CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY

Detalhes bibliográficos
Autor(a) principal: Laurino Neto, Rafael Melillo [UNIFESP]
Data de Publicação: 2013
Outros Autores: Herbella, Fernando A. M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-28032013000200033
http://repositorio.unifesp.br/handle/11600/7934
Resumo: Context It is unclear whether health-related quality of life (HRQL) is sustained in a long-term follow-up of morbidly obese patients who underwent Roux-en-Y gastric bypass (RYGB). Objective This study aims to analyze the HRQL changes following RYGB in short and long-term follow-up. Methods We compared the health-related quality of life among three separate patient groups, using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Group A - 50 preoperative morbidly obese patients; Group B - 50 RYGB patients 1-2 years post-surgery; Group C - 50 RYGB patients more than 7 years post-surgery. Results The groups were similar for gender, age and body mass index before surgery. We observed that physical functioning, social function, emotional role functioning and mental health scales did not vary between the three groups. The physical role functioning scale was unchanged in the short-term and decreased compared to the preoperative scale in the long-term follow-up. Bodily pain improved after the operation but returned to the initial level after 7 years. The vitality and general health perceptions improved after the operation and maintained these results after 7 years compared with the preoperative perceptions. Conclusions RYGB improved health-related quality of life in three SF-36 domains (bodily pain, general health perceptions and vitality) in the short-term and two SF-36 domains (general health perceptions and vitality) in the long-term.
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spelling CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITYAlteracoes da qualidade de vida no seguimento a curto e longo prazos de individuos obesos morbidos submetidos a derivacao gastrica com Y de RouxMorbid obesityGastric bypassWeight lossQuality of lifeObesidade morbidaDerivacao gastricaPerda de pesoQualidade de vidaContext It is unclear whether health-related quality of life (HRQL) is sustained in a long-term follow-up of morbidly obese patients who underwent Roux-en-Y gastric bypass (RYGB). Objective This study aims to analyze the HRQL changes following RYGB in short and long-term follow-up. Methods We compared the health-related quality of life among three separate patient groups, using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Group A - 50 preoperative morbidly obese patients; Group B - 50 RYGB patients 1-2 years post-surgery; Group C - 50 RYGB patients more than 7 years post-surgery. Results The groups were similar for gender, age and body mass index before surgery. We observed that physical functioning, social function, emotional role functioning and mental health scales did not vary between the three groups. The physical role functioning scale was unchanged in the short-term and decreased compared to the preoperative scale in the long-term follow-up. Bodily pain improved after the operation but returned to the initial level after 7 years. The vitality and general health perceptions improved after the operation and maintained these results after 7 years compared with the preoperative perceptions. Conclusions RYGB improved health-related quality of life in three SF-36 domains (bodily pain, general health perceptions and vitality) in the short-term and two SF-36 domains (general health perceptions and vitality) in the long-term.Contexto Ainda não está claro se as melhorias na qualidade de vida relacionada a saúde se sustentam no acompanhamento a longo prazo de pacientes obesos mórbidos que se submetem a derivação gástrica com Y de Roux (RYGB). Objetivo Este estudo tem como objetivo analisar as alterações na qualidade de vida relacionada a saúde no acompanhamento a curto e longo prazos de obesos mórbidos submetidos a RYGB. Métodos Foram comparados aspectos da qualidade de vida relacionada a saúde entre os três grupos distintos de pacientes, usando o questionário 36-Item Health Survey Short-Form (SF-36). Grupo A - 50 pacientes obesos mórbidos no pré-operatório, Grupo B - 50 pacientes submetidos à RYGB 1-2 anos pós-cirurgia e, Grupo C - 50 pacientes submetidos à RYGB há mais de 7 anos. Resultados Os grupos comparados eram semelhantes quanto ao sexo, idade e índice de massa corporal antes da cirurgia. Quanto aos aspectos componentes do questionário SF-36, observou-se que capacidade funcional, aspectos social e emocional e saúde mental não variaram quando se comparou os resultados dos três grupos. Quanto ao componente aspectos físicos, observou-se que permaneceu inalterado na avaliação de curto prazo e piorou em comparação aos valores obtidos no pré-operatório no seguimento a longo prazo. O componente dor corporal melhorou após a operação, mas voltou para nível semelhante ao pré-operatório após 7 anos. Vitalidade e estado geral de saúde melhoraram após a operação e apresentaram manutenção destes resultados após 7 anos, em comparação com as percepções pré-operatórias. Conclusões RYGB melhorou a qualidade de vida relacionada a saúde em três domínios do SF-36 (dor, estado geral de saúde e vitalidade) no seguimento a curto prazo e dois domínios SF-36 (estado geral de saúde e vitalidade) a longo prazo.