Purpose

Sleeve gastrectomy (SG) is the most popular type of bariatric surgery. It has often been compared to Roux-en-Y gastric bypass (RYGB) in terms of clinical outcomes. However, health-related quality of life (HRQoL) has been sparsely studied after SG. The goal was to study HRQoL after SG using a generic (RAND-36) and an obesity-specific (impact of weight on quality of life-lite, IWQOL-lite) questionnaire and to compare the results with RYGB.

Methods

HRQoL and weight were measured before and 9, 15, and 24 months after surgery. RAND-36 physical health summary (PHS) and mental health summary (MHS), and IWQOL-lite total score were calculated. A mixed model analysis was conducted to study the change in HRQoL and compare SG with RYGB.

Results

A total of 219 patients (8.7%) underwent a SG and 2309 patients (91.3%) a RYGB. PHS, MHS, and IWQOL-lite significantly improved after SG when comparing baseline to all follow-up moments (p < 0.001 in all). There were no significant differences when comparing SG with RYGB: change in PHS (β − 0.10, 95% CI − 1.24 to 1.04, p = 0.861), MHS (β − 0.51, 95% CI − 1.56 to 0.52, p = 0.330), and IWQOL-lite (β 0.310, 95% CI − 0.85 to 1.47, p = 0.601).

Conclusion

HRQoL significantly improved after SG. In the included populations, weight loss was comparable and the extent to which HRQoL improved did not differ between SG and RYGB, when measured with the RAND-36 or IWQOL-lite. This might be partly caused by the fact that these questionnaires do not assess specific bariatric HRQoL and/or complaints.

中文翻译：

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袖胃切除术后与健康相关的生活质量等于Roux-en-Y胃搭桥术患者吗？

目的

袖胃切除术（SG）是减肥手术中最受欢迎的类型。在临床结局方面，通常将其与Roux-en-Y胃搭桥术（RYGB）进行比较。然而，SG后对与健康相关的生活质量（HRQoL）进行了稀疏的研究。目的是研究在SG后使用通用（RAND-36）和肥胖特异性（体重对轻度生活质量IWQOL-Lite的影响）问卷调查的HRQoL，并将结果与​​RYGB进行比较。

方法

HRQoL和体重在术前，术后9、15和24个月测量。计算RAND-36身体健康摘要（PHS）和精神健康摘要（MHS），以及IWQOL-lite总分。进行了混合模型分析以研究HRQoL的变化并将SG与RYGB进行比较。

结果

共有219名患者（8.7％）接受了SG，2309名患者（91.3％）接受了RYGB。将基线与所有随访时间进行比较时，SG后的PHS，MHS和IWQOL-lite显着改善（总计p  <0.001）。将SG与RYGB进行比较时没有显着差异：PHS的变化（β− 0.10，95  ％CI − 1.24至1.04，p  = 0.861），MHS（β−  0.51，95％CI − 1.56至0.52，p  = 0.330）和IWQOL-精简版（β 0.310，95％CI - 0.85〜1.47，p  = 0.601）。

结论

SG后HRQoL明显改善。在使用RAND-36或IWQOL-lite进行测量时，SG和RYGB的体重减轻幅度相当，SG和RYGB的HRQoL改善程度没有差异。这些问卷可能无法评估特定的减肥性HRQoL和/或不适，部分原因可能是由于这些问卷。