Gastric Bypass Versus Sleeve Gastrectomy: Comparison of Patient Outcomes, Satisfaction, and Quality of Life in a Single-Center Experience
Background: Laparoscopic sleeve gastrectomy (LSG) is the most common primary bariatric operation performed in the United States. Its relative technical ease, combined with a decreased risk for anatomic and malabsorptive complications make LSG an attractive option compared to laparoscopic gastric byp...
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| Veröffentlicht in: | Journal of laparoendoscopic & advanced surgical techniques. Part A 2023-02, Vol.33 (2), p.155-161 |
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| container_title | Journal of laparoendoscopic & advanced surgical techniques. Part A |
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| creator | Varvoglis, Dimitrios N Lipman, Jeffrey N Li, Lang Sanchez-Casalongue, Manuel Zhou, Randal Duke, Meredith C Farrell, Timothy M |
| description | Background:
Laparoscopic sleeve gastrectomy (LSG) is the most common primary bariatric operation performed in the United States. Its relative technical ease, combined with a decreased risk for anatomic and malabsorptive complications make LSG an attractive option compared to laparoscopic gastric bypass (LGB) for many patients and surgeons. However, emerging evidence for progressive gastroesophageal reflux disease (GERD) after LSG, and the inferior weight loss in many studies, suggests that the enthusiasm for LSG requires reassessment. We hypothesized that patient satisfaction and quality of life (QoL) may be lower after LSG compared to LGB because of these differences.
Methods:
We distributed a survey querying weight-loss outcomes, complications, foregut symptoms, QoL, and overall satisfaction to patients who underwent bariatric operations at our institution between 2000 and 2020 and who had electronic mail contact information available. Mean follow-up was 2.75 ± 2.41 years for LGB patients and 3.37 ± 2.18 (
P
= .021) years for LSG patients. We compared these groups for weight-loss outcomes, changes in foregut symptoms, gastrointestinal QoL, postbariatric QoL, and overall satisfaction using appropriate statistical tests.
Results:
Among 323 respondents, 126 underwent LGB and 197 underwent LSG. LGB patients had larger body mass index (BMI) reduction than LSG patients (−17.16 ± 9.07 kg/m
2
versus −14.87 ± 7.4 kg/m
2
,
P
= .023). LGB patients reported less reflux (
P
= .003), with decreased heartburn (
P
|
| doi_str_mv | 10.1089/lap.2022.0127 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2714657612</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2714657612</sourcerecordid><originalsourceid>FETCH-LOGICAL-c337t-b62d5955c0049d24d5d63a1f688478758e79c260b556d453670f13200c6286553</originalsourceid><addsrcrecordid>eNqFkD2P1DAQhi0E4j6gpEUuKS6Lvx3TcavjQFrpQAu0kdeZIKPEDraD2J_Av8a5PWiZZkYzz7zFg9ALSjaUtOb1aOcNI4xtCGX6ETqnUurGEC4e15kY1ijBzBm6yPk7qWW4eIrOuKJEGSHP0e9bm0vyDl8fZ5sz_gopLxnvR4CfgO-P4Eqcjm_wNk6zTT7HgOOAP9riIRR8txQXJ8hXeF83ebCu-BiusA09_rTY0Zfjiu_8ANgHbPHeh28jNNv6DAnf_Joh1SAHz9CTwY4Znj_0S_Tl3c3n7ftmd3f7Yft21zjOdWkOivXSSOkIEaZnope94pYOqm2FbrVsQRvHFDlIqXohudJkoJwR4hRrlZT8Er065c4p_lggl27y2cE42gBxyR3TVCipFWUVbU6oSzHnBEM3Jz_ZdOwo6Vb7XbXfrfa71X7lXz5EL4cJ-n_0X90V4CdgXdsQRg8HSOU_sX8Ax3CQ0w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2714657612</pqid></control><display><type>article</type><title>Gastric Bypass Versus Sleeve Gastrectomy: Comparison of Patient Outcomes, Satisfaction, and Quality of Life in a Single-Center Experience</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Varvoglis, Dimitrios N ; Lipman, Jeffrey N ; Li, Lang ; Sanchez-Casalongue, Manuel ; Zhou, Randal ; Duke, Meredith C ; Farrell, Timothy M</creator><creatorcontrib>Varvoglis, Dimitrios N ; Lipman, Jeffrey N ; Li, Lang ; Sanchez-Casalongue, Manuel ; Zhou, Randal ; Duke, Meredith C ; Farrell, Timothy M</creatorcontrib><description>Background:
Laparoscopic sleeve gastrectomy (LSG) is the most common primary bariatric operation performed in the United States. Its relative technical ease, combined with a decreased risk for anatomic and malabsorptive complications make LSG an attractive option compared to laparoscopic gastric bypass (LGB) for many patients and surgeons. However, emerging evidence for progressive gastroesophageal reflux disease (GERD) after LSG, and the inferior weight loss in many studies, suggests that the enthusiasm for LSG requires reassessment. We hypothesized that patient satisfaction and quality of life (QoL) may be lower after LSG compared to LGB because of these differences.
