Health-related quality of life outcomes following Roux-en-Y gastric bypass versus one anastomosis gastric bypass

Karl Peter Rheinwalt; Anna Fobbe; Andreas Plamper; Patrick Hamid Alizai; Sophia Marie-Therese Schmitz; Maximilian Joseph Brol; Jonel Trebicka; Ulf Peter Neumann; Tom Florian Ulmer

doi:10.1007/s00423-023-02792-w

Health-related quality of life outcomes following Roux-en-Y gastric bypass versus one anastomosis gastric bypass

Langenbecks Arch Surg. 2023 Feb 2;408(1):74. doi: 10.1007/s00423-023-02792-w.

Authors

Karl Peter Rheinwalt¹, Anna Fobbe², Andreas Plamper³, Patrick Hamid Alizai⁴, Sophia Marie-Therese Schmitz⁴, Maximilian Joseph Brol⁵, Jonel Trebicka⁵, Ulf Peter Neumann⁴, Tom Florian Ulmer⁴

Affiliations

¹ Department of Bariatric, Metabolic and Plastic Surgery, St. Franziskus-Hospital, Schoensteinstrasse 63, 50825, Cologne, Germany. karlpeter.rheinwalt@cellitinnen.de.
² Department of General and Visceral Surgery, and Proctology, Klinikum Westfalen GmbH, Knappschaftskrankenhaus Dortmund, Am Knappschaftskrankenhaus 1, 44309, Dortmund, Germany.
³ Department of Bariatric, Metabolic and Plastic Surgery, St. Franziskus-Hospital, Schoensteinstrasse 63, 50825, Cologne, Germany.
⁴ Department of General, Visceral and Transplantation Surgery, University Hospital of the RWTH-Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.
⁵ Department of Internal Medicine B, Westfälische Wilhelms-Universität, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.

PMID: 36729181
DOI: 10.1007/s00423-023-02792-w

Abstract

Purpose: Roux-en-Y gastric bypass (RYGB) and one anastomosis gastric bypass (OAGB) are effective standard bariatric surgeries with comparable weight loss and remission of obesity-related comorbidities. As procedure-specific health-related quality of life (HrQoL) outcomes have not been directly compared thus far, we conducted this questionnaire-based study.

Methods: Two hundred forty patients after undergoing either RYGB or OAGB between 2011 and 2016 were contacted and asked to fill out SF36 and BAROS questionnaires. All statistical analysis was performed with Microsoft Excel and GraphPad Prism. Primary objectives were procedure-dependent differences in HrQoL. Secondary objectives were weight loss and remission of comorbidities.

Results: One hundred nineteen of 240 contacted patients (49.6%) replied, 58 after RYGB (48.7%) and 61 after OAGB (51.3%). Follow-up period was < 24 months in 52 and > 24 months in 64 evaluable patients. The mean age was 46 years (range 23 to 71). Regarding the < 24 months groups, both physical and psychological SF36 sum scales were comparably high. Only the subcategory "general health perception" was significantly better after RYGB. Significantly higher excess weight loss (EWL) after RYGB (88.81%) compared to OAGB (66.25%) caused significantly better global < 24 months BAROS outcomes, whereas remission of comorbidities and HrQoL was similar. Both > 24 months groups showed high SF36-HrQoL sum scales. Global mean BAROS results after > 24 months were "very good" in both procedures. EWL in RYGB (80.81%) and in OAGB (81.36%) were comparably excellent.

Conclusion: Concerning SF36 and BAROS evaluated HrQoL in early and late postoperative phases, both procedures demonstrated comparable and relevant improvements. Further (preferably randomized) studies should include evaluation of preoperative HrQoL.

Keywords: Bariatric surgery outcome; Health-related quality of life; One anastomosis gastric bypass; Roux-en-Y gastric bypass.

MeSH terms

Adult
Aged
Anastomosis, Roux-en-Y / methods
Gastric Bypass* / methods
Humans
Middle Aged
Obesity / surgery
Obesity, Morbid* / surgery
Quality of Life
Retrospective Studies
Weight Loss
Young Adult