Quality of Life After Gastric Bypass
QoL After Biliopancreatic Diversion
| Bariatric Surgery information Quality of Life After Gastric Bypass |
QoL After Biliopancreatic Diversion |
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Quality of Life in Obese Patients After Biliopancreatic Diversion Stomach Bypass (BPD) This research study examined health-related quality of life in morbidly obese subjects before and after biliopancreatic diversion (BPD). Quality of life (QoL) was assessed by using the Impact of Weight on Quality of Life (IWQOL) questionnaire, which was administered to (1) 50 obese patients prior to and 1 year after biliopancreatic diversion; (2) 150 post-obese subjects 3 years after biliopancreatic diversion; and (3) 50 lean patients (control). Twelve months after the bypass operation, the study disclosed a sharp improvement toward normality in the QoL, and other data suggests that this result was maintained long term. Bottom line: after biliopancreatic diversion bypass, patients' weight loss and long-term maintenance are accompanied by a range of beneficial effects on their QoL. Impact of Obesity on Quality of Life Obesity significantly restricts physical functioning in a patient's everyday life because of the extreme excess weight he or she carries; also, because of health complications, obesity greatly affects a person's medical status, leading (eg) to significant increased risk of cardiovascular disease and reduction in life expectancy. Furthermore, obesity is typically aggravated by psychological problems that link up with lack of social understanding towards obese persons. Thus, severely obese patients rarely have the capacity to live as fully and actively as they would like, and thus experience an overall impaired quality of life. Quality of Life After Biliopancreatic Diverson Surgery Compared with dieting and exercise treatments, during which a complete recovery from obesity is very rarely observed, bariatric surgical operations (when accompanied by increased physical activity, a self-selected calorie-controlled diet, and group support) offer sustainable weight loss with improved health conditions plus an increase of both physiological and psychological well-being. However, different bariatric procedures may give rise to different effects that influence the quality of life following weight loss. Operation Used: Distal Gastrectomy With Roux-en-Y The study assessed the effect of biliopancreatic diversion on QoL. This operation involves a distal gastrectomy and a Roux-en-Y reconstruction, with a 50 cm common channel. This arrangement of gastrointestinal transit determines maldigestion and then malabsorption of fat and starch for delayed mixing between alimentary substrates, bile, and pancreatic juice, which provokes and maintains weight loss. Impact of Weight on Quality of Life (IWQOL) Questionnaire The IWQOL is commonly used as a treatment outcome measure to assess the effect of weight on quality of life in 8 key areas: ( 1 ) general and perceived health, (2) interpersonal relationships, (3) mobility, (4) capacity of work, (5) self-esteem, (6) activity of daily living, (7) sexual life, and (8) comfort with food. On the IWQOL, higher scores indicate poorer quality of life. Study Participants The longitudinal group of the study comprised 50 subjects (19 males) aged from 20 to 55 years (M = 36), who underwent biliopancreatic diversion to reduce obesity at the Dept of Surgery (University of Genoa), from January to December 2001. The patients had this gastric bypass because of their repeated failed attempts to lose weight with conventional diets. The IWQOL questionnaire was given to the patients just before their biliopancreatic diversion operation and 1 year afterwards in conjunction with their regular post-operative visit. Results of QoL Study
The study's main finding is that weight loss in obese patients having undergone distal biliopancreatic stomach bypass was accompanied by a significant improvement in the quality of life in all the areas explored. In fact, by one year after the operation the results were similar to those recorded in healthy control subjects. Even so, longer term studies of patients after bariatric bypass are still needed to confirm these clinical results. Source: Gastric Bypass Surgery to Reduce Obesity |