Al Khalifa Khalid, Al Ansari Ahmed
Department of General Surgery, Bahrain Defence Force Hospital, P. O. Box - 28743, Riffa, Bahrain.
Training and Education Department, Bahrain Defence Force Hospital, Off Waly Alahed Avenue, West Riffa, P. O. Box - 28743, Riffa, Bahrain.
BMC Obes. 2018 Dec 27;5:44. doi: 10.1186/s40608-018-0220-6. eCollection 2018.
Obesity is a major health problem in Arab countries. Bariatric surgery can improve the quality of life of an obese individual. However, different types of bariatric surgery result in varying levels of food intolerance as a side effect. Many patients who undergo bariatric surgery are also at risk of subsequently developing eating disorder behaviors. The aim of the study was to compare the quality of life, food tolerance, and behaviors of eating disorders related to laparoscopic sleeve gastrectomy and gastric banding.
A retrospective review of medical records and a questionnaire-based survey was completed for all patients who had undergone either bariatric sleeve gastrectomy or gastric banding at the Bahrain Defense Force Hospital between 2011 and 2014. Each patient was administered 3 questionnaires to assess the quality of life, food tolerance, and eating disorder behaviors.
Forty-eight patients who had undergone sleeve gastrectomy and 36 who had undergone gastric banding participated in the study. Sleeve gastrectomy patients showed better food tolerance ( < 0.001) and better eating behaviors ( = 0.001) post-surgery compared with gastric banding patients. Health-related quality of life (HRQOL) did not differ significantly between the 2 groups. Only sleeve patients had preoperative evaluation of these parameters (HRQOL). However, in the gastric sleeve group, after the surgery, significant improvement was found in all parameters of HRQOL except for mental health status.
Laparoscopic gastric sleeve surgery patients had superior outcomes in both food tolerance and eating disorder behaviors. The quality of life did not significantly differ between the gastric sleeve and gastric banding surgery groups.
肥胖是阿拉伯国家的一个主要健康问题。减肥手术可以改善肥胖个体的生活质量。然而，不同类型的减肥手术会产生不同程度的食物不耐受副作用。许多接受减肥手术的患者随后也有出现饮食失调行为的风险。本研究的目的是比较腹腔镜袖状胃切除术和胃束带术在生活质量、食物耐受性以及饮食失调行为方面的差异。
对2011年至2014年期间在巴林国防军医院接受袖状胃切除术或胃束带术的所有患者的病历进行回顾性分析，并完成基于问卷的调查。每位患者接受3份问卷，以评估生活质量、食物耐受性和饮食失调行为。
48例接受袖状胃切除术的患者和36例接受胃束带术的患者参与了研究。与胃束带术患者相比，袖状胃切除术患者术后表现出更好的食物耐受性（<0.001）和更好的饮食行为（=0.001）。两组之间的健康相关生活质量（HRQOL）没有显著差异。只有袖状胃切除术患者术前对这些参数（HRQOL）进行了评估。然而，在袖状胃切除术组中，术后除心理健康状况外，HRQOL的所有参数均有显著改善。
腹腔镜袖状胃切除术患者在食物耐受性和饮食失调行为方面均有更好的结果。袖状胃切除术组和胃束带术组之间的生活质量没有显著差异。
