Quality of Life Long-Term after Body Contouring Surgery following Bariatric Surgery: Sustained Improvement after 7 Years

Bariatric surgery for morbid obesity results in massive weight loss and improvement of health and quality of life. A downside of the major weight loss is the excess of overstretched skin, which may influence the patient's quality of life by causing functional and aesthetic problems. The purpose...

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Veröffentlicht in:Plastic and reconstructive surgery (1963) 2012-11, Vol.130 (5), p.1133-1139
Hauptverfasser: van der Beek, Eva S. J., Geenen, Rinie, de Heer, Francine A. G., van der Molen, Aebele B. Mink, van Ramshorst, Bert
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container_end_page 1139
container_issue 5
container_start_page 1133
container_title Plastic and reconstructive surgery (1963)
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creator van der Beek, Eva S. J.
Geenen, Rinie
de Heer, Francine A. G.
van der Molen, Aebele B. Mink
van Ramshorst, Bert
description Bariatric surgery for morbid obesity results in massive weight loss and improvement of health and quality of life. A downside of the major weight loss is the excess of overstretched skin, which may influence the patient's quality of life by causing functional and aesthetic problems. The purpose of the current study was to evaluate the patient's quality of life long-term after body contouring following bariatric surgery. Quality of life was measured with the Obesity Psychosocial State Questionnaire in 33 post-bariatric surgery patients 7.2 years (range, 3.2 to 13.3 years) after body contouring surgery. Data were compared with previous assessments 4.1 years (range, 0.7 to 9.2 years) after body contouring surgery of the quality of life at that time and before body contouring surgery. Compared with appraisals of quality of life before body contouring surgery, a significant, mostly moderate to large, sustained improvement of quality of life was observed in post-bariatric surgery patients 7.2 years after body contouring surgery in six of the seven psychosocial domains. A small deterioration occurred between 4.1- and 7.2-year follow-up on two of the seven domains except for the domain efficacy toward eating, which showed a significant improvement. At 7-year follow-up, 18 patients (55 percent) were satisfied with the result of body contouring surgery. This study indicates a sustained quality-of-life improvement in post-bariatric surgery patients after body contouring surgery. This suggests the importance of including reconstructive surgery as a component in the multidisciplinary approach in the surgical treatment of morbid obesity. Therapeutic, IV.
doi_str_mv 10.1097/PRS.0b013e318267d51d
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Data were compared with previous assessments 4.1 years (range, 0.7 to 9.2 years) after body contouring surgery of the quality of life at that time and before body contouring surgery. Compared with appraisals of quality of life before body contouring surgery, a significant, mostly moderate to large, sustained improvement of quality of life was observed in post-bariatric surgery patients 7.2 years after body contouring surgery in six of the seven psychosocial domains. A small deterioration occurred between 4.1- and 7.2-year follow-up on two of the seven domains except for the domain efficacy toward eating, which showed a significant improvement. At 7-year follow-up, 18 patients (55 percent) were satisfied with the result of body contouring surgery. This study indicates a sustained quality-of-life improvement in post-bariatric surgery patients after body contouring surgery. 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Quality of life was measured with the Obesity Psychosocial State Questionnaire in 33 post-bariatric surgery patients 7.2 years (range, 3.2 to 13.3 years) after body contouring surgery. Data were compared with previous assessments 4.1 years (range, 0.7 to 9.2 years) after body contouring surgery of the quality of life at that time and before body contouring surgery. Compared with appraisals of quality of life before body contouring surgery, a significant, mostly moderate to large, sustained improvement of quality of life was observed in post-bariatric surgery patients 7.2 years after body contouring surgery in six of the seven psychosocial domains. A small deterioration occurred between 4.1- and 7.2-year follow-up on two of the seven domains except for the domain efficacy toward eating, which showed a significant improvement. At 7-year follow-up, 18 patients (55 percent) were satisfied with the result of body contouring surgery. 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Therapeutic, IV.</description><subject>Adipose Tissue - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Bariatric Surgery - psychology</subject><subject>Biological and medical sciences</subject><subject>Cosmetic Techniques</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - psychology</subject><subject>Obesity, Morbid - surgery</subject><subject>Patient Satisfaction</subject><subject>Postoperative Period</subject><subject>Psychometrics</subject><subject>Quality of Life</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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subjects Adipose Tissue - surgery
Adult
Aged
Bariatric Surgery - psychology
Biological and medical sciences
Cosmetic Techniques
Female
Follow-Up Studies
Humans
Male
Medical sciences
Middle Aged
Obesity, Morbid - psychology
Obesity, Morbid - surgery
Patient Satisfaction
Postoperative Period
Psychometrics
Quality of Life
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Weight Loss - physiology
title Quality of Life Long-Term after Body Contouring Surgery following Bariatric Surgery: Sustained Improvement after 7 Years
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