Long-Term Quality of Life Outcomes After Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass-a Comparative Study

Obes Surg. 2021 Mar;31(3):1376-1380. doi: 10.1007/s11695-020-05049-3. Epub 2020 Oct 16.

Abstract

Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have been shown to improve metabolic comorbidities as well as quality of life (QoL) in the obese population. The vast majority of previous studies have investigated the metabolic effects of bariatric surgery and there is a dearth of studies examining long-term QoL outcomes post bariatric surgery. The outcomes of 43 patients who underwent bariatric surgery were prospectively assessed, using BAROS questionnaires to quantify QoL and metabolic status pre-operatively, at 1 year and at 8 years. Total weight loss and comorbidity resolution were similar between RYGB and SG. The RYGB cohort experienced greater QoL improvement from baseline and had higher BAROS scores at 8 years. RYGB may provide more substantial and durable long-term benefits as compared to SG.

Keywords: BAROS questionnaire; Bariatric surgery; Comorbidity; Gastric bypass; Sleeve gastrectomy; Weight loss.

MeSH terms

  • Gastrectomy
  • Gastric Bypass*
  • Humans
  • Laparoscopy*
  • Obesity, Morbid* / surgery
  • Quality of Life
  • Retrospective Studies
  • Treatment Outcome