Our Summary

This paper reviews several studies that look at how weight-loss surgery (also known as bariatric surgery) affects a person’s quality of life. The studies include adults aged 18-65 who are obese (with a Body Mass Index over 30). Some of these studies compare weight-loss surgery to other non-surgical weight loss methods, while others look at different types of weight-loss surgery.

The review finds that weight-loss surgery generally leads to a better quality of life compared to other weight loss treatments. The effects on quality of life are different depending on the kind of surgery someone has. Improvements in quality of life are most likely to happen within the first two years after surgery, with people experiencing a greater boost in physical well-being than mental well-being.

The review concludes that weight-loss surgery improves people’s quality of life, but more research is needed to understand how these changes happen in the short and long term.

FAQs

  1. How does bariatric surgery impact quality of life compared to other obesity treatments?
  2. Are there significant differences in quality of life improvements between different types of bariatric surgery?
  3. When are improvements in quality of life most likely to occur following bariatric surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about obesity surgery is to be prepared for significant improvements in their quality of life after the procedure. Studies have shown that bariatric surgery leads to greater improvements in quality of life compared to non-surgical interventions for obesity. Patients can expect to see improvements in both physical and mental aspects of their quality of life, with the most significant changes typically occurring within the first 2 years after surgery. It is important for patients to follow their doctor’s post-operative care instructions and continue to make healthy lifestyle choices to optimize the benefits of the surgery on their quality of life.

Suitable For

Patients who are typically recommended for obesity surgery are those who have a body mass index (BMI) greater than 30, are between the ages of 18-65, and have not had success with other non-surgical weight loss interventions. Additionally, patients who have obesity-related health issues such as diabetes, hypertension, sleep apnea, or joint problems may also be recommended for obesity surgery. It is important for patients to undergo a thorough evaluation by a multidisciplinary team, including a surgeon, dietitian, psychologist, and other healthcare professionals, to determine if they are suitable candidates for bariatric surgery.

Timeline

Before obesity surgery:

  1. Patient consults with healthcare provider and undergoes medical evaluation to determine eligibility for surgery.
  2. Patient may be required to undergo pre-operative testing, such as blood work and imaging studies.
  3. Patient attends pre-operative education sessions to learn about the surgery, potential risks and benefits, and post-operative care.
  4. Patient may be required to follow a pre-operative diet and exercise plan to prepare for surgery.

After obesity surgery:

  1. Patient undergoes surgery and is closely monitored in the immediate post-operative period for any complications.
  2. Patient follows a strict post-operative diet and exercise plan to promote weight loss and prevent complications.
  3. Patient attends regular follow-up appointments with healthcare providers to monitor weight loss progress, nutritional status, and overall health.
  4. Patient may experience improvements in physical health, such as reduced risk of obesity-related diseases, as well as improvements in mental health and quality of life.
  5. Patient may need to make lifestyle changes to maintain weight loss long-term, such as adhering to a healthy diet and regular exercise routine.
  6. Patient may experience improvements in overall quality of life, including increased self-esteem, improved social interactions, and enhanced physical functioning.

What to Ask Your Doctor

  1. What are the potential benefits of bariatric surgery for improving my quality of life?

  2. What are the potential risks or complications associated with bariatric surgery?

  3. How long is the recovery period after bariatric surgery and what can I expect during this time?

  4. Will I need to make any lifestyle changes or follow a specific diet after the surgery?

  5. Are there any long-term effects on quality of life that I should be aware of?

  6. How will bariatric surgery impact my ability to participate in physical activities or exercise?

  7. What support or resources are available to help me adjust to life after bariatric surgery?

  8. How often will I need to follow up with you after the surgery and what will these appointments entail?

  9. Are there any potential psychological or emotional effects of bariatric surgery that I should be aware of?

  10. Can you provide me with any information or resources to help me make an informed decision about pursuing bariatric surgery for obesity treatment?

Reference

Authors: Hachem A, Brennan L. Journal: Obes Surg. 2016 Feb;26(2):395-409. doi: 10.1007/s11695-015-1940-z. PMID: 26494369