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WEIGHT LOSS AND QUALITY OF LIFE AFTER ONE ANASTOMOSIS GASTRIC BYPASS: A 2-YEAR FOLLOW-UP STUDY

Perda de peso e qualidade de vida após o Bypass Gástrico de Anastomose Única: resultados de um seguimento de 2 anos

HIGLIGHTS

•One anastomosis gastric bypass (OAGB) led to significant weight loss after 2 years.

•OAGB associated was well-succeeded in regards to weight loss in most individuals.

•OAGB led to significant improvement of quality of life (QoL) assessed by the BAROS system.

•“Self-steem” and “work capacity” were the most positively affected QoL domains after OAGB.

ABSTRACT

Background:

Studies assessing quality of life (QoL) after one anastomosis gastric bypass (OAGB) are currently scarce.

Objective:

To analyze the main weight loss outcomes and QoL in individuals undergoing OAGB during a 2-year follow-up.

Methods:

This is a retrospective study based on a prospectively collected database including individuals which underwent OAGB at a tertiary-level university hospital. After 2-years, excess weight loss was assessed, and post-surgical therapeutical success was determined using Reinhold’s criteria. QoL was assessed through the Bariatric Analysis and Reporting Outcomes System (BAROS).

Results:

Out of 41 participants, 90.2% were female and the average age was 38±8.3 years old. The average body mass index significantly decreased from 37.1±5.6 kg/m2 to 27±4.5 kg/m2 after 2-years (P< 0.001). The mean percentage of excess weight loss was 84.6±32.5%. Regarding weight loss outcomes, 61% were considered “excellent”, while 26.8% were “good” according to Reinhold’s criteria. With regards to QoL assessed by BAROS, most individuals achieved a score classified as either “excellent” (26.8%), “very good” (36.6%), or “good” (31.7%). The highest degrees of satisfaction achieved were in the domains “self-esteem” and “work capacity”, in which 75.6% and 61%, respectively, were classified as “much better”.

Conclusion:

OAGB associated with significant weight loss and resolution of obesity-related medical conditions, as well as relevant QoL improvement assessed by the BAROS system.

Keywords:
Bariatric surgery; gastric bypass; obesity; quality of life; weight loss

Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. Rua Dr. Seng, 320, 01331-020 São Paulo - SP Brasil, Tel./Fax: +55 11 3147-6227 - São Paulo - SP - Brazil
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