Impact of gastrointestinal symptoms and psychological disturbances on patients' quality of life after restrictive or malabsorptive bariatric surgery

• Published in: Gastroenterología y hepatología Vol. 46; no. 2; p. 92
• Main Authors: Uribarri-Gonzalez, Laura, Nieto-Garcia, Laura, Martis-Sueiro, Aurelio, Dominguez-Muñoz, J Enrique
• Format: Journal Article
• Language: English
• Published: Spain 01.02.2023
• Subjects: Adult; Aged; Bariatric Surgery - adverse effects; Bariatric Surgery - methods; Cross-Sectional Studies; Female; Gastrectomy - methods; Humans; Middle Aged; Obesity, Morbid - surgery; Prospective Studies; Quality of Life; Young Adult; Physical changes; Psychological changes; Gastrointestinal symptoms; Cirugía bariátrica; Bariatric surgery; Síntomas gastrointestinales; Calidad de vida; Cambios físicos; Cambios psicológicos; Quality of life
• ISSN: 0210-5705
• DOI: 10.1016/j.gastrohep.2022.02.007

The aim of this study was to evaluate and compare the presence and impact of Gastrointestinal (GI) symptoms, physical and psychological disturbances on patients' QoL after sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (BPD/DS). A prospective, observational, cross-sectional, comparative study was carried-out. GI symptoms and patients' QoL were evaluated by the SF-36 questionnaire and the GI quality of life index (GIQLI). Correlation between GI symptoms, psychological disturbances and QoL scores was analysed. 95 patients were included (mean age 50.5 years, range 22-70; 76 females). Presence of GI symptoms was a consistent finding in all patients, and postprandial fullness, abdominal distention and flatulence had a negative impact on patients' QoL. Patients after SG showed a worsening of their initial psychological condition and the lowest QoL scores. Patients after RYGB showed the best GI symptoms-related QoL. Both restrictive and malabsorptive bariatric surgical procedures are associated with GI symptoms negatively affecting patients' QoL. Compared to SG and BPD/DS, patients after RYGB showed the best GI symptoms-related QoL, which can be used as additional information to help in the clinical decision making of the bariatric procedure to be performed.