Quality of life assessment in patients with morbid obesity after single anastomosis gastric bypass operation in the modification of the clinic
DOI:
https://doi.org/10.11603/2414-4533.2021.1.11941Keywords:
morbid obesity, gastric bypass, quality of life, surgeryAbstract
The aim of the work: to assess the correlation between the quality of life and the dynamics of body weight in patients with morbid obesity after the monoanastomotic gastric bypass operation in the modification of the clinic and to compare the obtained results with the classical Roux-en-Y technique.
Materials and Methods. We performed the analysis of the immediate and long-term results of treatment of 31 patients with morbid obesity in the period from 2011 to 2019, who were divided into 2 groups. The main group consisted of patients who underwent monoanastomotic gastric bypass surgery in the modification of the clinic – 20 patients. The control group – patients who underwent classical Roux-en-Y gastric bypass surgery – 11 patients. The patients were compared according to the main indicators, while women were 94.7 % and 91 %, the average age was (39.42±2.58) years and (37.36±3.65) years, the decrease in body mass index was 33.9 % and 38.2 %, comorbid pathology was found in 73.6 % and 72.7 % in the main group and the control group, respectively. A comparative analysis of the assessment of the quality of life was carried out before and after the operation using The Short Form-36 system, where the questions are grouped into 8 sections, each of which is evaluated in points from 0 to 100. Statistical calculations were carried out using the Statistica 13. Normality of data distribution was tested by the Shapiro-Wilk test and, depending on this, the Student's test or the Mann-Whitney test were used for comparing the differences between groups. P <0.05 was considered statistically significant. Spearman's correlation coefficient was used to assess association between the variables.
Results and Discussion. In a comparative assessment of the quality of life results of both types of operations, it was noticed that there were no significant differences 12 months after the operation, and a correlation was found between a decrease in body mass index and an improvement in quality of life indicators. It was found that the quality of life of patients with morbid obesity did not differ significantly in both groups. Comparative indicators do not significantly differ in the total score of the survey and in individual blocks of questions. It was proven, that there is a direct relationship between a decrease in body weight and an improvement in the quality of life; steady decrease in body mass index improves physical activity and the social life of patients. The quality of life of patients in the main group is comparable to the quality of life of patients after classic Roux-en-Y bypass surgery.
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