Evolución de la calidad de vida a los 24 meses de seguimiento en pacientes sometidos a cirugía bariátricacomparación entre el bypass gástrico y la gastrectomía vertical tubular

  1. vander Hofstadt Román, C. J. 1
  2. Escribano Cubas, S. 2
  3. Tirado González, S. 3
  4. Pérez Martínez, E. 1
  5. Estrada Caballero, J. L. 1
  6. Ortiz Sebastián, S. 1
  7. Rodríguez-Marín, J. 1
  8. Leal Costa, C. 4
  1. 1 Hospital General Universitario de Alicante. Universidad Miguel Hernández. Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL-FISABIO)
  2. 2 Departamento de Psicología. Universidad Miguel Hernández
  3. 3 Departamento de Psicología. Universidad Miguel Hernández. Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL-FISABIO)
  4. 4 Universidad Católica San Antonio
    info

    Universidad Católica San Antonio

    Murcia, España

    ROR https://ror.org/05b1rsv17

Show affiliations +
Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2017

Volume: 40

Issue: 2

Pages: 199-209

Type: Article

DOI: 10.23938/ASSN.0032 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Anales del sistema sanitario de Navarra

Abstract

Background. Bariatric surgery has become the procedure of choice to deal with morbid and super-morbid obesity, with the greatest chance of success. The objectives of this study were: a) to analyse the evolution of the percentage of excess BMI lost (PEBMIL) and quality of life in the medium and long term after bariatric surgery; b) to evaluate the differences in PEBMIL and quality of life according to the surgical technique performed; and c) examine the relationship between PEBMIL and quality of life.Methods. One hundred and ninety-one subjects participated in the present study, undergoing bariatric surgery with follow-up at 12 and 24 months after surgery. The SF-36 and OP-53 questionnaires were administered to assess the quality of life after surgery. Results. There was a statistically significant reduction in the percentage of excess BMI lost at 12 and 24 months; and a significant improvement in quality of life at 12 months, which remained stable at 24 months for most variables. Taking into account the surgical technique, those undergoing gastric bypass surgery show a greater loss of PEBMIL at 12 and 24 months, and significant improvement at one year of evaluation in most of the dimensions that measure quality of life with respect to the tubular vertical gastrectomy technique.Conclusion. Bariatric surgery is effective in reducing the excess of BMI lost and significantly improving the quality of life of morbidly obese patients in the long term.

