Obesity Surgery

, Volume 29, Issue 4, pp 1397–1402 | Cite as

Quality of Life and Gastrointestinal Symptoms Following Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy: a Systematic Review

  • Emanuele RausaEmail author
  • Michael E. Kelly
  • Elisa Galfrascoli
  • Albero Aiolfi
  • Federica Cavalcoli
  • Luca Turati
  • Luigi Bonavina
  • Giovanni Sgroi
Review Article


Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are the most common bariatric operations performed worldwide. Quality of life (QoL) is a crucial outcome metric. An electronic systematic search using PubMed, EMBASE, and Web of Science of studies comparing QoL after LSG and LRYGB was performed. QoL after both LSG and LRYGB considerably improves regardless the type of surgery. The QoL has a slight downward trend from the second to the fifth year postoperatively, but it remains higher than the baseline. LSG patients are more likely to suffer from gastroesophageal symptoms (GES). GES represent the only significant difference between the two procedures. A routine screening with gastroscopy and 24 h pH metry to help tailor the most appropriate surgical approach is advised.


Quality of life Bariatric surgery Laparoscopic Roux-en-Y gastric bypass Laparoscopic sleeve gastrectomy 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Statement of Informed Consent

Not applicable.

Statement of Human and Animal Rights/Ethical Approval

Not applicable.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Surgical Oncology UnitTreviglio HospitalTreviglioItaly
  2. 2.Department of Colorectal SurgeryConnolly HospitalDublinIreland
  3. 3.Division of General SurgeryFatebenefratelli HospitalMilanItaly
  4. 4.Division of General Surgery, IRCCS Policlinico San Donato, Department of Biomedical Sciences of HealthUniversity of Milan Medical SchoolMilanItaly
  5. 5.Diagnostic and Therapeutic Endoscopy UnitFondazione IRCCS Istituto Nazionale TumoriMilanItaly

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