https://scholars.lib.ntu.edu.tw/handle/123456789/157192
標題: | Gastrointestinal Quality of Life Following Laparoscopic Vertical Banded Gastroplasty | 作者: | YU, PO-JUI | 關鍵字: | morbid obesity;bariatric surgery;gastrointestinal quality of life;vertical banded gastroplasty;laparoscopy | 公開日期: | 2002 | 卷: | v.12 | 期: | n.6 | 起(迄)頁: | 819-824 | 來源出版物: | OBESITY SURGERY | 摘要: | Background: Laparoscopic vertical banded gastroplasty (LVBG) is a safe and effective treatment for morbid obesity. Previous studies disclosed a significant improvement in the health-related quality of life after substantial weight loss following VBG. Data regarding the specific gastrointestinal quality of life following LVBG is lacking. Materials and Methods: 223 patients who underwent LVBG for morbid obesity were studied prospectively. Quality of life was measured by the Gastrointestinal Quality of life Index (GIQLI), a 36- item questionnaire before surgery, and at 6 months, 1 year and 2 years after surgery. The questionnaire is divided into 5 domains, and the maximum score is 144. Results: After LVBG, weight loss has been good. Mean BMI decreased from 43. 2 to 31.3 after 2 years. Co-morbidities were eliminated in 71%. 84.3% of patients were satisfied with the results. However, the score of GIQLI remained similar before and after surgery. Preoperative score was 106.2+/-19 points. The score became 116.6+/-9, 106.8+/-21, and 108.5+/-20 at 6 months, 1 year and 2 years after surgery respectively. The patients had improvement in 3 domains of the questionnaire ( social function, physical status and psychological emotions ) but decreased in domains of core symptoms and disease- specific items. Conclusion: Although LVBG was effective in reduction of weight and resolution of co-morbidities in morbidly obese patients, the specific gastrointestinal quality of life did not improve. Many patients developed some specific gastrointestinal symptoms in order to obtain weight reduction. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/166071 |
顯示於: | 護理學系所 |
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