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Self-Reported Gastrointestinal Symptoms Two To Four Years After Bariatric Surgery. A Cross-Sectional Study Comparing Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy

Thorsen, Brit, Gjeilo, Kari Hanne, Sandvik, Jorunn, Follestad, Turid, Græslie, Hallvard, Nymo, Siren·2021·Obesity Surgery
DOI 10.1007/s11695-021-05605-5
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Abstract

Background: Roux-en-Y gastric bypass (RYGBP) and laparoscopic sleeve gastrectomy (LSG) are efficient methods for weight loss (WL) and WL maintenance in severe obesity. However, the knowledge of gastrointestinal (GI) symptoms after surgery is limited. This study aimed to compare the severity of GI symptoms, pain, and self-rated health 2 to 4 years after RYGBP and LSG surgery. Methods: In this cross-sectional study, RYGBP and LSG patients answered a questionnaire including the Gastrointestinal Symptom Rating Scale (GSRS), questions from the Brief Pain Inventory (BPI), and self-rated health (SRH). Results: A total of 172/303 (57%) responded, RYGBP (n=73) and LSG (n=99). The mean age was 45.3 (SD 11.1) years (74% females). There was no evidence of a difference in total GSRS scores between the surgical methods (p=0.638). There were higher scores of reflux symptoms in LSG vs. RYGBP (both median 1, 75-percentile 2.5 vs. 1.0, p <0.001) and higher consumption of acid-reducing medication after LSG (32% vs. 12%, p <0.001). Pain scores were low in both groups; however, average abdominal pain was higher for RYGBP, median 2 (IQR 0–4) vs. median 1 (IQR 0–3) for LSG (p = 0.025). There was no significant difference in SRH. Conclusions: Patients undergoing RYGBP and LSG surgery reported similar total GSRS scores and low pain scores 2 to 4 years after surgery. However, reflux symptoms and use of acid-reducing medication occurred more frequently after LSG surgery, while abdominal pain was more frequent in RYGBP surgery. These findings are important for surgical decision-making and follow-up. Graphical abstract:

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Cited by

Metadata

Authors
Thorsen, B., Gjeilo, K. H., Sandvik, J., Follestad, T., Græslie, H., & Nymo, S.
ORCID
Nymo, Siren
Venue
Obesity Surgery
Publisher
Springer Science and Business Media LLC
Published
2021-08-10
Volume
31
Issue
10
Pages
4338-4346
ISSN
  • 0960-8923
  • 1708-0428
DOI
10.1007/s11695-021-05605-5
Cited by
14
References
3
Language
en
Licence
Funders
NTNU Norwegian University of Science and Technology

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