Research for Laparoscopic and Bariatric Surgery, Weill Cornell Medical College, New York, New York, USA.
Surg Obes Relat Dis. 2011 Nov-Dec;7(6):714-9. doi: 10.1016/j.soard.2011.08.021. Epub 2011 Sep 16.
Laparoscopic sleeve gastrectomy evolved as a primary bariatric procedure without data on longer term outcomes. Our objective was to measure the weight changes and quality of life after laparoscopic sleeve gastrectomy at a university hospital.
The patients scheduled follow-up visits for clinical measurements, blood sampling, and form completion, including the Medical Outcomes Study 36-item short-form questionnaire, the Impact of Weight on the Quality of Life-Lite questionnaire, and Beck depression inventory. Comparisons were performed among patients with a follow-up of 1, 3, and 5 years after laparoscopic sleeve gastrectomy.
A total of 77 patients (35 at 1, 19 at 3, and 23 at 5 yr) were similar in gender (70.1% women), percentage of body fat, and body mass index by analysis of variance (P = .12; 1 versus 3 yr, P = .04). The 5-year group was older (P = .07). The 3 groups were different in the percentage of excess body mass index loss (P = .04). Differences in the Beck depression inventory were not significant by analysis of variance but were for 1 year versus 5 years (P = .04). For the Impact of Weight on the Quality of Life-Lite total scores, the difference was significant (P = .06; 1 versus 5 yr, P = .027; and public distress subscore at 1 and 5 yr, P = .04). The differences in the other domains were not significant. For the Medical Outcomes Study 36-item short-form, differences in the physical differences domain was significant (P = .001). The differences in physical function, social function, general health, vitality, body pain, and role physical were significant. The differences in mental health and role emotional were not. The differences in the Beck depression inventory scores were not significant using analysis of variance but were between the 1-year and 5-year scores (P = .04).
Patients undergoing laparoscopic sleeve gastrectomy had a similar body mass index at 1, 3, and 5 years. However, the percentage of excess body mass index loss was different. No differences were found in the percentage of body fat. The health-related quality of life scores resembled community norms, although the physical health differences in the 3 groups were significant, The Beck depression inventory scores were elevated at 5 years compared with at 1 year.
腹腔镜袖状胃切除术作为一种主要的减肥手术，其长期效果的数据尚不清楚。我们的目的是测量在大学医院接受腹腔镜袖状胃切除术患者的体重变化和生活质量。
患者按计划进行临床测量、采血和表格填写随访，包括健康调查简表 36 项（Medical Outcomes Study 36-item short-form questionnaire）、体重对生活质量影响简表（Impact of Weight on the Quality of Life-Lite questionnaire）和贝克抑郁量表（Beck depression inventory）。对腹腔镜袖状胃切除术 1 年、3 年和 5 年后的患者进行比较。
共 77 例患者（1 年组 35 例、3 年组 19 例、5 年组 23 例），按性别（70.1%为女性）、体脂百分比和体重指数（分析方差，P =.12；1 年与 3 年组，P =.04）进行比较。5 年组患者年龄较大（P =.07）。3 组间多余体重指数丢失百分比不同（P =.04）。分析方差时贝克抑郁量表评分的差异无统计学意义，但 1 年与 5 年组之间有差异（P =.04）。体重对生活质量影响简表总分的差异有统计学意义（P =.06；1 年与 5 年组，P =.027；1 年与 5 年组公众困扰亚量表，P =.04）。其他各域的差异无统计学意义。健康调查简表 36 项中，生理机能域的差异有统计学意义（P =.001）。生理职能、社会功能、一般健康、活力、躯体疼痛和躯体角色各维度的差异有统计学意义。心理健康和情绪角色维度的差异无统计学意义。分析方差时贝克抑郁量表评分的差异无统计学意义，但 1 年与 5 年组之间有差异（P =.04）。
接受腹腔镜袖状胃切除术的患者 1、3 和 5 年后的体重指数相似，但多余体重指数丢失百分比不同。体脂百分比无差异。健康相关生活质量评分接近社区正常值，尽管 3 组的生理健康差异有统计学意义，但贝克抑郁量表评分在 5 年后高于 1 年后。
