Quality of Life and Gastrointestinal Symptoms Following Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy: a Systematic Review.
Emanuele RausaMichael E KellyElisa GalfrascoliAlbero AiolfiFederica CavalcoliLuca TuratiLuigi BonavinaGiovanni SgroiPublished in: Obesity surgery (2020)
Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are the most common bariatric operations performed worldwide. Quality of life (QoL) is a crucial outcome metric. An electronic systematic search using PubMed, EMBASE, and Web of Science of studies comparing QoL after LSG and LRYGB was performed. QoL after both LSG and LRYGB considerably improves regardless the type of surgery. The QoL has a slight downward trend from the second to the fifth year postoperatively, but it remains higher than the baseline. LSG patients are more likely to suffer from gastroesophageal symptoms (GES). GES represent the only significant difference between the two procedures. A routine screening with gastroscopy and 24 h pH metry to help tailor the most appropriate surgical approach is advised.
Keyphrases
- roux en y gastric bypass
- weight loss
- gastric bypass
- obese patients
- end stage renal disease
- bariatric surgery
- robot assisted
- minimally invasive
- ejection fraction
- newly diagnosed
- chronic kidney disease
- public health
- prognostic factors
- peritoneal dialysis
- depressive symptoms
- sleep quality
- acute coronary syndrome
- patient reported outcomes
- percutaneous coronary intervention
- atrial fibrillation
- surgical site infection