Quality of Life in Patients Undergoing Revisional Bariatric Surgery: From Sleeve Gastrectomy to Roux-en-Y Gastric Bypass

Obes Surg. 2024 Mar;34(3):997-1003. doi: 10.1007/s11695-024-07082-y. Epub 2024 Feb 3.

Abstract

Sleeve gastrectomy (SG) is the most performed bariatric surgery worldwide. However, this surgery may be associated with long-term weight regain and severe gastroesophageal reflux disease (GERD), sometimes necessitating conversion to Roux-en-Y gastric bypass (RYGB) to improve quality of life (QoL). We conducted a systematic review on QoL measures following the conversion of SG to RYGB. We searched various databases for studies conducted between January 2005 and September 2023. Four studies, involving 196 participants in total, met the inclusion criteria. Different assessment methods were used to evaluate QoL following the conversion. In the included studies, we observed that GERD symptoms and proton pump inhibitor (PPI) use both decreased following conversion to RYGB. Excess weight loss (EWL) was also observed in all studies.

Keywords: Conversion surgery; GERD; Quality of life (QoL); Weight regain.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Gastrectomy / methods
  • Gastric Bypass* / methods
  • Gastroesophageal Reflux* / surgery
  • Humans
  • Laparoscopy* / methods
  • Obesity, Morbid* / surgery
  • Quality of Life
  • Reoperation / methods
  • Retrospective Studies