Influence of complications and extent of weight loss on quality of life after laparoscopic Roux-en-Y gastric bypass
| Autor: | J. D. Rea, Ronald H. Clements, Ruth R. Leeth, T. D. Leath, Donald E. Yarbrough |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastric Bypass Preoperative care Body Mass Index Postoperative Complications Quality of life Weight loss Surveys and Questionnaires Adaptation Psychological Preoperative Care Weight Loss medicine Humans Postoperative Period Laparoscopy Retrospective Studies medicine.diagnostic_test business.industry Stomach Anastomosis Roux-en-Y Middle Aged medicine.disease Roux-en-Y anastomosis Obesity Adaptation Physiological Surgery Obesity Morbid medicine.anatomical_structure Patient Satisfaction Multivariate Analysis Linear Models Quality of Life Female medicine.symptom business Abdominal surgery Follow-Up Studies |
| Zdroj: | Surgical endoscopy. 21(7) |
| ISSN: | 1432-2218 |
| Popis: | Obesity decreases health-related quality of life, but bariatric surgery improves it. This study evaluates the effect of laparoscopic Roux-en-Y gastric bypass, postoperative complications, and percentage of excess body weight loss on quality of life.SF-36v.1 questionnaires were administered preoperative (n = 505), 1 year (n = 237) and 2 years (n = 106) following laparoscopic Roux-en-Y gastric bypass. Analysis was performed using Student's t-test and multiple logistic regression analysis. Complications were defined as requiring additional intervention or hospitalization. SF-36 responses were normalized to 1998 US norms.Bariatric patients scored significantly lower on all scales compared to the normal population. Health-related quality of life notably improves after surgery. At 1 year, scores not only improved from baseline, but were higher than those of the non-obese reference population regardless of complications. Compared to patients at 2 years without complications, patients experiencing complications reported decreased scores, but scores remained higher than preoperative scores in five scales. At 1 and 2 years,or = 50% excess body weight loss decreased scores; however, scores were significantly improved from baseline.Health-related quality of life in bariatric patients is worse than in controls, but it improves 1 and 2 years after laparoscopic Roux-en-Y gastric bypass. Complications oror = 50% excess body weight loss slightly decreases this improvement. |
| Databáze: | OpenAIRE |
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