Methods:
We distributed a survey querying weight-loss outcomes, complications, foregut symptoms, QoL, and overall satisfaction to patients who underwent bariatric operations at our institution between 2000 and 2020 and who had electronic mail contact information available. Mean follow-up was 2.75 ± 2.41 years for LGB patients and 3.37 ± 2.18 (
P
= .021) years for LSG patients. We compared these groups for weight-loss outcomes, changes in foregut symptoms, gastrointestinal QoL, postbariatric QoL, and overall satisfaction using appropriate statistical tests.
Results:
Among 323 respondents, 126 underwent LGB and 197 underwent LSG. LGB patients had larger body mass index (BMI) reduction than LSG patients (−17.16 ± 9.07 kg/m
2
versus −14.87 ± 7.4 kg/m
2
,
P
= .023). LGB patients reported less reflux (
P
= .003), with decreased heartburn (
P
< .0001) and regurgitation (
P
= .0027). However, a greater proportion of LGB patients reported at least one complication (
P
= .025). Despite this, more LGB patients reported satisfaction (92.86%) than LSG patients (73.6%).
Conclusion:
LGB patients are significantly more likely to be satisfied than LSG patients. Factors contributing to the higher level of satisfaction include less GERD and better BMI decrease.</description><identifier>ISSN: 1092-6429</identifier><identifier>EISSN: 1557-9034</identifier><identifier>DOI: 10.1089/lap.2022.0127</identifier><identifier>PMID: 36106945</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Full Reports ; Gastrectomy - adverse effects ; Gastric Bypass - adverse effects ; Gastroesophageal Reflux - etiology ; Gastroesophageal Reflux - surgery ; Humans ; Laparoscopy - adverse effects ; Obesity, Morbid - complications ; Obesity, Morbid - surgery ; Patient Satisfaction ; Personal Satisfaction ; Quality of Life ; Treatment Outcome ; Weight Loss</subject><ispartof>Journal of laparoendoscopic & advanced surgical techniques. Part A, 2023-02, Vol.33 (2), p.155-161</ispartof><rights>2023, Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-b62d5955c0049d24d5d63a1f688478758e79c260b556d453670f13200c6286553</citedby><cites>FETCH-LOGICAL-c337t-b62d5955c0049d24d5d63a1f688478758e79c260b556d453670f13200c6286553</cites><orcidid>0000-0001-9528-2087 ; 0000-0002-9439-6530</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36106945$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Varvoglis, Dimitrios N</creatorcontrib><creatorcontrib>Lipman, Jeffrey N</creatorcontrib><creatorcontrib>Li, Lang</creatorcontrib><creatorcontrib>Sanchez-Casalongue, Manuel</creatorcontrib><creatorcontrib>Zhou, Randal</creatorcontrib><creatorcontrib>Duke, Meredith C</creatorcontrib><creatorcontrib>Farrell, Timothy M</creatorcontrib><title>Gastric Bypass Versus Sleeve Gastrectomy: Comparison of Patient Outcomes, Satisfaction, and Quality of Life in a Single-Center Experience</title><title>Journal of laparoendoscopic & advanced surgical techniques. Part A</title><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><description>Background:
Laparoscopic sleeve gastrectomy (LSG) is the most common primary bariatric operation performed in the United States. Its relative technical ease, combined with a decreased risk for anatomic and malabsorptive complications make LSG an attractive option compared to laparoscopic gastric bypass (LGB) for many patients and surgeons. However, emerging evidence for progressive gastroesophageal reflux disease (GERD) after LSG, and the inferior weight loss in many studies, suggests that the enthusiasm for LSG requires reassessment. We hypothesized that patient satisfaction and quality of life (QoL) may be lower after LSG compared to LGB because of these differences.
