Difference in Quality of life in morbidly obese post bariatric surgery comparing Laparoscopic Vertical sleeve vs. Roux-En-Y Gastric Bypass & Gastric banding patients.

Ashish Ahuja, MS, Prabhdeep Singh ‘ Nain, MS

Dayanand Medical College

Introduction:Obesity is a rapidily progressing worldwide epidemic which rates among the top 10 causes of illhealth worldwide. In India, Punjab is no. 1 sate as far as obesity is concerned & is raipidly growing. We present our experience of 150 post bariatric surgery patients compairing therr quality of life parameters, weightloss, resolultions of co- morbid,conditions.

Methods: The study was conducted on 150 post bariatric surgery patients, age ranging from 25-60 years,130 female , 20 male patients.Different patients underwent different bariatic surgery procedures namely laparoscopic vertical sleeve gastrectomy (VSG),n=100 Laparoscopic Roux-en-Y Gastric bypass(RGB) n=25,Laparoscopic adjustable Gastric banding(LAGB) n=25.

Results: The overall weightloss in all the three mentioned procedures were compared along with resolution of co-morbid copnditions namely diabetes mellitus type 2, essential hypertention, obstructive sleep apnoea reduction in anti- thyroid drug dosages. The overall excess weightloss in VSG Patients was 40% -45%, RGB 45%-50%, LAGB 35%-40%. In our study the patients undergone VSG (n=100)complaint of Vomiting and generalised weakness in first two months but quality of life parameters showed that patients who had undergone VSG had much better quality of life as compared to patients who had undergone the other two procedures. In patients (n=25) LAGB complaint of excessive vomiting before after eating solids and fluctuation in weightloss. Patients undergone RGB had less vomiting but compliant of depressive episodes and had more generalised weakness for months together.

Conclusion: Bariatric surgery should be cosidered in all patients who have failed medical as well as dietary managment to loos weight.. Different bariatric surgery procedures should be offered to different patients after considering the outcome and the quality of life expected by the patients post-operatively.

Session: Poster Presentation

Program Number: P463