Jawhari Amjad M, M Alrashed Abdulaziz, Alghamdi Hussam, S AlOtaibi Abdulaziz, Alshareef Khaled, Alzahrani Khalid M
College of Medicine, Taif University, Taif, SAU.
Department of Surgery, King Abdulaziz Specialist Hospital, TAIF, SAU.
Cureus. 2022 Dec 20;14(12):e32754. doi: 10.7759/cureus.32754. eCollection 2022 Dec.
Background Obesity has become a major global health challenge, and its prevalence has tripled in the last four decades. Impaired quality of life (QoL) is a strong incentive for severely obese patients to seek help. Sleeve gastrectomy (SG) is the most frequently practiced bariatric procedure worldwide. This study aimed to investigate the QoL and changes in body weight three years post laparoscopic SG. Methods A cross-sectional, observational study was performed in outpatient clinics in Taif city, Saudi Arabia. The study included 147 adult patients who underwent SG at least three years before inclusion in the study. Data were collected using a questionnaire designed based on the validated Bariatric quality of life (BQL) and Gastroesophageal Reflux Disease Health-Related Quality of Life (GERD-HRQoL) surveys. Results All patients were suffering from class I, class II, or class III obesity before undergoing SG. Three years post-surgery, 72.8% reached their normal weight or were overweight (P<0.001). The mean± SD BMI (45± 7.0 kg/m) significantly decreased to 26.8± 4.6 kg/m (P<0.001). Most of the participants (78.2%) achieved an excess weight loss percent (EWL%) of 75% or more. The mean± SD BQL score was 45.5± 5.2 points and the median (IQR) GERD-HRQoL score was 7 (15). Higher EWL% was significantly associated with a higher BQL score (P=0.041). Conclusions The current study revealed a better quality of life among patients experiencing higher rates of excess weight loss percent (EWL%) after three years of sleeve gastrectomy as compared to other patients.
肥胖已成为一项重大的全球健康挑战，其患病率在过去四十年中增长了两倍。生活质量受损是重度肥胖患者寻求帮助的强烈诱因。袖状胃切除术（SG）是全球最常实施的减肥手术。本研究旨在调查腹腔镜袖状胃切除术后三年的生活质量和体重变化。方法：在沙特阿拉伯塔伊夫市的门诊进行了一项横断面观察性研究。该研究纳入了147名成年患者，他们在纳入研究前至少三年接受了袖状胃切除术。使用基于经过验证的减肥生活质量（BQL）和胃食管反流病健康相关生活质量（GERD-HRQoL）调查设计的问卷收集数据。结果：所有患者在接受袖状胃切除术之前均患有I级、II级或III级肥胖症。术后三年，72.8%的患者达到正常体重或超重（P<0.001）。平均±标准差体重指数（BMI）（45±7.0kg/m²）显著降至26.8±4.6kg/m²（P<0.001）。大多数参与者（78.2%）的超重减轻百分比（EWL%）达到75%或更高。平均±标准差BQL评分为45.5±5.2分，GERD-HRQoL评分中位数（IQR）为7（15）。较高的EWL%与较高的BQL评分显著相关（P=0.041）。结论：当前研究表明，与其他患者相比，袖状胃切除术后三年超重减轻百分比（EWL%）较高的患者生活质量更好。
