Gastrointestinal quality of life before and short- and long-term after Roux-en-Y gastric bypass for severe obesity.

Details

Serval ID
serval:BIB_EEB870AFF361
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Gastrointestinal quality of life before and short- and long-term after Roux-en-Y gastric bypass for severe obesity.
Journal
Surgery for obesity and related diseases
Author(s)
Waridel C., Schoepfer A., Suter M.
ISSN
1878-7533 (Electronic)
ISSN-L
1550-7289
Publication state
Published
Issued date
09/2021
Peer-reviewed
Oui
Volume
17
Number
9
Pages
1583-1590
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Overall quality of life (QoL) is generally improved after bariatric surgery. Gastrointestinal (GI) symptoms including abdominal pain have been reported in up to >30% of patients after Roux-en-Y gastric bypass (RYGB), and may negatively influence QoL, especially GI-QoL.
To evaluate the evolution of GI symptoms and GI-QoL short- and long-term after RYGB.
Two public hospitals METHODS: Candidates for bariatric surgery (n = 128, BMI = 44.2 ± 7.4) or patients who had undergone RYGB 2-4 years (n = 161, BMI = 29.3 ± 15.9) and 5-10 years (n = 121, BMI = 31.3 ± 6.5) before were invited to complete a questionnaire combining 3 validated questionnaires (GIQLI, GSRS, and PCS) specifically designed to evaluate GI-QoL. Scores were compared between the preoperative, early, and late postoperative periods.
The GIQLI score improved from 88.1 before surgery to 118.6 (P < .0001) and 109.7 (P < .0001) in the early and late postoperative periods respectively. GSRS score improved from 15.6 to 10.1 (P = .0001) and 12.8 (P = .012), and PCS-score improved from 19 to 4.5 (P = .0001) and 8.3 (P = .0001), respectively. The GI subscore of the GIQLI improved from 57.4 to 62.1 (P = .007) in the early period but was not significantly different in the late period (59.3 versus 57.4, P = .3). The psychological impact of GI symptoms decreased at both postoperative time points.
GI-QoL is markedly improved after RYGB, and this improvement persists up to 10 years. GI symptoms decrease early after surgery and do not worsen in the longer term. Their psychological impact is markedly reduced.
Keywords
Abdominal Pain, Gastric Bypass, Humans, Obesity, Morbid/surgery, Quality of Life, Surveys and Questionnaires, GIQLI, GSRS, Obesity, PCS, Quality of life, Roux-en-Y gastric bypass
Pubmed
Web of science
Create date
15/06/2021 15:51
Last modification date
22/02/2023 7:52
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