Methods:
We distributed a survey querying weight-loss outcomes, complications, foregut symptoms, QoL, and overall satisfaction to patients who underwent bariatric operations at our institution between 2000 and 2020 and who had electronic mail contact information available. Mean follow-up was 2.75 ± 2.41 years for LGB patients and 3.37 ± 2.18 (
P
= .021) years for LSG patients. We compared these groups for weight-loss outcomes, changes in foregut symptoms, gastrointestinal QoL, postbariatric QoL, and overall satisfaction using appropriate statistical tests.
Results:
Among 323 respondents, 126 underwent LGB and 197 underwent LSG. LGB patients had larger body mass index (BMI) reduction than LSG patients (−17.16 ± 9.07 kg/m
2
versus −14.87 ± 7.4 kg/m
2
,
P
= .023). LGB patients reported less reflux (
P
= .003), with decreased heartburn (
P
< .0001) and regurgitation (
P
= .0027). However, a greater proportion of LGB patients reported at least one complication (
P
= .025). Despite this, more LGB patients reported satisfaction (92.86%) than LSG patients (73.6%).
Conclusion:
LGB patients are significantly more likely to be satisfied than LSG patients. Factors contributing to the higher level of satisfaction include less GERD and better BMI decrease.</description><subject>Full Reports</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastroesophageal Reflux - etiology</subject><subject>Gastroesophageal Reflux - surgery</subject><subject>Humans</subject><subject>Laparoscopy - adverse effects</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - surgery</subject><subject>Patient Satisfaction</subject><subject>Personal Satisfaction</subject><subject>Quality of Life</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><issn>1092-6429</issn><issn>1557-9034</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkD2P1DAQhi0E4j6gpEUuKS6Lvx3TcavjQFrpQAu0kdeZIKPEDraD2J_Av8a5PWiZZkYzz7zFg9ALSjaUtOb1aOcNI4xtCGX6ETqnUurGEC4e15kY1ijBzBm6yPk7qWW4eIrOuKJEGSHP0e9bm0vyDl8fZ5sz_gopLxnvR4CfgO-P4Eqcjm_wNk6zTT7HgOOAP9riIRR8txQXJ8hXeF83ebCu-BiusA09_rTY0Zfjiu_8ANgHbPHeh28jNNv6DAnf_Joh1SAHz9CTwY4Znj_0S_Tl3c3n7ftmd3f7Yft21zjOdWkOivXSSOkIEaZnope94pYOqm2FbrVsQRvHFDlIqXohudJkoJwR4hRrlZT8Er065c4p_lggl27y2cE42gBxyR3TVCipFWUVbU6oSzHnBEM3Jz_ZdOwo6Vb7XbXfrfa71X7lXz5EL4cJ-n_0X90V4CdgXdsQRg8HSOU_sX8Ax3CQ0w</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Varvoglis, Dimitrios N</creator><creator>Lipman, Jeffrey N</creator><creator>Li, Lang</creator><creator>Sanchez-Casalongue, Manuel</creator><creator>Zhou, Randal</creator><creator>Duke, Meredith C</creator><creator>Farrell, Timothy M</creator><general>Mary Ann Liebert, Inc., publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9528-2087</orcidid><orcidid>https://orcid.org/0000-0002-9439-6530</orcidid></search><sort><creationdate>20230201</creationdate><title>Gastric Bypass Versus Sleeve Gastrectomy: Comparison of Patient Outcomes, Satisfaction, and Quality of Life in a Single-Center Experience</title><author>Varvoglis, Dimitrios N ; Lipman, Jeffrey N ; Li, Lang ; Sanchez-Casalongue, Manuel ; Zhou, Randal ; Duke, Meredith C ; Farrell, Timothy M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-b62d5955c0049d24d5d63a1f688478758e79c260b556d453670f13200c6286553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Full Reports</topic><topic>Gastrectomy - adverse effects</topic><topic>Gastric Bypass - adverse effects</topic><topic>Gastroesophageal Reflux - etiology</topic><topic>Gastroesophageal Reflux - surgery</topic><topic>Humans</topic><topic>Laparoscopy - adverse effects</topic><topic>Obesity, Morbid - complications</topic><topic>Obesity, Morbid - surgery</topic><topic>Patient Satisfaction</topic><topic>Personal Satisfaction</topic><topic>Quality of Life</topic><topic>Treatment Outcome</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Varvoglis, Dimitrios