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A Cohort Study on the Outcomes of Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy Regarding the Change in Body Mass Index, Remission of Comorbidities and Quality of Life After 12-Month Follow-up

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Abstract

Laparoscopic Roux-en-Y gastric bypass (LRYGB) is recognized as the gold-standard procedure in bariatric surgery, although laparoscopic sleeve gastrectomy (LSG) is becoming accepted as an appropriate technique in its own right. The purpose of our study was to compare the effectiveness of these two techniques with respect to weight reduction, remission of obesity-associated comorbidities and enhancement of quality of life after 12-month follow-up in a Brazilian setting. Our prospective observational cohort study involved 110 patients undergoing LRYGB and LSG at a hospital in south-east Brazil during the period August 2016–March 2017. Patients were assessed prior to and 12 months after intervention with respect to body mass index (BMI), the presence of comorbidities, and quality of life as determined by Short Form 36 Health Survey and World Health Organization Quality of Life questionnaires. No significant differences were detected between LRYGB and LSG regarding reduction in BMI. Both procedures engendered positive impacts on the quality of life that were essentially similar, although the level of improvement was not necessarily associated with the degree of weight loss. Patients who had undergone LRGYB experienced a higher resolution of comorbidities, especially type 2 diabetes, than those who had received LSG. LSG is effective in achieving weight loss, resolving comorbidities and improving the quality of life, reinforcing the current tendency for its use as a stand-alone procedure in the surgical treatment of obesity.

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References

  1. Governo do Brasil. Obesidade cresce 60% em 10 anos no Brasil. [Internet] Available at: http://www.brasil.gov.br/editoria/saude/2017/04/obesidade-cresce-60-em-dez-anos-no-brasil

  2. Mendes AB, De Souza FC, Reinecken JL, Tavares WD, Lopes J, Tavares WD, et al. Quality of life of older obesians who carried out bariatric surgery. Revista Sodebras. 2018;13(149):40-44. Avaiable on http://www.sodebras.com.br/edicoes/N149.pdf.

  3. Riccò M, Marchesi F, Tartamella F, Rapacchi C, Pattonieri V, Odone A, et al. The impact of bariatric surgery on health outcomes, wellbeing and employment rates: analysis from a prospective cohort study. Ann Ig [internet]. 2017;29:440–452. Recuperado de: http://www.seu-roma.it/riviste/annali_igiene/open_access/articoli/29-05-15-Ricco.pdf

  4. Kubik JF, Gill RS, Laffin M, Karmali S. The impact of bariatric surgery on psychological health. J Obes. 2013;2013:1–5.

    Article  Google Scholar 

  5. Jumbe S, Hamlet C, Meyrick J. Psychological aspects of bariatric surgery as a treatment for obesity. Curr Obes Rep [internet]. 2017;6(1):71–8. Recuperado de. https://doi.org/10.1007/s13679-017-0242-2.

    Article  Google Scholar 

  6. Wing RR, Hill JO. S w l m. 2001;

  7. Chang C-Y, Hung C-K, Chang Y-Y, Tai C-M, Lin J-T, Wang J-D. Health-related quality of life in adult patients with morbid obesity coming for bariatric surgery. Obes Surg [internet]. 2010;20(8):1121–7. Recuperado de. https://doi.org/10.1007/s11695-008-9513-z.

    Article  Google Scholar 

  8. Pollard S. The current status of bariatric surgery. Frontline Gastroenterol [internet]. 2011;2(2):90–95. Recuperado de: http://fg.bmj.com/content/2/2/90.full.pdf+html http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=emed10&AN=2012159588 http://nt2yt7px7u.search.serialssolutions.com/?sid=OVID:Embase&genre=article&id=pmid:&id=doi:10.1136%2Ffg.2010.002626&

  9. Murphy R, Evennett NJ, Clarke MG, Robinson SJ, Humphreys L, Jones B, et al. Sleeve gastrectomy versus Roux-en-Y gastric bypass for type 2 diabetes and morbid obesity: double-blind randomised clinical trial protocol. BMJ Open [internet], Recuperado de. 2016;6(7):e011416 http://www.ncbi.nlm.nih.gov/pubmed/27377635.

  10. Nora C, Morais T, Nora M, Coutinho J, Monteiro P. Revista Portuguesa de Endocrinologia , Diabetes e Metabolismo Gastrectomia vertical e bypass gástrico no tratamento da síndrome metabólica. Rev Port Endocrinol Diabetes e Metab [Internet]. 2016;11(1):23–29. Recuperado de: https://doi.org/10.1016/j.rpedm.2015.09.002

  11. Fischer L, Hildebrandt C, Bruckner T, Kenngott H, Linke GR, Gehrig T, et al. Excessive weight loss after sleeve gastrectomy: a systematic review. Obes Surg. 2012;22(5):721–31.

    Article  Google Scholar 

  12. Bellanger DE, Greenway FL. Laparoscopic sleeve gastrectomy, 529 cases without a leak: short-term results and technical considerations. Obes Surg. 2011;21(2):146–50.

    Article  Google Scholar 

  13. Leyba JL, Aulestia SN, Llopis SN. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the treatment of morbid obesity. A prospective study of 117 patients. Obes Surg. 2011;21(2):212–6.

    Article  Google Scholar 

  14. Mohos E, Schmaldienst E, Prager M. Quality of life parameters, weight change and improvement of comorbidities after laparoscopic roux y gastric bypass and laparoscopic gastric sleeve resection-comparative study. Obes Surg. 2011;21(3):288–94.

