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Cited by 31Bariatric Surgery and OutcomesBody Contouring and SurgeryMinimally Invasive Surgical Techniques

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

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Schouten, Ruben, Wiryasaputra, Dorothee C. M. S., van Dielen, Francois M. H., van Gemert, Wim G., Greve, Jan Willem M.·2011·Obesity Surgery
DOI 10.1007/s11695-010-0350-5PMC PMC3119802
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Abstract

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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Fig. 1 Mean values of HRQoL parameters preoperatively, 1 and 7 years after restrictive procedures (VBG and LAGB, n = 84). EL energy level, ER emotional reaction, SI social isolation, PA physical abilities (all NHP-I), SA somatic autonomy, MC mobility control, PC psychic autonomy and communication, SB social behavior, ES emotional stability, MR mobility range (all SIP-68)
Fig. 1 Mean values of HRQoL parameters preoperatively, 1 and 7 years after restrictive procedures (VBG and LAGB, n = 84). EL energy level, ER emotional reaction, SI social isolation, PA physical abilities (all NHP-I), SA somatic autonomy, MC mobility control, PC psychic autonomy and communication, SB social behavior, ES emotional stability, MR mobility range (all SIP-68)CC BY-NC · PubMed Central

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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
ORCID
Venue
Obesity Surgery
Publisher
Springer Science and Business Media LLC
Published
2011-01-11
Volume
21
Issue
7
Pages
871-879
ISSN
  • 0960-8923 (ISSN-L)
  • 1708-0428
DOI
10.1007/s11695-010-0350-5
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
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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