Abstract
Background and objectives:
Long term evaluation of bariatric surgery must include quality of life measurement.
Methods:
Quality of life (QoL) was evaluated using the original Moorehead–Ardelt questionnaire for 200 patients operated for massive obesity in a single centre between 1994 and 2003. QoL and physical data were obtained by retrospective mail questionnaire. Surgical procedures were vertical-banded gastroplasty according to Mason (VBGM) and adjustable gastric banding (AGB) in 61 and 39% of patients, respectively. The aim of the study was to assess the nutritional outcome and QoL according to the procedure.
Results:
Overall, the body mass index (BMI) decreased from 50±8 kg/m2 before surgery to 35.2±7.5 kg/m2 at the time of the questionnaire. The percentage of weight loss was 28.8±12.2%. In the group treated with VBGM, the mean initial weight (P=0.003) and the percentage of weight loss (P<0.001) were significantly higher, and the QoL was better (P=0.003) than in the group treated with AGB. On the basis of the time spent since surgery, a regular weight loss was observed during the first 5 years, whereas weight subsequently increased over the five following years. Similarly, the total QoL score gradually improved during the first 5 years and worsened thereafter. However, it remained better than before surgery. A linear regression analysis showed a positive correlation between the percentage of weight loss and the QoL score (P<0.001).
Conclusions:
This study suggests that the bariatric surgery, particularly the VBGM technique, improved the QoL of obese patients, at least in the first 5 years following surgery.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Alvarez-Leite JI (2004). Nutrition deficiencies secondary to bariatric surgery. Curr Opin Clin Nutr Metab Care 7, 569–575.
Ardelt E, Moorehead MK (1998). The validation of Moorehead–Ardelt Quality of Life questionnaire. Obes Surg 8, 500–504.
Ardelt E, Moorehead MK (1999). The validation of Moorehead–Ardelt Quality of Life questionnaire. Obes Surg 11, 13.
Ballantyne GH (2003). Measuring outcomes following bariatric surgery: weight loss parameters, improvement in co-morbid conditions, change in quality of life and patient satisfaction. Obes Surg 13, 954–964.
Basdevant A, Charles MA (2006) Le surpoids et l’obésité en France, ObEpi—Roche 2006, 4ème enquête épidémiologique nationale sur l’obésité et le surpoids en France. Enquête INSERM/Institut Roche de l’obésité/TNS-SOFRES.
Boan J, Kolotkin RL, Westman EC, McMahon RL, Grant JP (2004). Binge eating, quality of life and physical activity improve after Roux-en-Y gastric bypass for morbid obesity. Obes Surg 14, 341–348.
Bocchieri LE, Meana M, Fisher BL (2002). Perceived psychosocial outcomes of gastric bypass surgery: a qualitative study. Obes Surg 12, 781–788.
Butler GS, Vallis TM, Perey B, Veldhuyzen Van Zanten SJ, Donald AS et al. (1999). The obesity adjustment survey: development of a scale to assess psychological adjustment to morbid obesity. Int J Obes Relat Metab Disord 23, 505–511.
Choban PS, Onyejekwe J, Burge JC, Fnacbaum L (1999). A health status assessment of the impact of weight loss following Roux-en Y gastric bypass for clinically severe obesity. J Am Coll Surg 188, 491–497.
Delin CR, Watts JMcK (1995). Success in surgical intervention for morbid obesity: is weight loss enough? Obes Surg 5, 189–191.
Dymek MP, Le Grange D, Neven K, Alverdy J (2002). Quality of life after gastric bypass surgery: a cross-sectional study. Obes Res 10, 1135–1142.
Fielding GA (2003). Laparoscopic adjustable gastric banding for massive superobesity (>60 body mass index kg/m2). Surg Endosc 17, 1541–1545.
Flanagan SA (1996). Obesity: the last bastion of prejudice. Obes Surg 6, 430–437.
Fontaine KR, Bartlett SJ, Barofsky I (2000). Health-related quality of life among obese persons seeking and not currently seeking treatment. Int J Eat Disord 27, 101–105.
Hafner RJ, Watts JM, Rogers J (1991). Quality of life after gastric bypass for morbid-obesity. Int J Obes 15, 555–560.
Hawke A, O’Brien P, Watts JM (1990). Psychosocial and physical activity changes after gastric restrictive procedures for morbid obesity. Obes Surg 60, 755–758.
Hell E, Miller KA, Moorehead MK, Samuels N (2000). Evaluation of health status and quality of life after bariatric surgery: comparison of standard Roux-en-Y gastric bypass, vertical banded gastroplasty and laparoscopic adjustable silicone gastric banding. Obes Surg 10, 214–219.
Herpetz S, Kielmann R, Wolf AM, Hebebrand J, Senf W (2004). Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review. Obes Res 12, 1554–1569.
Herpetz S, Kielmann R, Wolf AM, Langkafel M, Senf W, Hebebrand J (2003). Does obesity surgery improve psychological functioning? A systematic review. Int J Obes 27, 1300–1314.
