Volume 12, Issue 2 (10-2024)                   J Surg Trauma 2024, 12(2): 61-67 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ebrahimian Jektaji R, Moghaddam Ahmadi M, Khosravi K, Moghaddam Ahmadi M. Quality of Life and Associated Factors among Individuals Undergoing Sleeve Gastrectomy in Rasht, Iran. J Surg Trauma 2024; 12 (2) :61-67
URL: http://jsurgery.bums.ac.ir/article-1-433-en.html
Department of Surgery, School of Medicine, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran & Clinical Research Development Unit of Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
Abstract:   (484 Views)
Introduction: Sleeve gastrectomy represents a vital surgical intervention for individuals suffering from obesity, yielding substantial reductions in body weight and fostering beneficial effects on conditions associated with obesity. This study investigated patients' quality of life (QoL) and associated factors six months after sleeve gastrectomy in Rasht, Iran.
Methods: The cross-sectional study was conducted on 66 sleeve surgery patients. Patients were selected through a convincing sampling method. Demographic and clinical data of all participants were recorded, and the World Health Organization Quality of Life Questionnaire was utilized to assess their QoL. Data were analyzed in SPSS 16 using the Mann-Whitney U, Kruskal-Wallis, T-test, and Friedman tests, and the significant level was set at 0.05.
Results: The patients' body mass index (BMI) six months after sleeve gastrectomy surgery was significantly lower than their BMI before surgery (33.31±5.85 vs. 43.41±5.93, 95% confidence interval, P=0.001). The frequency of sleeve leak and bleeding was equal among patients (1.5%), and no pulmonary embolism or mortality cases were reported. The mean general QoL score among patients was 79.16±14.58. The mean score of the physical health domain of QoL was higher among men with obstructive sleep apnea and in patients without gastric leaks (P<0.05). The mean score of the psychological health domain of QoL was higher among patients with dyslipidemia (P<0.05). The mean scores of mental health and social relation domains of QoL, as well as that of general QoL, were higher in patients with sleeve leaks and bleeding after the surgery (P<0.05).
Conclusion: The findings suggested that sleeve gastrectomy contributes to improvements in various domains of QoL, particularly among men, patients with dyslipidemia and obstructive sleep apnea, and those who experienced gastric sleeve leaks and bleeding during and after the surgery.
Full-Text [PDF 373 kb]   (221 Downloads)    
Type of Study: Research | Subject: Gastroenterology
Received: 2024/06/6 | Accepted: 2024/09/14 | ePublished ahead of print: 2024/09/22 | Published: 2024/11/26

References
1. Nguyen NT, Varela JE. Bariatric surgery for obesity and metabolic disorders: state of the art. Nat Rev Gastroenterol Hepatol. 2017;14(3):160-169. [DOI:10.1038/nrgastro.2016.170]
2. Busutil R, Espallardo O, Torres A, Martínez-Galdeano L, Zozaya N, Hidalgo-Vega Á. The impact of obesity on health-related quality of life in Spain. Health Qual Life Outcomes. 2017;15(1):197. [DOI:10.1186/s12955-017-0773-y]
3. Tarride JE, Breau R, Sharma AM, Hong D, Gmora S, Guertin JR, et al. The effect of bariatric surgery on mobility, health-related quality of life, healthcare resource utilization, and employment status. Obes Surg. 2017;27(2):349-356. [DOI:10.1007/s11695-016-2298-6]
