in the general population: construct validity and Swedish reference data for the Stigma-related Social Problems scale (SSP). Res Nurs Health. 2019;42(1):72–81.

    Article  PubMed  Google Scholar 

  22. Weiner S, Sauerland S, Fein M, et al. The bariatric quality of life index: a measure of well-being in obesity surgery patients. Obes Surg. 2005;15(4):538–45.

    Article  PubMed  Google Scholar 

  23. Drakos P, Volteas P, Khomutova A, et al. The durability of revisional sleeve gastrectomy and Roux-en-Y gastric bypass after previous adjustable gastric band. Surg Endosc. 2023;37(3):2326–34.

    Article  PubMed  Google Scholar 

  24. Dayan D, Kanani F, Bendayan A, et al. The effect of revisional one anastomosis gastric bypass after sleeve gastrectomy on gastroesophageal reflux disease, compared with revisional Roux-en-Y gastric bypass: symptoms and quality of life outcomes. Obes Surg. 2023;33(7):2125–31.

    Article  PubMed  Google Scholar 

  25. Huynh D, Mazer L, Tung R, et al. Conversion of laparoscopic sleeve gastrectomy to Roux-en-Y gastric bypass: patterns predicting persistent symptoms after revision. Surg Obes Relat Dis. 2021;17(10):1681–8.

    Article  PubMed  Google Scholar 

  26. Dijkhorst PJ, Boerboom AB, Janssen IMC, et al. Failed sleeve gastrectomy: single anastomosis duodenoileal bypass or Roux-en-Y gastric bypass? A multicenter cohort study. Obes Surg. 2018;28(12):3834–42.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Koyyada A. Long-term use of proton pump inhibitors as a risk factor for various adverse manifestations. Therapie. 2021;76(1):13–21.

    Article  PubMed  Google Scholar 

  28. Herget S, Rudolph A, Hilbert A, et al. Psychosocial status and mental health in adolescents before and after bariatric surgery: a systematic literature review. Obes Facts. 2014;7(4):233–45.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

We would like to express our sincere appreciation and gratitude to the University of South Florida Libraries for their invaluable assistance in conducting a thorough and accurate literature search. Their guidance in utilizing various databases, search strategies, and reference management tools has been invaluable in ensuring the comprehensiveness and accuracy of our research.

Funding

The authors received no funding for this work.

Author information

Authors and Affiliations

  1. Morsani College of Medicine, University of South Florida, Horatio Street, Tampa, FL, 33609, USA

    Samer Ganam, Ryan Tang, Theo Sher & Salvatore Docimo Jr

  2. Division of Gastrointestinal Surgery, Tampa General Hospital, Horatio Street, Tampa, FL, 33609, USA

    Samer Ganam, Ayana Worthey & Salvatore Docimo Jr

Authors
  1. Samer Ganam
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ryan Tang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Theo Sher
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ayana Worthey
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Salvatore Docimo Jr
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Samer Ganam.

Ethics declarations

Informed Consent

Informed consent does not apply.

Ethical Approval

Ethical approval does not apply.

Competing Interests

All the other authors declare no competing interests. Salvatore Docimo is affiliated to BD, Boston Scientific, Medtronic.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Key Points

- Sleeve gastrectomy is associated with a lower QoL compared to RYGB surgery.

- Indications for revision surgery following SG are GERD and inadequate weight loss.

- Conversion from SG to RYGB improves GERD symptoms and reduces PPI use.

- Conversion from SG to RYGB improves QoL in terms of physical and mental status.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ganam, S., Tang, R., Sher, T. et al. Quality of Life in Patients Undergoing Revisional Bariatric Surgery: From Sleeve Gastrectomy to Roux-en-Y Gastric Bypass. OBES SURG 34, 997–1003 (2024). https://doi.org/10.1007/s11695-024-07082-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-024-07082-y

Keywords

Search

Navigation