N</creatorcontrib><creatorcontrib>Lipman, Jeffrey N</creatorcontrib><creatorcontrib>Li, Lang</creatorcontrib><creatorcontrib>Sanchez-Casalongue, Manuel</creatorcontrib><creatorcontrib>Zhou, Randal</creatorcontrib><creatorcontrib>Duke, Meredith C</creatorcontrib><creatorcontrib>Farrell, Timothy M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Varvoglis, Dimitrios N</au><au>Lipman, Jeffrey N</au><au>Li, Lang</au><au>Sanchez-Casalongue, Manuel</au><au>Zhou, Randal</au><au>Duke, Meredith C</au><au>Farrell, Timothy M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gastric Bypass Versus Sleeve Gastrectomy: Comparison of Patient Outcomes, Satisfaction, and Quality of Life in a Single-Center Experience</atitle><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>33</volume><issue>2</issue><spage>155</spage><epage>161</epage><pages>155-161</pages><issn>1092-6429</issn><eissn>1557-9034</eissn><abstract>Background:
Laparoscopic sleeve gastrectomy (LSG) is the most common primary bariatric operation performed in the United States. Its relative technical ease, combined with a decreased risk for anatomic and malabsorptive complications make LSG an attractive option compared to laparoscopic gastric bypass (LGB) for many patients and surgeons. However, emerging evidence for progressive gastroesophageal reflux disease (GERD) after LSG, and the inferior weight loss in many studies, suggests that the enthusiasm for LSG requires reassessment. We hypothesized that patient satisfaction and quality of life (QoL) may be lower after LSG compared to LGB because of these differences.
Methods:
We distributed a survey querying weight-loss outcomes, complications, foregut symptoms, QoL, and overall satisfaction to patients who underwent bariatric operations at our institution between 2000 and 2020 and who had electronic mail contact information available. Mean follow-up was 2.75 ± 2.41 years for LGB patients and 3.37 ± 2.18 (
P
= .021) years for LSG patients. We compared these groups for weight-loss outcomes, changes in foregut symptoms, gastrointestinal QoL, postbariatric QoL, and overall satisfaction using appropriate statistical tests.
Results:
Among 323 respondents, 126 underwent LGB and 197 underwent LSG. LGB patients had larger body mass index (BMI) reduction than LSG patients (−17.16 ± 9.07 kg/m
2
versus −14.87 ± 7.4 kg/m
2
,
P
= .023). LGB patients reported less reflux (
P
= .003), with decreased heartburn (
P
< .0001) and regurgitation (
P
= .0027). However, a greater proportion of LGB patients reported at least one complication (
P
= .025). Despite this, more LGB patients reported satisfaction (92.86%) than LSG patients (73.6%).
Conclusion:
LGB patients are significantly more likely to be satisfied than LSG patients. Factors contributing to the higher level of satisfaction include less GERD and better BMI decrease.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>36106945</pmid><doi>10.1089/lap.2022.0127</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9528-2087</orcidid><orcidid>https://orcid.org/0000-0002-9439-6530</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1092-6429 |
| ispartof | Journal of laparoendoscopic & advanced surgical techniques. Part A, 2023-02, Vol.33 (2), p.155-161 |
| issn | 1092-6429 1557-9034 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Full Reports Gastrectomy - adverse effects Gastric Bypass - adverse effects Gastroesophageal Reflux - etiology Gastroesophageal Reflux - surgery Humans Laparoscopy - adverse effects Obesity, Morbid - complications Obesity, Morbid - surgery Patient Satisfaction Personal Satisfaction Quality of Life Treatment Outcome Weight Loss |
| title | Gastric Bypass Versus Sleeve Gastrectomy: Comparison of Patient Outcomes, Satisfaction, and Quality of Life in a Single-Center Experience |
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