Conversion to gastric bypass in patients with unsuccessful weight loss after gastric banding may depend on mental quality of life
Publication year
2010Number of pages
4 p.
Source
Obesity Facts, 3, 2, (2010), pp. 127-130ISSN
Publication type
Article / Letter to editor
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Organization
SW OZ BSI OGG
Journal title
Obesity Facts
Volume
vol. 3
Issue
iss. 2
Languages used
English (eng)
Page start
p. 127
Page end
p. 130
Subject
Developmental PsychopathologyAbstract
Background: A low quality of life has been regarded a cue to action. Some patients with unsuccessful weight loss after laparoscopic adjustable gastric banding (LAGB) undergo a conversion of gastric banding to gastric bypass. This study examines whether patients who did or did not undergo conversion to gastric bypass differed in quality of life before and after gastric banding. Methods: Of 34 patients with unsuccessful weight loss after gastric banding ( excess body mass index loss < 25%), 14 had a conversion to gastric bypass 2 years or more after gastric banding. All patients completed the RAND-36 quality of life questionnaire before gastric banding. After gastric banding, 24 patients (70.6%) filled out the RAND-36 at 6, 12, and 24 months. Results: Pre-banding and post-banding mental quality of life was lower in the conversion compared to the non-conversion group. Conclusion: Our results suggest that a relatively stable lower mental quality of life is a signal for further intervention. The bariatric team and patients should be aware that mental health may play a role in the decision for conversion to gastric bypass. The possible mechanisms underlying this finding, and limitations of the study are discussed.
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