This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Prospective study of health‐related quality of life after Roux‐en‐Y bypass surgery for morbid obesity. BJS 2010; 97: 1541-1546.
Published: 19th July 2010
Authors: C.‐Y. Chang, C.‐K. Huang, Y.‐Y. Chang, C.‐M. Tai, J.‐T. Lin, J.‐D. Wang et al.
Background
The aim of this study was to evaluate the effects of Roux‐en‐$fontss=cmss10 scaled 1000 hbox{Y}$ gastric bypass for morbid obesity on health‐related quality of life (QOL) during the first year of follow‐up.
Method
The World Health Organization Quality of Life—Brief (WHOQOL‐BREF) was administered 1 month before operation, and at 1, 3, 6 and 12 months after surgery. Body mass index, co‐morbidities and operation‐related complications were measured at these times. A mixed‐effect model was constructed to analyse repeated measurements and determine the relationships between body mass index, WHOQOL‐BREF scores and other variables.
Results
A total of 102 patients were enrolled. The mixed‐effect model showed that the physical, psychological and social domains improved after bariatric surgery, with simultaneous reduction in weight and improvement in co‐morbidities. There was a dip in scores in physical and psychological domains 3–6 months after surgery, significantly related to complications. All patients gradually improved between 6 and 12 months after surgery, reaching levels similar to those of healthy subjects.
Conclusion
Health‐related QOL improved dramatically after bariatric surgery, dipped slightly between 3 and 6 months, and improved again up to the end of the first year. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
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