4. De Oliveira Lima MD, da Silva TPR, de Menezes MC, Mendes LL, Pessoa MC, de Araújo LPF, et al. Environmental and individual factors associated with quality of life of adults who underwent bariatric surgery: a cohort study. Health Qual Life Outcomes. 2020;18(1):87. [DOI:10.1186/s12955-020-01331-1]
5. Bužgová R, Bužga M, Holéczy P. Health-related quality of life in morbid obesity: the impact of laparoscopic sleeve gastrectomy. Cent Eur J Med. 2014;9:374-381. [DOI:10.2478/s11536-013-0294-y]
6. Welbourn R, Hollyman M, Kinsman R, Dixon J, Liem R, Ottosson J, et al. Bariatric surgery worldwide: baseline demographic description and one-year outcomes from the fourth IFSO global registry report 2018. Obes Surg. 2019;29(3):782-795. [DOI:10.1007/s11695-018-3593-1]
7. Sioka E, Tzovaras G, Perivoliotis K, Bakalis V, Zachari E, Magouliotis D, et al. Impact of Laparoscopic Sleeve Gastrectomy on Gastrointestinal Motility. Gastro-enterol Res Pract. 2018;2018:4135813. [DOI:10.1155/2018/4135813]
8. Scott WR, Batterham RL. Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: understanding weight loss and improvements in type 2 diabetes after bariatric surgery. Am J Physiol Regul Integr Comp Physiol. 2011;301(1):R15- R27. [DOI:10.1152/ajpregu.00038.2011]
9. Gundogdu E, Moran M. Adjustable gastric banding. Ann Laparosc Endosc Surg. 2021;6. [DOI:10.21037/ales-2019-bms-06]
10. Gehrer S, Kern B, Peters T, Christoffel-Courtin C, Peterli R. Fewer nutrient deficiencies after laparoscopic sleeve gastrectomy (LSG) than after laparoscopic Roux-Y-gastric bypass (LRYGB)-a prospective study. Obes Surg. 2010;20(4):447-453. [DOI:10.1007/s11695-009-0068-4]
11. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41(10):1403-1409. [DOI:10.1016/0277-9536(95)00112-K]
12. Soares C, Pinho AC, Sousa HS, da Costa EL, Preto J. Health-related quality of life 6 years after bariatric surgery: Factors influencing outcome. Porto Biomed J. 2022;7(3):e163. [DOI:10.1097/j.pbj.0000000000000163]
13. Janik MR, Rogula T, Bielecka I, Kwiatkowski A, Paśnik K. Quality of life and bariatric surgery: cross-sectional study and analysis of factors influencing outcome. Obes Surg. 2016;26(12):2849-2855. [DOI:10.1007/s11695-016-2220-2]
14. Bujang MA, Lai WH, Hon YK, Yap EPP, Tiong XT, Ratnasingam S, et al. Measuring population health and quality of life: Developing and testing of the significant quality of life measure (SigQOLM). Heliyon.2023; 9(12):e22668. [DOI:10.1016/j.heliyon.2023.e22668]
15. Potter J, Cantarero R, Wood H. The multidimensional nature of predicting quality of life. Procedia-Social Behav Sci. 2012;50:781-790. [DOI:10.1016/j.sbspro.2012.08.080]
16. Major P, Matłok M, Pędziwiatr M, Migaczewski M, Budzyński P, Stanek M, et.al, Budzyński A. Quality of Life After Bariatric Surgery. Obes Surg. 2015;25(9):1703-1710. [DOI:10.1007/s11695-015-1601-2]
17. Nedjat S, Montazeri A, Holakouie K, Mohammad K, Majdzadeh R. Psychometric properties of the Iranian interview-administered version of the World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF): a population-based study. BMC Health Serv Res. 2008;8:61. [DOI:10.1186/1472-6963-8-61]
18. World Health Organization. World Health Organization's Quality of Life group: WHOQOL-BREF Introduction. Adm Scoring Generic Version Assessment, F Trial Version. 1996:16.
19. Fleck MP de A. O instrumento de avaliação de qualidade de vida da Organização Mundial da Saúde (WHOQOL-100): características e perspectivas. Cien Saude Colet. 2000;5:33-38. [DOI:10.1590/S1413-81232000000100004]
20. Murphy B, Herrman H, Hawthorne G, Pinzone T, Evert H. Australian WHOQoL instruments: User's manual and interpretation guide. Melbourne, Aust Aust WHOQOL F Study Cent. 2000.
