Effects of Bariatric Surgery on Quality of Life

Öz

Data assessing on quality of life (QOL) after commonly performed bariatric surgery is ambiguous.. The objective of this study was to evaluate the effects of two different surgeries on postoperative QOL, weight loss and surgical technique. 60 individuals that has been operated on laparoscopic One-Line Anastomotic Gastric Bypass (n=30) and laparoscopic sleeve gastrectomy (n=30) were included. Body weight loss, excess body weight loss, body mass index, measurement of sexual functions with quality of life index (using FSFI, EDF and GIQLI questionnaires) were collected prospectively; preoperatively, 1, 3 and 6 months postoperatively. In the laparoscopic sleeve gastrectomy group, mean preoperative body weight(kg) 117.3 (93-144) kg, BMI (kg/m2) was 43.3 (35.8-56) kg/m2 and excess body weight loss (kg) at 6 months 31.9 (25.8-33.8) kg postoperatively while in the laparoscopic one-line anastomotic gastric bypass group mean preoperative body weight was 133.2(102-193) kg, BMI was 49 (40.6-66.9) kg/m2, and excess body weight loss was 36.5 (27.8-51.9). Body weight loss seem to be higher in the second group (LOAGB). GIQLI scores had improved in both groups during the 1st, 3rd and 6th month. Laparoscopic one-line anastomotic gastric bypass was found to be more effective than laparoscopic sleeve gastrectomy in total scores at first and third months. FSFI-EDF scores improved in both groups, but laparoscopic one-line anastomotic gastric bypass was found to be more effective on this matter. Both surgeries are effective in controlling body weight and QOL and sexual functions in the early period in morbidly obese patients. In the LOAGB group body weight loss was seen significantly higher.

Anahtar Kelimeler

• gastrointestinal quality of life index
• sexual function index
• morbid obesity
• laparoscopic one-line anastomotic gastric bypass
• laparoscopic sleeve gastrectomy

Bariatrik Cerrahinin Yaşam Kalitesi Üzerine Etkileri

Öz

Sıklıkla uygulanan bariatrik cerrahi işlemlerden sonra yaşam kalitesini (QOL) ölçen veriler sınırlıdır. Çalışmamızın amacı farklı obezite ameliyatlarının kilo kaybı ve yaşam kalitesi üzerine etkinliklerini değerlendirmektir. Tek-anastomozlu gastrik bypass (n=30) ve laparoskopik sleeve gastrektomi (n=30) ameliyatı geçiren 60 hasta dahil edildi. Kilo kayıpları, fazla kiloların kayıp oranları, beden kitle indeksleri, cinsel fonksiyonları ve yaşam kalitesi skorları (FSFI, EDF ve GIQLI ölçekleriyle) preoperatif dönem, postoperatif birinci, üçüncü ve altıncı aylarda prospektif olarak değerlendirildi. Laparoskopik sleeve gastrektomi grubunda preoperatif ortalama vücut ağırlığı (kg) 117.3 (93-144)kg, BKİ (kg/m2) 43.3 (35,8-56)kg/m2, 6.aydaki fazla kilo kayıpları 31.9 (25.8-33.8)kg olarak bulunurken tek-anastomozlu gastrik bypass grubunda preoperative ortalama vücut ağırlığı 133.2 (102-193)kg, BKİ (kg/m2) 49 (40.6-66.9) kg/m2 ve 6.aydaki fazla kilo kayıpları 36.5 (27.8-51.9) kg olarak saptandı. Tek-anastomozlu gastrik bypass grubunda kilo kayıpları daha fazlaydı. GIQLI skorlarının birinci, üçüncü ve altıncı ayda her grupta anlamlı olarak düzeldiği görüldü. Tek-anastomozlu gastrik bypass grubunun genel skor açısından laparoskopik sleeve gastrektomi grubundan 1. ve 3. ayda daha etkin olduğu gözlendi. FSFI-EDF skorlarında her yöntemle düzelmeler görüldü, ancak Tek-anastomozlu gastrik bypassın etkisi daha belirgindi. Her iki teknik, erken dönemde kilo kaybı, QOL ve cinsel fonksiyonların düzelmesinde etkilidir ama kilo verme oranları Tek-anastomozlu gastrik bypass grubunda oranda daha yüksek bulunmuştur.

Anahtar Kelimeler

• Gastrointestinal yaşam kalitesi indeksi
• Seksüel Fonksiyon İndeksi. Morbid obezite
• Laparoskopik tek anastomozlu gastrik bypass
• Laparoskopik sleeve gastrektomi

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