Quality of life after laparoscopic sleeve gastrectomy: Pre-operative, 1-year and 5-year results
Introduction: The negative impact of obesity on the quality of life (QoL) and its association with multiple comorbidities is unquestionable. The primary objective of this study was to compare the QoL of patients before, 1 year and 5 years after laparoscopic sleeve gastrectomy (LSG). Secondary object...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=4;spage=459;epage=465;aulast=Mouawad |
| _version_ | 1797231783257833472 |
|---|---|
| author | Christian Mouawad Rany Aoun Houssam Dahboul Elie El Feghali Serge Kassar Marwan Alkassis Michael Osseis Roger Noun Ghassan Chakhtoura |
| author_facet | Christian Mouawad Rany Aoun Houssam Dahboul Elie El Feghali Serge Kassar Marwan Alkassis Michael Osseis Roger Noun Ghassan Chakhtoura |
| author_sort | Christian Mouawad |
| collection | DOAJ |
| description | Introduction: The negative impact of obesity on the quality of life (QoL) and its association with multiple comorbidities is unquestionable. The primary objective of this study was to compare the QoL of patients before, 1 year and 5 years after laparoscopic sleeve gastrectomy (LSG). Secondary objectives were to evaluate the resolution of obesity-related comorbidities and weight loss success.
Materials and Methods: We included patients who underwent LSG for body mass index (BMI) ≥30 kg/m2 between August 2016 and April 2017 and completed the Moorehead-Ardelt QoL Questionnaire II (MA II). Statistical analysis was conducted using SPSS IBM Statistics for Windows version 21.
Results: In total, 64 patients participated with a female majority (73.44%) and a mean age of 36.09 with an average BMI at 40.47. Percentage of excess BMI loss and excess weight loss (% EWL) at one and 5 years after surgery went from 90.18% to 85.05% and 72.17% to 67.09%, respectively. The total MA II score before LSG was − 0.39 ± 0.94. Postoperatively, it increased to 1.73 ± 0.60 at 1 year and 1.95 ± 0.67 at 5 years. The positive impact of LSG on QoL was more significant in patients presenting ≥30% of weight loss and in females. At 5 years, a significant improvement in many comorbidities was noted except for arterial hypertension, coxalgia, gastro-oesophageal reflux disease and lower extremities' varices.
Conclusion: LSG maintains a long-term QoL improvement, a significant EWL and a resolution of the most common obesity-associated comorbidities such as diabetes, dyslipidaemia and symptoms related to sleep apnoea. |
| first_indexed | 2024-04-24T15:49:52Z |
| format | Article |
| id | doaj.art-0283fe3a662245d1a1680e25ffbb2de9 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-04-24T15:49:52Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-0283fe3a662245d1a1680e25ffbb2de92024-04-01T12:50:14ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212023-01-0119445946510.4103/jmas.jmas_193_22Quality of life after laparoscopic sleeve gastrectomy: Pre-operative, 1-year and 5-year resultsChristian MouawadRany AounHoussam DahboulElie El FeghaliSerge KassarMarwan AlkassisMichael OsseisRoger NounGhassan ChakhtouraIntroduction: The negative impact of obesity on the quality of life (QoL) and its association with multiple comorbidities is unquestionable. The primary objective of this study was to compare the QoL of patients before, 1 year and 5 years after laparoscopic sleeve gastrectomy (LSG). Secondary objectives were to evaluate the resolution of obesity-related comorbidities and weight loss success. Materials and Methods: We included patients who underwent LSG for body mass index (BMI) ≥30 kg/m2 between August 2016 and April 2017 and completed the Moorehead-Ardelt QoL Questionnaire II (MA II). Statistical analysis was conducted using SPSS IBM Statistics for Windows version 21. Results: In total, 64 patients participated with a female majority (73.44%) and a mean age of 36.09 with an average BMI at 40.47. Percentage of excess BMI loss and excess weight loss (% EWL) at one and 5 years after surgery went from 90.18% to 85.05% and 72.17% to 67.09%, respectively. The total MA II score before LSG was − 0.39 ± 0.94. Postoperatively, it increased to 1.73 ± 0.60 at 1 year and 1.95 ± 0.67 at 5 years. The positive impact of LSG on QoL was more significant in patients presenting ≥30% of weight loss and in females. At 5 years, a significant improvement in many comorbidities was noted except for arterial hypertension, coxalgia, gastro-oesophageal reflux disease and lower extremities' varices. Conclusion: LSG maintains a long-term QoL improvement, a significant EWL and a resolution of the most common obesity-associated comorbidities such as diabetes, dyslipidaemia and symptoms related to sleep apnoea.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=4;spage=459;epage=465;aulast=Mouawadexcess weight lossquality of lifesleeve |
| spellingShingle | Christian Mouawad Rany Aoun Houssam Dahboul Elie El Feghali Serge Kassar Marwan Alkassis Michael Osseis Roger Noun Ghassan Chakhtoura Quality of life after laparoscopic sleeve gastrectomy: Pre-operative, 1-year and 5-year results Journal of Minimal Access Surgery excess weight loss quality of life sleeve |
| title | Quality of life after laparoscopic sleeve gastrectomy: Pre-operative, 1-year and 5-year results |
| title_full | Quality of life after laparoscopic sleeve gastrectomy: Pre-operative, 1-year and 5-year results |
| title_fullStr | Quality of life after laparoscopic sleeve gastrectomy: Pre-operative, 1-year and 5-year results |
| title_full_unstemmed | Quality of life after laparoscopic sleeve gastrectomy: Pre-operative, 1-year and 5-year results |
| title_short | Quality of life after laparoscopic sleeve gastrectomy: Pre-operative, 1-year and 5-year results |
| title_sort | quality of life after laparoscopic sleeve gastrectomy pre operative 1 year and 5 year results |
| topic | excess weight loss quality of life sleeve |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=4;spage=459;epage=465;aulast=Mouawad |
| work_keys_str_mv | AT christianmouawad qualityoflifeafterlaparoscopicsleevegastrectomypreoperative1yearand5yearresults AT ranyaoun qualityoflifeafterlaparoscopicsleevegastrectomypreoperative1yearand5yearresults AT houssamdahboul qualityoflifeafterlaparoscopicsleevegastrectomypreoperative1yearand5yearresults AT elieelfeghali qualityoflifeafterlaparoscopicsleevegastrectomypreoperative1yearand5yearresults AT sergekassar qualityoflifeafterlaparoscopicsleevegastrectomypreoperative1yearand5yearresults AT marwanalkassis qualityoflifeafterlaparoscopicsleevegastrectomypreoperative1yearand5yearresults AT michaelosseis qualityoflifeafterlaparoscopicsleevegastrectomypreoperative1yearand5yearresults AT rogernoun qualityoflifeafterlaparoscopicsleevegastrectomypreoperative1yearand5yearresults AT ghassanchakhtoura qualityoflifeafterlaparoscopicsleevegastrectomypreoperative1yearand5yearresults |