Quality of life after sleeve gastrectomy and adjustable gastric banding

Joshua B. Alley, Stephen J. Fenton, Michael C. Harnisch, Donovan N. Tapper, Jason M. Pfluke, Richard M. Peterson

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Background: With the addition of laparoscopic vertical sleeve gastrectomy (SG) to the bariatric surgery procedural toolkit, patients desiring a restrictive bariatric procedure often choose between adjustable gastric banding (LAGB) and SG. One study compared quality of life after these 2 procedures and found no difference. The purpose of our study was to re-evaluate the postoperative quality of life in LAGB and SG patients at a military teaching hospital in the United States. Methods: A retrospective review of 108 consecutive laparoscopic restrictive bariatric procedures performed within 15 months at a Department of Defense hospital was conducted. Of these 108 patients, 69 had undergone laparoscopic vertical SG and 39 LAGB. A validated quality of life questionnaire (Bariatric Quality of Life) was conducted a mean of 9.3 ± 3.2 months (range 516) postoperatively. The weight loss and standard laboratory parameters were measured at 0, 1, 3, 6, and 12 months. Results: The quality of life assessment revealed significantly better scores after SG than after LAGB (66.5 versus 57.9, P =.0002). The excess weight loss and excess body mass index loss at 3, 6, and 12 months postoperatively were significantly greater in the laparoscopic SG group. The patients demonstrated a clear preference over time for SG once it was offered. Conclusion: Early postoperative quality of life was superior after SG than after LAGB. SG also resulted in superior early excess weight loss. In a practice not constrained by reimbursement, these findings were associated with increased patient choice of SG after it began to be offered.

Original languageEnglish (US)
Pages (from-to)31-40
Number of pages10
JournalSurgery for Obesity and Related Diseases
Volume8
Issue number1
DOIs
StatePublished - Jan 1 2012

Keywords

  • Bariatric surgery
  • Gastrectomy
  • Gastroplasty
  • Quality of life

ASJC Scopus subject areas

  • Surgery

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