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Food Tolerance and Gastrointestinal Quality of Life Following Three Bariatric Procedures: Adjustable Gastric Banding, Roux-en-Y Gastric Bypass, and Sleeve Gastrectomy

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Abstract

Background

To investigate and compare food tolerance and gastrointestinal quality of life following three bariatric procedures approximately 2 to 4 years post-surgery: adjustable gastric banding (AGB), Roux-en-Y gastric bypass (RYGBP), and sleeve gastrectomy (SG). A secondary aim was to test for a relationship between food tolerance and gastrointestinal quality of life.

Methods

In this prospective cross-sectional study, participants (including pre-surgery controls) completed two questionnaires: a food tolerance questionnaire (n = 129) and a Gastrointestinal Quality of Life Index (GIQLI) (n = 119). Kruskal–Wallis and Mann–Whitney tests were performed, and significance was adjusted using a post-hoc Bonferroni correction. Spearman's rank correlation coefficients were calculated to evaluate the relationship between food tolerance and GIQLI scores.

Results

Food tolerance: the control and SG groups produced the highest median scores (24.5 and 24.0, respectively), indicating superior food tolerance. The median score of the AGB group was significantly lower than all other groups (15.5, P < 0.001). Gastrointestinal quality of life: the SG group ranked superior, producing the highest median score (120.5), which was significantly greater than the AGB (94.0, P = 0.005) and control groups (96.0, P = 0.006). GIQLI scores correlated significantly with food tolerance scores (r = 0.522, P < 0.01). The median excess weight loss was similar in the SG and RYGBP groups (76.3% and 76.5%), with the AGB group significantly lower at 38.2%.

Conclusions

Food tolerance and gastrointestinal quality of life, 2 to 4 years post-surgery are ostensibly best after SG, followed closely by RYGBP. AGB appears the least effective across these parameters. A significant positive relationship between food tolerance and gastrointestinal quality of life was confirmed.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Funding Source

St. George Upper GI Clinic

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Authors and Affiliations

  1. School of Health Sciences, University of Wollongong, Wollongong, NSW, 2500, Australia

    Shannon Elise Overs, Rebecca Anne Freeman & Karen Louise Walton

  2. St. George Upper GI Clinic, St. George Private Hospital, Kogarah, NSW, 2217, Australia

    Nazy Zarshenas & John Oskar Jorgensen

Authors
  1. Shannon Elise Overs
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  2. Rebecca Anne Freeman
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  3. Nazy Zarshenas
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  4. Karen Louise Walton
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  5. John Oskar Jorgensen
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Correspondence to Shannon Elise Overs.

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Overs, S.E., Freeman, R.A., Zarshenas, N. et al. Food Tolerance and Gastrointestinal Quality of Life Following Three Bariatric Procedures: Adjustable Gastric Banding, Roux-en-Y Gastric Bypass, and Sleeve Gastrectomy. OBES SURG 22, 536–543 (2012). https://doi.org/10.1007/s11695-011-0573-0

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