Houdent C, Verger N, Courtois H, Ahtoy P, Teniere P (2003). Wernicke's encephalopathy after vertical banded gastroplasty for morbid obesity. Rev Med Interne 24, 476–477.
Kalfarentzos F, Kechagias I, Soulikia K, Loukidi A, Mead N (2001). Weight loss following vertical banded gastroplasty: intermediate results of a prospective study. Obes Surg 11, 265–270.
Kolotkin RL, Binks M, Crosby RD, Ostbye T, Gress RE, Adams TD (2006). Obesity and sexual quality of life. Obesity 14, 472–478.
Kolotkin RL, Crosby RD, Williams GR (2002). Health-related quality of life varies among obese subgroups. Obes Res 10, 748–756.
Kopelman PG (2000). Obesity as a medical problem. Nature 404, 635–643.
Kral JG, Sjostrom LV, Sullivan MB (1992). Assessment of quality of life before and after surgery for severe obesity. Am J Clin Nutr 55 (Suppl 2), S611–S614.
Leonetti F, Silecchia G, Iacobellis G, Ribaudo MC, Zappaterreno A, Tiberti C et al. (2003). Different plasma ghrelin levels after laparoscopic gastric bypass and adjustable gastric banding in morbid obese subjects. J Clin Endocrinol Metab 88, 4227–4231.
MacLean LD, Rhode BM, Shizgal HM (1983). Nutrition following gastric operations for morbid obesity. Ann Surg 198, 347–355.
Marcus DA (2004). Obesity and the impact of chronic pain. Clin J Pain 20, 186–191.
Moorehead MK, Ardelt-Gattinger E, Lechner H, Oria HE (2003). The validation of the Moorehead–Ardelt quality of life questionnaire II. Obes Surg 13, 684–692.
Naslund I, Agren G (1991). Social and economic effects of bariatric surgery. Obes Surg 1, 137–140.
Nguyen NT, Goldman C, Rosenquist J (2001). Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg 234, 279–289.
Nini E, Slim K, Scesa JL, Chipponi J (2002). Assessment of laparoscopic bariatric surgery by the BAROS score. Ann Chir 127, 107–114.
O’Brien PE, McPhail T, Chaston TB, Dixon JB (2006). Systematic review of medium-term weight loss after bariatric operations. Obes Surg 16, 1032–1040.
Oria HE, Moorehead MK (1998). Bariatric analysis and reporting outcome system (BAROS). Obes Surg 8, 487–499.
Pi-Sunyer FX (1993). Medical hazards of obesity. Ann Int Med 119, 655–660.
Quar Bozbora A, Coskun H, Ozarmagan S, Erbil Y, Ozbey N, Orham Y (2000). A rare complication of adjustable gastric banding: Wernicke's encephalopathy. Obes Surg 10, 274–275.
Sarwer DB, Wadden TA, Fabricatore AN (2005). Psychosocial and behavioral aspects of bariatric surgery. Obes Res 13, 639–648.
Seehra H, Macdermott N, Lascelles RG, Taylor TV (1996). Wernicke's encephalopathy after vertical banded gastroplasty for morbid obesity. B M J 312, 434.
Sjöström CD (2003). Surgery as an intervention for obesity. Results from the Swedish obese subjects study. Growth Horm IGF Res 13 (Suppl A), S22–S26.
Wolf AM, Falcone AR, Kortner B, Kuhlmann HW (2000). BAROS: an effective system to evaluate the results of patients after bariatric surgery. Obes Surg 10, 445–450.
Acknowledgements
We thank Richard Medeiros, Rouen University Hospital medical editor, for his valuable advice in editing the manuscript. We also thank the staff of the departments for their help in the evaluation of patients’ charts.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Folope, V., Hellot, MF., Kuhn, JM. et al. Weight loss and quality of life after bariatric surgery: a study of 200 patients after vertical gastroplasty or adjustable gastric banding. Eur J Clin Nutr 62, 1022–1030 (2008). https://doi.org/10.1038/sj.ejcn.1602808
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.ejcn.1602808
Keywords
This article is cited by
-
Transition from a circular to a linear stapling protocol in laparoscopic Roux-en-Y gastric bypass surgery and its impact on quality of life: a 5-year outcome study
Langenbeck's Archives of Surgery (2022)
-
Quality of Life, BMI, and Physical Activity in Bariatric Surgery Patients: a Structural Equation Model
Obesity Surgery (2020)
-
Quality of life and bariatric surgery: a systematic review of short- and long-term results and comparison with community norms
European Journal of Clinical Nutrition (2017)
-
abiliti® Closed-Loop Gastric Electrical Stimulation System for Treatment of Obesity: Clinical Results with a 27-Month Follow-Up
Obesity Surgery (2015)
-
Frequency of Adjustments and Weight Loss after Laparoscopic Adjustable Gastric Banding
Obesity Surgery (2012)