The relationship of quality of life of patients, body weight and comorbidities in different periods after surgical treatment of morbid obesity

Abstract


The main goal of any surgical intervention in morbid obesity is to improve the quality of life of patients which is considered directly related to the loss of excess body weight and a reduction in the incidence of related diseases. The aim of this study was to determine the interdependence of these indicators. In 2005-2013 we performed 457 operations of gastric banding (GB) and 198 - gastric bypass (GBP). After GB only body mass index (BMI) and quality of life index (QOL) had significant linear correlation, i.e., the higher the weight of the patient, the worse the quality of life. After GBP there was is a significant linear relationship only between the patient's body weight and dynamics of comorbidities, i.e. the higher the weight of the patient, the higher the level of comorbidity. The QOL of patients after GBP does not depend on the body weight or on the frequency of comorbidities.


About the authors

Valeriy Nikolaevich Egiev

People’s friendship University of Russia

Email: egiev@com2com.ru

Russian Federation Sc.D. Head of the Department of surgery and oncology

Yuliya Borisovna Mayorova

People’s friendship University of Russia

Email: ybmayorova@mail.ru

Russian Federation P.H.D., Associate Professor at the Department of surgery and oncology

Evgeniy Aleksandrovich Zorin

Medical Department of Treatment and Rehabilitation

Email: zorin.e.al@gmail.com

Russian Federation Ph.D. surgeon

Anastasiya Vladimirovna Meleshko

People’s friendship University of Russia

Email: leonanas@rambler.ru

Russian Federation Postgraduate student at the Department of surgery and oncology

Ekaterina Sergeevna Orlovskaya

People’s friendship University of Russia

Author for correspondence.
Email: eka2057@mail.ru

Russian Federation Residence at the Department of surgery and oncology

References

  1. Кузин Н.М., Леонтьева М.С., Гузнов И.Г. и соавт. Лапароскопическая горизонтальная гастропластика // Хирургия 1999.–№ 2.– 14–17. [Kuzin NM, Leont'eva MS, Guznov IG, et al. Laparoskopicheskaya gorizontal'naya gastroplastika. Khirurgiya. 1999;(2):14–17.]
  2. Лаврик А.С., Саенко В.Ф., Тывончук А.С., Стеценко А.П. // Стандарты бариатрической хирургии: Матер. 2-го Российск. симп. «Хирургическое лечение ожирения и сопутствующих метаболических нарушений»; 2002; с. 9–10; Железноводск. [Lavrik AS, Saenko VF, Tyvonchuk AS, Stetsenko AP. Standarty bariatricheskoy khirurgii. (Conference proceedigs) «Khirurgicheskoe lechenie ozhireniya i soputstvuyushchikh metabolicheskikh narusheniy» 2nd Russian symposium; 2002; s. 9–10; Zheleznovodsk, (In Russ).]
  3. Peterli R, Borbély Y, Kern B, Gass M, Peters T, Thurnheer M, et al. Early Results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS). Annals of Surgery. 2013;258(5):690-5. doi: 10.1097/SLA.0b013e3182a67426.
  4. Mittermair RP, Weiss H, Nehoda H, Kirchmayr W, Aigner F. Laparoscopic Swedish Adjustable Gastric Banding: 6-year Follow-up and Comparison to other Laparoscopic Bariatric Procedures. Obesity Surgery. 2003;13(3):412–7. doi: 10.1381/096089203765887750.
  5. O'Brien PE. Bariatric surgery: Mechanisms, indications and outcomes. Journal of Gastroenterology and Hepatology. 2010;25(8):1358–65. doi: 10.1111/j.1440-1746.2010.06391.x.
  6. Buddeberg-Fischer B, Klaghofer R, Krug L, Buddeberg C, Müller MK, Schoeb O, et al. Physical and psychosocial outcome in morbidly obese patients with and without bariatric surgery: a 4½-year follow-up. Obesity surgery. 2006;16(3):321–30.
  7. Campos GM. Better Weight Loss, Resolution of Diabetes, and Quality of Life for Laparoscopic Gastric Bypass vs Banding. Archives of Surgery. 2011;146(2):149. doi: 10.1001/archsurg.2010.316.
  8. Flegal KM, Troiano RP. Changes in the distribution of body mass index of adults and children in the US population. International Journal of Obesity. 2000;24(7):807–18. doi: 10.1038/sj.ijo.0801232.
  9. Flancbaum L, Belsley S. Factors Affecting Morbidity and Mortality of Roux-en-Y Gastric Bypass for Clinically Severe Obesity: An Analysis of 1,000 Consecutive Open Cases by a Single Surgeon. Journal of Gastrointestinal Surgery. 2007;11(4):500–7. doi: 10.1007/s11605-007-0117-z.
  10. Dallal RM, Hatalski A, Trang A, Chernoff A. Longitudinal analysis of cardiovascular parameters after gastric bypass surgery. Surgery for Obesity and Related Diseases. 2012;8(6):703–9.

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Copyright (c) 2015 Егиев В.Н., Майорова Ю.Б., Зорин Е.А., Мелешко А.В., Орловская Е.С.

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