Bibliographic References

  • BASTERRA-GORTARI FJ, BES-RASTROLLO M, RUIZ-CANELA M, GEA A, MARTINEZ-GONZALEZ MÁ. Prevalencia de obesidad y diabetes en adultos españoles, 1987-2012. Med Clin (Barc) 2017; 148: 250-256.
  • SERRANO OK, TANNEBAUM JE, CUMELLA L, CHOI J, VEMULAPALLI P, SCOTT-MELVIN W et al. Weight loss outcomes and complications from bariatric surgery in the super super obese. Surg Endosc 2016; 30: 2505-2011.
  • BASTERRA-GORTARI FJ, BES-RASTROLLO M, SEGUÍ-GÓMEZ M, FORGA L, MARTÍNEZ JA, MARTÍNEZ-GONZÁLEZ MA. Tendencias de la obesidad, diabetes mellitus, hipertensión e hipercolesterolemia en España (1997-2003). Med Clin (Barc) 2007; 129: 405-408.
  • LARRAD A, SÁNCHEZ-CABEZUDO C. Indicadores de calidad de cirugía bariátrica y criterios de éxito a largo plazo. Cir Esp 2004; 75: 301-304.
  • BOIDO A, CERIANI V, CETTA F LOMBARDI F, PONTIROLI AE. Bariatric surgery and prevention of cardiovascular events and mortality in morbid obesity: mechanisms of action and choice of surgery. Nutr Metab Cardiovasc Dis 2015; 25: 437-443.
  • VAN-DER HOFSTADT CJ, LEAL C, TIRADO S, GARCÍA M, PÉREZ E, RODRÍGUEZ J. Predictors of anxiety and depression symptoms in bariatric surgery candidates. Bariatr Surg Pract Patient Care 2016; 11: 123-130.
  • MARTÍN-RODRÍGUEZ E, GUILLÉN-GRIMA F, MARTÍ A, BRUGOS-LARUMBE A. Comorbidity associated with obesity in a large population: The APNA Study. Obes Res Clin Pract 2015; 9: 435-447.
  • MAJOR P, MATŁOK M, PĘDZIWIATR M, MIGACZEWSKI M, BUDZYŃSKI P, STANEK M et al. Quality of life after bariatric surgery. Obes Surg 2015; 25: 1703-1710.
  • MAJOR P, PĘDZIWIATR M, DWORAK J, PISARSKA M, LASEK A, WIERDAK M et al. The impact of preoperative body weight on quality of live after surgical treatment for morbid obesity. Bariatr Surg Pract Patient Care 2016; 11: 147-152.
  • KROES M, OSEI-ASSIBEY G, BAKER-SEARLE R, HUANG J. Impact of weight change on quality of life in adults with overweight/obesity in the United States: a systematic review. Curr Med Res Opin 2016; 32: 485-508.
  • VILAGUT G, FERRER M, RAJMIL L, REBOLLO P, SANTED GS, VALDERAS JM et al. El Cuestionario de Salud SF-36 español: una década de experiencia y nuevos desarrollos. Gac Sanit 2005; 19: 135-150.
  • BILBAO A, MAR J, MAR B, ARROSPIDE A, MARTÍNEZ DE ARAGÓN G, QUINTANA JM. Validation of the Spanish tanslation of the questionnaire for the obesity-related problems scale. Obes Surg 2009; 19: 1393-1400.
  • COHEN J. Statistical power analysis for the behavioral science. Hillsdale: Lawrence Earbaum, 1998.
  • COHEN J. A power primer. Psychol Bull 1992; 112: 155-159.
  • DEITEL M, GREENSTEIN RJ. Recommendations for reporting weight loss. Obes Surg 2003; 13: 159-160.
  • BAILE JI, GONZÁLEZ MJ. Comorbilidad psicopatológica en obesidad. An Sist Sanit Navar 2011; 34; 253-261.
  • FOBI MAL. The Fobi pouch operation for obesity. Booklet. Quebec, 13th Annual Meeting ASBS, 1996.
  • BALTASAR A, BOU R, DEL RÍO J, BENGOCHEA M, ESCRIVÁ C, MIRÓ J et al. Cirugía bariátrica: resultados a largo plazo de la gastroplastia vertical anillada. ¿Una esperanza frustrada? Cir Esp 1997; 62: 175-9.
  • KARLSSON J, TAFT C, RYDÉN A, SJÖSTROM L, SULLIVAN M. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes 2007; 31: 1248-1261.
  • HELMIO M, SALMINEN P, SINTONEN H, OVASKA J, VICTORZON M. A 5-year prospective quality of life analysis following laparoscopic adjustable gastric banding for morbid obesity. Obes Surg 2011; 21: 1585-1591.
  • BUZGOVÁ R, BUZGA M, HOLÉCZY P, ZONCA P. Evaluation of quality of life, clinical parameters, and psychological distress after bariatric surgery: comparison of the laparoscopic sleeve gastrectomy and laparoscopic greater curvature plication. Bariatr Surg Pract Patient Care 2016; 11: 169-176.
  • CHAMPAULT A, DUWAT O, POLLIAND C, RIZK N, CHAMPAULT GG. Quality of life after laparoscopic gastric banding. Prospective study (152 cases) with a follow-up of 2 years. Surg Laparosc Endosc Percutan Tech 2006; 16: 131-136.
  • SARWER DB, WADDEN T, MOORE R, EISENBERG M, RAPER S, WILLIAMS N. Changes in quality of life and body image following gastric bypass surgery. Surg Obes Relat Dis 2010; 6: 608-614.
  • LARSEN JK, GEENEN R, VAN RAMSHORST B, BRAND N, DE WIT P, STROEBE W et al. Psychosocial functioning before and after laparoscopic adjustable gastric banding: a cross-sectional study. Obes Surg 2003; 13: 629-636.
  • LAGUNA S, ANDRADA P, SILVA C, ROTELLAR F, VALENTI V, GIL MJ et al. Las variaciones en colesterol-HDL tras bypass gástrico proximal son independientes de la evolución ponderal. An Sist Sanit Navar 2016; 39: 23-33.
  • VAN-DER HOFSTADT CJ, TIRADO S, ESCRIBANO S, PÉREZ-MARTÍNEZ E, VALENS E, ESTRADA JL et al. Evolución de la calidad de vida en pacientes sometidos a cirugía bariátrica. BMI 2016; 6: 954-961.
  • SCHAUER PR, MINGRONE G, IKRAMUDDIN S, WOLFE B. Clinical outcomes of metabolic surgery: efficacy of glycemic control, weight loss, and remission of diabetes. Diabetes Care 2016; 39: 902-911.
Data source: Dialnet