Quality of life evaluation after selected bariatric procedures using the bariatric analysis and reporting outcome system

Abstract

Introduction: Morbid obesity leads to significant decrease in quality of life. The Bariatric Analysis and Reporting Outcome System (BAROS) was created for objective evaluation of surgical treatment for morbid obesity outcomes. Aim: Evaluation of late results of surgical treatment for morbid obesity with laparoscopic adjustable gastric banding (LAGB) and Roux-en-Y gastric bypass (RYGB) procedures, together with evaluation of quality of life in the postoperative period. Material and methods: Sixty patients treated surgically for morbid obesity were included in the study. Group 1 constituted patients who underwent LAGB - n = 30 patients with mean age 34 ±9.67, mean BMI 44.3 ±3.7. Group 2 constituted patients who underwent RYGB - n = 30 patients with mean age 50.9 ±7.8 years, mean BMI 54.5 ±6.72. Patients were operated on in the period 2007-2008. At least 6 months after the operation, they received questionnaires based on the BAROS scale in the authors' own modification. Results: In both groups of patients treated with LAGB and RYGB, an excellent result of surgical treatment was achieved in 17% of patients, very good in 57%, good in 23%, fair in 1.5% and failure in 1.5%. In the final evaluation of quality of life (QoL) in both groups treated with LAGB and RYGB, QoL was significantly better in 55% of patients, better in 42%, while in 3% QoL was unchanged. Conclusions: The quality of life of patients with morbid obesity, evaluated at least six months after the surgery, improves significantly following the bariatric operations performed most often so far, in both laparoscopic and classic technique.