Videosurgery and Other Miniinvasive Techniques (Sep 2010)
Quality of life evaluation after selected bariatric procedures using the Bariatric Analysis and Reporting Outcome System
Abstract
Introduction: Morbid obesity leads to significant decrease in quality of life. The Bariatric Analysis and ReportingOutcome System (BAROS) was created for objective evaluation of surgical treatment for morbid obesity outcomes. Aim: Evaluation of late results of surgical treatment for morbid obesity with laparoscopic adjustable gastric banding(LAGB) and Roux-en-Y gastric bypass (RYGB) procedures, together with evaluation of quality of life in the postoperativeperiod. Material and methods: Sixty patients treated surgically for morbid obesity were included in the study. Group 1 constitutedpatients who underwent LAGB – n = 30 patients with mean age 34 ±9.67, mean BMI 44.3 ±3.7. Group 2 constitutedpatients who underwent RYGB – n = 30 patients with mean age 50.9 ±7.8 years, mean BMI 54.5 ±6.72.Patients were operated on in the period 2007-2008. At least 6 months after the operation, they received questionnairesbased on the BAROS scale in the authors’ own modification. Results: In both groups of patients treated with LAGB and RYGB, an excellent result of surgical treatment wasachieved in 17% of patients, very good in 57%, good in 23%, fair in 1.5% and failure in 1.5%. In the final evaluation ofquality of life (QoL) in both groups treated with LAGB and RYGB, QoL was significantly better in 55% of patients, betterin 42%, while in 3% QoL was unchanged. Conclusions: The quality of life of patients with morbid obesity, evaluated at least six months after the surgery,improves significantly following the bariatric operations performed most often so far, in both laparoscopic and classictechnique.