21. Soroceanu RP, Timofte DV, Danila R, Timofeiov S, Livadariu R, Miler AA, et al. The impact of bariatric surgery on quality of life in patients with obesity. J Clin Med. 2023;12(13):4225. [DOI:10.3390/jcm12134225]
22. West EC, Williams LJ, Stuart AL, Pasco JA. Quality of life in south-eastern Australia: normative values for the WHOQOL-BREF in a population-based sample of adults. BMJ Open.2023;13(12):e073556. [DOI:10.1136/bmjopen-2023-073556]
23. Bilgili N, Arpacı F. Quality of life of older adults in Turkey. Arch Gerontol Geriatr. 2014;59(2):415-421. [DOI:10.1016/j.archger.2014.07.005]
24. Simões LA, Dias J, Marinho KC, Pinto CLLR, Britto RR. Relationship between functional capacity assessed by walking test and respiratory and lower limb muscle function in community-dwelling elders. Rev Bras Fisioter. 2010;14(1):24-30. [DOI:10.1590/S1413-35552010000100005]
25. Wu T, Wong SKH, Law BTT, Grieve E, Wu O, Tong DKH, et al. Five‐year effectiveness of bariatric surgery on disease remission, weight loss, and changes of metabolic parameters in obese patients with type 2 diabetes: a population‐based propensity score‐matched cohort study. Diabetes Metab Res Rev. 2020;36(3):e3236. [DOI:10.1002/dmrr.3236]
26. Scully T, Ettela A, LeRoith D, Gallagher EJ. Obesity, type 2 diabetes, and cancer risk. Front Oncol. 2021;10:615375. [DOI:10.3389/fonc.2020.615375]
27. Fruh SM. Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. J Am Assoc Nurse Pract. 2017;29(S1):S3-S14. [DOI:10.1002/2327-6924.12510]
28. Sarwer DB, Polonsky HM. The psychosocial burden of obesity. Endocrinol Metab Clin North Am. 2016;45(3):677-688. [DOI:10.1016/j.ecl.2016.04.016]
29. Al Khalifa K, Al Ansari A, Alsayed AR, Violato C. The impact of sleeve gastrectomy on hyperlipidemia: a systematic review. J Obes. 2013;2013:643530. [DOI:10.1155/2013/643530]
30. Kubik JF, Gill RS, Laffin M, Karmali S. The impact of bariatric surgery on psychological health. J Obes. 2013;2013:837989. [DOI:10.1155/2013/837989]
31. Garvey JF, Pengo MF, Drakatos P, Kent BD. Epidemiological aspects of obstructive sleep apnea. J Thorac Dis. 2015;7(5):920-929.
32. Suliman LAM, Abdalla DA. Does sleeve gastrectomy improve obstructive sleep apnea? Egypt J Chest Dis Tuberc. 2016;65(2):505-510. [DOI:10.1016/j.ejcdt.2015.12.019]
33. Greenburg DL, Lettieri CJ, Eliasson AH. Effects of surgical weight loss on measures of obstructive sleep apnea: a meta-analysis. Am J Med. 2009;122(6):535-542. [DOI:10.1016/j.amjmed.2008.10.037]
34. Gangitano E, Martinez-Sanchez N, Bellini MI, Urciuoli I, Monterisi S, Mariani S, et al. Weight Loss and Sleep, Current Evidence in Animal Models and Humans. Nutrients. 2023;15(15):3431. [DOI:10.3390/nu15153431]
35. Leinum CJ, Dopp JM, Morgan BJ. Sleep-disordered breathing and obesity: pathophysiology, complications, and treatment. Nutr Clin Pract. 2009;24(6):675-687. [DOI:10.1177/0884533609351532]
36. Chung AY, Thompson R, Overby DW, Duke MC, Farrell TM. Sleeve gastrectomy: surgical tips. J Laparoendosc Adv Surg Tech. 2018;28(8):930-937. [DOI:10.1089/lap.2018.0392]
37. Arishi AA, Gosadi IM, Hakami IA, Darraj H, Abusageah F, Hakami KM, et al. Bariatric Surgery Reduces Weight Loss, Comorbidities Prevalence, and Improves Quality of Life in the Southern Region of Saudi Arabia. Medicina (Kaunas). 2023;59(10):1695. [DOI:10.3390/medicina59101695]
38. Loo GH, Rajan R, Mahmood NRKN. Staple-line leak post primary sleeve gastrectomy. A two patient case series and literature review. Ann Med Surg. 2019;44:72-76. [DOI:10.1016/j.amsu.2019.06.014]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Surgery and Trauma

Designed & Developed by : Yektaweb