Weight Loss and Quality of Life After Sleeve Gastrectomy or One-Anastomosis Gastric Bypass: Results of a Prospective Stu
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Weight Loss and Quality of Life After Sleeve Gastrectomy or One-Anastomosis Gastric Bypass: Results of a Prospective Study of 120 Women with Morbid Obesity David Lechaux 1
&
David Le Foll 2 & Olivier Rascle 2
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Our aim was to compare quality of life (QoL) after laparoscopic sleeve gastrectomy (SG) and laparoscopic one-anastomosis gastric bypass (OAGB) on obese female adult patients in the first 2 years following surgery. One hundred twenty patients with BMI over 40 kg/m2 and who underwent either SG or OAGB agreed to take part in this study. Weight loss and QoL were assessed via an online platform (e-baros®) before surgery and every 6 months after it. Two years after the operation, results showed a clinically meaningful reduction in BMI of 40.4% and a significantly meaningful improvement of QoL. No significant difference was found between the two surgical techniques for each data collection. In conclusion, both SG and OAGB techniques are effective in reducing BMI and improving QoL. Keywords Sleeve gastrectomy . One-anastomosis gastric bypass . Weight loss . Quality of life
Introduction The rapid rise in the prevalence of obesity in industrialized countries has brought this pathology to the forefront of public health concerns, with over 2 billion overweight or obese people around the world today [1]. Even though weight loss of even a few kilograms can often greatly reduce comorbidities, most medical treatments that focus on diet, physical exercise, changes in eating attitude, or medication are often insufficient in morbidly obese people (body mass index (BMI) > 40 kg/ m2). Bariatric surgery is one of the solutions to this situation and the number of interventions has increased considerably in recent years. In France, there are more than 60,000 bariatric operations each year, with over 80% of them being performed * David Lechaux [email protected] David Le Foll [email protected] Olivier Rascle [email protected] 1
Hôpital Privé des Côtes d’Armor, Plérin, France
2
Department of Sports Sciences, University of Rennes, Rennes, France
on female patients [2]. In view of this, our study focused exclusively on this population. Laparoscopic sleeve gastrectomy (SG) is the most frequent bariatric technique used with Roux-en-Y gastric bypass (RYGB). However, one-anastomosis gastric bypass (OAGB) has increased in popularity and is considered to be an alternative safe and effective bariatric procedure [3]. In France, and particularly in the hospital under study, surgeons use both SG and OAGB. While systematic reviews and meta-analysis published these, last years showed that OAGB in particular increases weight loss and reduces comorbidities [4, 5]; some publications found no significant difference between SG and OAGB [6]. All the authors concluded that further investigations are necessary to assess the clinical outcomes of these two bariatric procedures. It is also important to consider the psycholog
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