The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.
Influence of Reoperations on Long-Term Quality of Life After Restrictive Procedures: A Prospective Study
Open accessAbstract
Quality of life improves after bariatric surgery. However, long-term results and the influence of reoperations are not well known. A prospective quality of life assessment before, 1 and 7 years after laparoscopic adjustable gastric banding (LAGB) and vertical banded gastroplasty (VBG) was performed in order to determine the influence of reoperations during follow-up. One hundred patients were included in the study. Fifty patients underwent VBG and 50 LAGB. Patients completed the quality of life questionnaires prior to surgery and two times during follow-up. Health-related quality of life (HRQoL) questionnaires included the Nottingham Health Profile I and II and the Sickness Impact Profile 68. Follow-up was 84% with a mean duration of 84 months (7 years). During follow-up, 65% of VBG patients underwent conversion to Roux-en-Y gastric bypass while 44% of LAGB patients underwent a reoperation or conversion. One year after the procedure, nearly all quality-of-life parameters significantly improved. After 7 years, the Nottingham Health Profile (NHP)-I domain "physical ability", the NHP-II and the SIP-68 domains "mobility control", "social behavior", and "mobility range" were still significantly improved in both groups. The domains "emotional reaction", "social isolation" (NHP-I), and "emotional stability" (SIP-68) remained significantly improved in the VBG group while this was true for the domain "energy level" (NHP-I) in the LAGB group. Both the type of procedure and reoperations during follow-up were not of significant influence on the HRQoL results. Weight loss and decrease in comorbidities were the only significant factors influencing quality of life. Restrictive bariatric surgery improves quality of life. Although results are most impressive 1 year after surgery, the improvement remains significant after long-term follow-up. Postoperative quality of life is mainly dependent on weight loss and decrease in comorbidities and not on the type of procedure or surgical complications.
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“Four studies with a follow-up of at least 5 years were identified. Port-related and band-related complications were documented for 18%, 23%, 27% and 43% of patients [78, 80, 85, 89].”
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Di Lorenzo, N., Antoniou, S. A., Batterham, R. L., Busetto, L., Godoroja, D., Iossa, A., Carrano, F. M., Agresta, F., Alarçon, I., Azran, C., et al. (2020) · Surgical Endoscopy · doi:10.1007/s00464-020-07555-y · Cited by 465
Systematic review on reoperative bariatric surgery
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Metadata
- Authors
- Schouten, R., Wiryasaputra, D. C. M. S., van Dielen, F. M. H., van Gemert, W. G., & Greve, J. W. M.
- Affiliations
- Atrium Medisch Centrum Parkstad (NL)
- Maastricht University Medical Centre (NL)
- Corresponding author
- Schouten, Ruben
- Venue
- Obesity Surgery
- Published
- 2011-01-11
- Volume
- 21
- Issue
- 7
- Pages
- 871-879
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- PMC
- PMC3119802
- OpenAlex
- W2159881792
- Cited by
- 31
- References
- 38
- Citations by year
- 2024: 1 · 2022: 1 · 2020: 2 · 2017: 3 · 2015: 7 · 2014: 8 · 2013: 6 · 2012: 3
- FWCI
- 5.56
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Obesity Surgery (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, cc-by-nc)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Keywords
- bariatric surgery, quality of life
- MeSH terms
- Adult, Female, Follow-Up Studies, Humans, Male, Middle Aged, Obesity, Morbid, Laparoscopy, Prospective Studies, Quality of Life, Surveys and Questionnaires, Reoperation, Gastric Bypass, Gastroplasty, Weight Loss, Comorbidity
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