    Article  Google Scholar 

  15. Li J-F, Lai D-D, Lin Z-H, Jiang T-Y, Zhang A-M, Dai J-F. Comparison of the long-term results of Roux-en-Y gastric bypass and sleeve gastrectomy for morbid obesity: a systematic review and meta-analysis of randomized and nonrandomized trials. Surg Laparosc Endosc Percutan Tech [Internet]. 2014;24(1):1–11 Recuperado de: http://www.ncbi.nlm.nih.gov/pubmed/24487151.

    Article  Google Scholar 

  16. Lakdawala MA, Bhasker A, Mulchandani D, Goel S, Jain S. Comparison between the results of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-y gastric bypass in the Indian population: a retrospective 1 year study. Obes Surg. 2010;20(1):1–6.

    Article  Google Scholar 

  17. Perrone F, Bianciardi E, Ippoliti S, Nardella J, Fabi F, Gentileschi P. Long-term effects of laparoscopic sleeve gastrectomy versus Roux-en-Y gastric bypass for the treatment of morbid obesity: a monocentric prospective study with minimum follow-up of 5 years. Updates Surg Springer Milan. 2017;69(1):101–7.

    Article  Google Scholar 

  18. Chouillard EK, Karaa A, Elkhoury M, Greco VJ. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for morbid obesity: case-control study. Surg Obes Relat Dis [Internet]. Elsevier Inc.; 2011;7(4):500–505. Recuperado de: https://doi.org/10.1016/j.soard.2011.01.037

  19. Campolina AG, Bortoluzzo AB, Ferraz MB, Ciconelli RM. Validation of the Brazilian version of the generic six-dimensional short form quality of life questionnaire (SF-6D Brazil). Cien Saude Colet. 2011;16(7):3103–10.

    Article  Google Scholar 

  20. World Health Organization Quality of Life Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;(September 2000:551–8.

  21. Fezzi M, Kolotkin RL, Nedelcu M, Jaussent A, Schaub R, Chauvet MA, et al. Improvement in quality of life after laparoscopic sleeve gastrectomy. Obes Surg. 2011;21(8):1161–7.

    Article  Google Scholar 

  22. Chang CY, Huang CK, Chang YY, Tai CM, Lin JT, Wang JD. Prospective study of health-related quality of life after Roux-en-Y bypass surgery for morbid obesity. Br J Surg. 2010;97(10):1541–6.

    Article  Google Scholar 

  23. Charalampakis V, Bertsias G, Lamprou V, De Bree E, Romanos J, Melissas J. Quality of life before and after laparoscopic sleeve gastrectomy. A prospective cohort study. Surg Obes Relat Dis [Internet]. Elsevier; 2015;11(1):70–76. Recuperado de: https://doi.org/10.1016/j.soard.2014.04.024

  24. Janik MR, Rogula T, Bielecka I, Kwiatkowski A, Paśnik K. Quality of life and bariatric surgery: cross-sectional study and analysis of factors influencing outcome. Obes Surg. 2016;26(12):2849–55.

    Article  Google Scholar 

  25. Zhang Y, Zhao H, Cao Z, Sun X, Zhang C, Cai W, et al. A randomized clinical trial of laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy for the treatment of morbid obesity in China: a 5-year outcome. Obes Surg. 2014;24(10):1617–24.

    Article  Google Scholar 

  26. 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): a prospective randomized trial comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. Ann Surg. 2013;258(5):690–5.

    Article  Google Scholar 

  27. Costa RCN, Yamaguchi N, Santo MA, Riccioppo D, Pinto-Junior PE. Outcomes on quality of life, weight loss, and comorbidities after Roux-en-Y gastric bypass. Arq Gastroenterol [internet]. 2014;51(3):165–70 Recuperado de: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032014000300165&lng=en&tlng=en.

    Article  Google Scholar 

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Authors and Affiliations

  1. Serviço de Cirurgia Bariátrica, Hospital São José do Avaí, Centro, Itaperuna, RJ, 28300-000, Brazil

    Daniela M. Sueth & Augusto C. A. Tinoco

  2. Departamento de Biologia, Universidade Federal Fluminense, Icarai, Niterói, RJ, 24220-900, Brazil

    Wendel M. Pompilho

  3. Faculdade de Medicina, Universidade Iguaçu, Campus V, Cidade Nova, Itaperuna, RJ, 28300-000, Brazil

    Wendel M. Pompilho, Jaylla F. F. O. Raeli & Gersana T. R. Zambrotti

  4. Instituto de Ensino e Pesquisa da Santa Casa Misericordia de Belo Horizonte, Santa Efigênia, Belo Horizonte, MG, 30150-221, Brazil

    Carlos M. Antunes

Authors
  1. Daniela M. Sueth
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  2. Augusto C. A. Tinoco
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  3. Wendel M. Pompilho
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  4. Jaylla F. F. O. Raeli
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  5. Gersana T. R. Zambrotti
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  6. Carlos M. Antunes
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Corresponding author

Correspondence to Daniela M. Sueth.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval Statement

All procedures performed in the study were in accordance with the ethical standards of the Comissão Nacional de Ética em Pesquisa (CONEP)/Comitê de Ética em Pesquisa da Santa Casa de Belo Horizonte (protocol number CAAE 65939417.0.0000.5138) and with the 1964 Helsinki declaration and its later amendments.

Informed Consent Statement

Informed consent was obtained from all individual participants included in the study.

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This article is part of the Topical Collection on Surgery

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Sueth, D.M., Tinoco, A.C.A., Pompilho, W.M. et al. A Cohort Study on the Outcomes of Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy Regarding the Change in Body Mass Index, Remission of Comorbidities and Quality of Life After 12-Month Follow-up. SN Compr. Clin. Med. 1, 147–153 (2019). https://doi.org/10.1007/s42399-018-0026-3

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  • DOI: https://doi.org/10.1007/s42399-018-0026-3

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