2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 st., 30-688, Cracow, Poland.
Centre for Research, Training and Innovation in Surgery (CERTAIN Surgery), Cracow, Poland.
Obes Surg. 2020 Oct;30(10):3675-3684. doi: 10.1007/s11695-020-04726-7. Epub 2020 Jun 13.
Improvement of the quality of life after bariatric surgery is an important outcome of the treatment. Assessing the long-term QoL results provides better insights into the effectiveness of bariatric surgery.
This is a cohort study including patients who underwent bariatric surgery between June 2009 and May 2010 in one academic center. Patients underwent either laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB). Overall, 34 patients underwent LSG (52.3%) and 31 patients underwent LRYGB (47.7%). Preoperatively, and after 1 and 10 years, QoL was assessed using two standardized questionnaires: SF-36 and MA-QoLII. After 10 years, 72% of patients filled out these questionnaires.
The global QoL score before surgery was 48.3 ± 20.6. At the 1-year follow-up, the global total QoL score was 79.7 ± 9.8. At the 10-year follow-up, the global total QoL score was 65.1 ± 21.4. There was a significant increase in total QoL between measurements before the operation and 10 years after surgery in the whole study group (p = 0.001) and for patients who underwent LSG (p = 0.001). There was no significant difference between total QoL prior to surgery and 10 years after for patients who underwent LRYGB (p = 0.450).
LSG led to significant improvement in QoL.
减重手术后生活质量的改善是治疗的一个重要结果。评估长期 QoL 结果可以更好地了解减重手术的效果。
这是一项队列研究,纳入了 2009 年 6 月至 2010 年 5 月在一个学术中心接受减重手术的患者。患者接受了腹腔镜袖状胃切除术(LSG)或腹腔镜 Roux-en-Y 胃旁路术(LRYGB)。共有 34 例患者接受 LSG(52.3%),31 例患者接受 LRYGB(47.7%)。术前、术后 1 年和 10 年,使用两个标准化问卷评估 QoL:SF-36 和 MA-QoLII。10 年后,72%的患者填写了这些问卷。
手术前的总体 QoL 评分为 48.3±20.6。1 年随访时,总体总 QoL 评分为 79.7±9.8。10 年随访时,总体总 QoL 评分为 65.1±21.4。在整个研究组中,手术前和手术后 10 年的总 QoL 评分均显著增加(p=0.001),LSG 组患者(p=0.001)也显著增加。LRYGB 组患者手术前和手术后 10 年的总 QoL 评分无显著差异(p=0.450)。
LSG 可显著改善 QoL。