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Health-related quality of life following vertical banded gastroplasty

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Abstract

Background

Morbid obesity is associated with increased risks of morbidity and mortality as well as poor quality of life (QoL). Therefore, the goal of bariatric surgery should not only be reducing weight and treatment of comorbid conditions, but also improving QoL. Moreover, enhanced QoL may motivate patients to adhere to adequate health behavior in order to maintain the surgically established weight loss.

Methods

We evaluated early postoperative health-related quality of life (HRQoL) over time. Preoperatively as well as 6, 12, and 24 months after vertical banded gastroplasty (VBG), 107 patients were psychologically assessed using a semistructured interview and the RAND 36-item Health Survey (RAND-36).

Results

Over time, we found significant changes in weight: 2 years after surgery, excess weight loss (EWL) was 58.4%. HRQoL showed significant improvements over time, especially in the physical domains. Two years after surgery, 74% of patients were satisfied with the results of the operation and 94.1% would opt for surgery again.

Conclusions

VBG not only leads to considerable weight loss, but also to significant improvements in HRQoL. However, some of the initially reported improvements lessened over time and not all patients appeared to profit in the same way.

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Acknowledgement

This study was supported by the Scientific Research Fund of the Catharina Hospital, Eindhoven, The Netherlands.

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Authors and Affiliations

  1. Department of Medical Psychology, Catharina Hospital, P.O. box 1350, Eindhoven, 5602 ZA, The Netherlands

    Gerbrand C. M. van Hout, Frederiek A. M. Fortuin & Marieke E. Blokland-Koomen

  2. Department of Medical Psychology and Neuropsychology, Tilburg University, Tilburg, The Netherlands

    Aline J. M. Pelle & Guus L. van Heck

Authors
  1. Gerbrand C. M. van Hout
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  2. Frederiek A. M. Fortuin
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  3. Aline J. M. Pelle
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  4. Marieke E. Blokland-Koomen
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  5. Guus L. van Heck
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Correspondence to Gerbrand C. M. van Hout.

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van Hout, G.C.M., Fortuin, F.A.M., Pelle, A.J.M. et al. Health-related quality of life following vertical banded gastroplasty. Surg Endosc 23, 550–556 (2009). https://doi.org/10.1007/s00464-008-9860-9

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  • DOI: https://doi.org/10.1007/s00464-008-9860-9

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