Felix Nickel1, Lukas Schmidt1, Thomas Bruckner2, Adrian T Billeter1, Hannes G Kenngott1, Beat-Peter Müller-Stich1, Lars Fischer3. 1. Department of General, Visceral, and Transplant Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany. 2. Institute for Medical Biometry and Informatics, University of Heidelberg, Im Neuenheimer Feld 305, 69120, Heidelberg, Germany. 3. Department of General, Visceral, and Transplant Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany. lars.fischer@med.uni-heidelberg.de.
Abstract
INTRODUCTION: Morbidly obese patients have lower quality of life (QOL) when compared to the general population. So far, no studies have compared gender and procedural differences in gastrointestinal QOL after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). METHODS: Patients before and after bariatric surgery completed the gastrointestinal quality of life index (GIQLI), a 36-item questionnaire with five subscores. Differences between SG and RYGB were analyzed, as were gender differences. RESULTS: Some 186 patients completed the questionnaire, 75 before surgery, 56 within 6 months, and 55 within 24 months after surgery. Total GIQLI score and all subscores were significantly better within 24 months after surgery (80.9 ± 19.2 vs. 109.2 ± 17.7, p < 0.001). The specific gastrointestinal items 'feeling of fullness', 'eating pleasure', 'slow speed of eating', and 'diarrhea' were also significantly better after surgery whereas many other gastrointestinal items were not different. Total GIQLI score was significantly higher for SG than for RYGB within 6 months, while there were no significant differences within 24 months after surgery. There were also no significant differences in specific gastrointestinal items between SG and RYGB within 24 months after surgery and in total GIQLI score between female and male patients. CONCLUSION: Total GIQLI score and all subscores were higher within 24 months after bariatric surgery. Total GIQLI score was significantly higher after SG when compared to RYGB within 6 months, but not different within 24 months after surgery. There was no difference in total GIQLI score between female and male patients.
INTRODUCTION: Morbidly obesepatients have lower quality of life (QOL) when compared to the general population. So far, no studies have compared gender and procedural differences in gastrointestinal QOL after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). METHODS:Patients before and after bariatric surgery completed the gastrointestinal quality of life index (GIQLI), a 36-item questionnaire with five subscores. Differences between SG and RYGB were analyzed, as were gender differences. RESULTS: Some 186 patients completed the questionnaire, 75 before surgery, 56 within 6 months, and 55 within 24 months after surgery. Total GIQLI score and all subscores were significantly better within 24 months after surgery (80.9 ± 19.2 vs. 109.2 ± 17.7, p < 0.001). The specific gastrointestinal items 'feeling of fullness', 'eating pleasure', 'slow speed of eating', and 'diarrhea' were also significantly better after surgery whereas many other gastrointestinal items were not different. Total GIQLI score was significantly higher for SG than for RYGB within 6 months, while there were no significant differences within 24 months after surgery. There were also no significant differences in specific gastrointestinal items between SG and RYGB within 24 months after surgery and in total GIQLI score between female and male patients. CONCLUSION: Total GIQLI score and all subscores were higher within 24 months after bariatric surgery. Total GIQLI score was significantly higher after SG when compared to RYGB within 6 months, but not different within 24 months after surgery. There was no difference in total GIQLI score between female and male patients.
Authors: Ronald H Clements; Quintin H Gonzalez; Allen Foster; William O Richards; James McDowell; Anthony Bondora; Henry L Laws Journal: Obes Surg Date: 2003-08 Impact factor: 4.129
Authors: Felix Nickel; Lukas Schmidt; Johannes Sander; Christian Tapking; Thomas Bruckner; Beat-Peter Müller-Stich; Lars Fischer Journal: Obes Facts Date: 2018-12-11 Impact factor: 3.942
Authors: Javier R De La Garza; Mona W Schmidt; Karl-Friedrich Kowalewski; Laura Benner; Philip C Müller; Hannes G Kenngott; Lars Fischer; Beat P Müller-Stich; Felix Nickel Journal: Surg Endosc Date: 2018-09-12 Impact factor: 4.584
Authors: F S Wehrtmann; J R de la Garza; K F Kowalewski; M W Schmidt; K Müller; C Tapking; P Probst; M K Diener; L Fischer; B P Müller-Stich; F Nickel Journal: Obes Surg Date: 2020-02 Impact factor: 4.129
Authors: Felix Nickel; Javier R de la Garza; Fabian S Werthmann; Laura Benner; Christian Tapking; Emir Karadza; Anna-Laura Wekerle; Adrian T Billeter; Hannes G Kenngott; Lars Fischer; Beat Peter Müller-Stich Journal: Obes Facts Date: 2019-08-15 Impact factor: 3.942
Authors: Hannes Götz Kenngott; Felix Nickel; Philipp Anthony Wise; Felix Wagner; Adrian Theophil Billeter; Johanna Nattenmüller; Diana Nabers; Klaus Maier-Hein; Hans-Ulrich Kauczor; Lars Fischer; Beat Peter Müller-Stich Journal: Obes Surg Date: 2019-12 Impact factor: 4.129
Authors: Felix Nickel; Christian Tapking; Laura Benner; Janina Sollors; Adrian T Billeter; Hannes G Kenngott; Loay Bokhary; Mathias Schmid; Moritz von Frankenberg; Lars Fischer; Sebastian Mueller; Beat P Müller-Stich Journal: Obes Surg Date: 2018-05 Impact factor: 4.129
Authors: Felix Nickel; Christian Tapking; Laura Benner; Svenja Schüler; Gregor B Ottawa; Katja Krug; Beat P Müller-Stich; Lars Fischer Journal: Obes Surg Date: 2019-07 Impact factor: 4.129
Authors: Meagan M Carr; Jessica L Lawson; Valentina Ivezaj; Kerstin K Blomquist; Carlos M Grilo Journal: Surg Obes Relat Dis Date: 2019-07-08 Impact factor: 4.734
Authors: Daniel M Felsenreich; Lukas M Ladinig; Philipp Beckerhinn; Christoph Sperker; Katrin Schwameis; Michael Krebs; Julia Jedamzik; Magdalena Eilenberg; Christoph Bichler; Gerhard Prager; Felix B Langer Journal: Obes Surg Date: 2018-11 Impact factor: 4.129