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de CirurgiaHospital do Mandaqui Departamento de CirurgiaUNIFESP, EPM, Depto. de CirurgiaSciELOInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBEDUniversidade Federal de São Paulo (UNIFESP)Hospital do Mandaqui Departamento de CirurgiaLaurino Neto, Rafael Melillo [UNIFESP]Herbella, Fernando A. M.2015-06-14T13:45:36Z2015-06-14T13:45:36Z2013-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion186-190application/pdfhttp://dx.doi.org/10.1590/S0004-28032013000200033Arquivos de Gastroenterologia. Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED, v. 50, n. 3, p. 186-190, 2013.10.1590/S0004-28032013000200033S0004-28032013000300186.pdf0004-2803S0004-28032013000300186http://repositorio.unifesp.br/handle/11600/7934engArquivos de Gastroenterologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T07:00:09Zoai:repositorio.unifesp.br/:11600/7934Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T07:00:09Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY
Alteracoes da qualidade de vida no seguimento a curto e longo prazos de individuos obesos morbidos submetidos a derivacao gastrica com Y de Roux
title CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY
spellingShingle CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY
Laurino Neto, Rafael Melillo [UNIFESP]
Morbid obesity
Gastric bypass
Weight loss
Quality of life
Obesidade morbida
Derivacao gastrica
Perda de peso
Qualidade de vida
title_short CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY
title_full CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY
title_fullStr CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY
title_full_unstemmed CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY
title_sort CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY
author Laurino Neto, Rafael Melillo [UNIFESP]
author_facet Laurino Neto, Rafael Melillo [UNIFESP]
Herbella, Fernando A. M.
author_role author
author2 Herbella, Fernando A. M.
author2_role author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Hospital do Mandaqui Departamento de Cirurgia
dc.contributor.author.fl_str_mv Laurino Neto, Rafael Melillo [UNIFESP]
Herbella, Fernando A. M.
dc.subject.por.fl_str_mv Morbid obesity
Gastric bypass
Weight loss
Quality of life
Obesidade morbida
Derivacao gastrica
Perda de peso
Qualidade de vida
topic Morbid obesity
Gastric bypass
Weight loss
Quality of life
Obesidade morbida
Derivacao gastrica
Perda de peso
Qualidade de vida
description Context It is unclear whether health-related quality of life (HRQL) is sustained in a long-term follow-up of morbidly obese patients who underwent Roux-en-Y gastric bypass (RYGB). Objective This study aims to analyze the HRQL changes following RYGB in short and long-term follow-up. Methods We compared the health-related quality of life among three separate patient groups, using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Group A - 50 preoperative morbidly obese patients; Group B - 50 RYGB patients 1-2 years post-surgery; Group C - 50 RYGB patients more than 7 years post-surgery. Results The groups were similar for gender, age and body mass index before surgery. We observed that physical functioning, social function, emotional role functioning and mental health scales did not vary between the three groups. The physical role functioning scale was unchanged in the short-term and decreased compared to the preoperative scale in the long-term follow-up. Bodily pain improved after the operation but returned to the initial level after 7 years. The vitality and general health perceptions improved after the operation and maintained these results after 7 years compared with the preoperative perceptions. Conclusions RYGB improved health-related quality of life in three SF-36 domains (bodily pain, general health perceptions and vitality) in the short-term and two SF-36 domains (general health perceptions and vitality) in the long-term.
publishDate 2013
dc.date.none.fl_str_mv 2013-09-01
2015-06-14T13:45:36Z
2015-06-14T13:45:36Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0004-28032013000200033
Arquivos de Gastroenterologia. Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED, v. 50, n. 3, p. 186-190, 2013.
10.1590/S0004-28032013000200033
S0004-28032013000300186.pdf
0004-2803
S0004-28032013000300186
http://repositorio.unifesp.br/handle/11600/7934
url http://dx.doi.org/10.1590/S0004-28032013000200033
http://repositorio.unifesp.br/handle/11600/7934
identifier_str_mv Arquivos de Gastroenterologia. Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED, v. 50, n. 3, p. 186-190, 2013.
10.1590/S0004-28032013000200033
S0004-28032013000300186.pdf
0004-2803
S0004-28032013000300186
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arquivos de Gastroenterologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 186-190
application/pdf
dc.publisher.none.fl_str_mv Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED
publisher.none.fl_str_mv Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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