Our Summary

This research paper compares two popular weight-loss surgeries: Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG). The study focuses on how these surgeries impact a patient’s quality of life. Researchers analyzed multiple studies and found that both surgeries significantly improve a patient’s quality of life, despite a slight decrease from the second to the fifth year after surgery. However, patients who underwent the LSG procedure were more likely to experience gastroesophageal symptoms, which are issues related to the stomach and esophagus. This was the only significant difference between the two surgeries. Based on these findings, the researchers recommend a thorough screening before surgery to help choose the best procedure for each patient.

FAQs

  1. What are the two weight-loss surgeries compared in this research?
  2. How do these surgeries impact a patient’s quality of life?
  3. What are the potential side effects of the laparoscopic sleeve gastrectomy (LSG) surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about gastrectomy is to follow a strict post-operative diet and exercise plan to ensure successful weight loss and overall health. It is important to eat smaller, more frequent meals, focus on protein-rich foods, and avoid high-fat and high-sugar foods. Regular exercise is also key to maintaining weight loss and improving overall well-being. Additionally, it is important to attend follow-up appointments with your healthcare provider to monitor your progress and address any concerns or complications that may arise.

Suitable For

Patients who are typically recommended gastrectomy are those who have severe obesity, have not been successful with other weight-loss methods, and have obesity-related health conditions such as type 2 diabetes, hypertension, sleep apnea, or high cholesterol. Additionally, patients who have a high risk of developing obesity-related complications such as heart disease or stroke may also be recommended for gastrectomy. It is important for patients to undergo a thorough evaluation by a healthcare provider to determine if gastrectomy is the best treatment option for their individual circumstances.

Timeline

Before Gastrectomy:

  1. Patient undergoes thorough screening and evaluation by a healthcare team to determine candidacy for surgery.
  2. Patient may undergo pre-operative tests and consultations with various healthcare providers.
  3. Patient receives education and counseling on the procedure, potential risks, benefits, and post-operative care.

During Gastrectomy:

  1. Patient undergoes laparoscopic sleeve gastrectomy surgery, which involves removing a portion of the stomach to reduce its size and limit food intake.
  2. Surgery is typically performed under general anesthesia and involves several small incisions in the abdomen.
  3. Procedure usually takes 1-2 hours to complete.

After Gastrectomy:

  1. Patient is closely monitored in the hospital for a few days post-surgery.
  2. Patient is gradually introduced to a liquid diet, followed by pureed and soft foods, before transitioning to solid foods.
  3. Patient may experience physical and emotional changes, such as weight loss, improved mobility, and changes in body image.
  4. Patient may need to make lifestyle changes, such as adopting a healthier diet and regular exercise routine.
  5. Patient may experience improvements in quality of life, such as increased energy levels, improved self-esteem, and reduced risk of obesity-related health conditions.

What to Ask Your Doctor

  1. What are the potential risks and complications of gastrectomy surgery?
  2. How will my diet need to change after gastrectomy surgery?
  3. What kind of follow-up care will I need after the surgery?
  4. How will my quality of life be impacted after gastrectomy surgery?
  5. What kind of support services are available for patients undergoing gastrectomy surgery?
  6. What are my options for pain management after the surgery?
  7. How long is the recovery period after gastrectomy surgery?
  8. Will I need to take any supplements or medications long-term after the surgery?
  9. What are the long-term effects of gastrectomy surgery on my overall health?
  10. How will gastrectomy surgery affect my ability to absorb nutrients from food?

Reference

Authors: Rausa E, Kelly ME, Galfrascoli E, Aiolfi A, Cavalcoli F, Turati L, Bonavina L, Sgroi G. Journal: Obes Surg. 2019 Apr;29(4):1397-1402. doi: 10.1007/s11695-019-03737-3. PMID: 30693417