Quality of life after sleeve gastrectomy and adjustable gastric banding.
| Autor: | Alley JB; Department of Surgery, Wilford Hall United States Air Force Medical Center, San Antonio, Texas, USA. joshalleymd@hotmail.com, Fenton SJ, Harnisch MC, Tapper DN, Pfluke JM, Peterson RM |
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| Jazyk: | angličtina |
| Zdroj: | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2012 Jan-Feb; Vol. 8 (1), pp. 31-40. Date of Electronic Publication: 2011 Mar 29. |
| DOI: | 10.1016/j.soard.2011.03.009 |
| Abstrakt: | Background: With the addition of laparoscopic vertical sleeve gastrectomy (SG) to the bariatric surgery procedural toolkit, patients desiring a restrictive bariatric procedure often choose between adjustable gastric banding (LAGB) and SG. One study compared quality of life after these 2 procedures and found no difference. The purpose of our study was to re-evaluate the postoperative quality of life in LAGB and SG patients at a military teaching hospital in the United States. Methods: A retrospective review of 108 consecutive laparoscopic restrictive bariatric procedures performed within 15 months at a Department of Defense hospital was conducted. Of these 108 patients, 69 had undergone laparoscopic vertical SG and 39 LAGB. A validated quality of life questionnaire (Bariatric Quality of Life) was conducted a mean of 9.3 ± 3.2 months (range 5-16) postoperatively. The weight loss and standard laboratory parameters were measured at 0, 1, 3, 6, and 12 months. Results: The quality of life assessment revealed significantly better scores after SG than after LAGB (66.5 versus 57.9, P = .0002). The excess weight loss and excess body mass index loss at 3, 6, and 12 months postoperatively were significantly greater in the laparoscopic SG group. The patients demonstrated a clear preference over time for SG once it was offered. Conclusion: Early postoperative quality of life was superior after SG than after LAGB. SG also resulted in superior early excess weight loss. In a practice not constrained by reimbursement, these findings were associated with increased patient choice of SG after it began to be offered. (Published by Elsevier Inc.) |
| Databáze: | MEDLINE |
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