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Observations Regarding ‘Quality of Life’ and ‘Comfort with Food’ After Bariatric Surgery: Comparison Between Laparoscopic Adjustable Gastric Banding and Sleeve Gastrectomy

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Abstract

Background

Although laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) are coexisting first-choice restrictive procedures for bariatric surgery candidates, it is possible, given their different modes of action, that these procedures have different effects on quality of life (QOL). We hypothesized that improvement of QOL and comfort with food could be better with LSG compared to LAGB.

Methods

This cohort study included 131 obese patients who had either LAGB (n = 102) or LSG (n = 29). Patients were assessed during preoperative and at 6- and 12-month postoperative visits. Five QOL dimensions were assessed using the ‘Quality of Life, Obesity and Dietetics’ rating scale: physical impact, psycho-social impact, impact on sex life, comfort with food and diet experience. We compared QOL evolution between LAGB and LSG using linear mixed models adjusted for gender and body mass index at each visit.

Results

Excess weight loss was 28.4 ± 14.7% and 34.8 ± 18.4% for LAGB and 35.7 ± 14.3% and 43.8 ± 17.8% for LSG at 6 and 12 months postoperatively, respectively. Both LAGB and LSG provided significant improvement in the physical, psycho-social, sexual and diet experience dimensions of QOL. LSG was associated with better improvement than LAGB in short-term (6-month) comfort with food.

Conclusions

Our results add further evidence to the benefit of LSG and LAGB in obesity management. Within the first year of follow-up, there is no lasting difference in the comfort with food dimension between LSG and LABG.

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Acknowledgments

We thank Vaïda Miknius, Jean-Pierre Chevrollier and Martine Objois for their help in assessing the patients.

Conflict of Interest Disclosure

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Clinique Psychiatrique Universitaire, CHRU de Tours, Tours, France

    Paul Brunault & Vincent Camus

  2. Service de Médecine Interne-Nutrition, CHRU de Tours, Tours, France

    David Jacobi & Charles Couet

  3. Inserm U 921, Université François Rabelais de Tours, Tours, France

    David Jacobi & Charles Couet

  4. Inserm CIC 0202, Tours, France

    Julie Léger

  5. CHRU de Tours, Tours, France

    Julie Léger

  6. Service de Chirurgie Digestive et Endocrinienne, CHRU de Tours, Tours, France

    Céline Bourbao-Tournois & Noël Huten

  7. UMR Inserm U 930, CNRS ERL 3106, Université François Rabelais de Tours, Tours, France

    Vincent Camus

  8. UMR Inserm U 930, Université François Rabelais de Tours, Tours, France

    Nicolas Ballon

  9. Equipe de Liaison et de Soins en Addictologie, CHRU de Tours, Tours, France

    Nicolas Ballon

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  1. Paul Brunault
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  2. David Jacobi
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Correspondence to David Jacobi.

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Brunault, P., Jacobi, D., Léger, J. et al. Observations Regarding ‘Quality of Life’ and ‘Comfort with Food’ After Bariatric Surgery: Comparison Between Laparoscopic Adjustable Gastric Banding and Sleeve Gastrectomy. OBES SURG 21, 1225–1231 (2011). https://doi.org/10.1007/s11695-011-0411-4

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  • DOI: https://doi.org/10.1007/s11695-011-0411-4

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