Patient-Reported Outcome Measures 2 Years After Standard and Distal Gastric Bypass-a Double-Blind Randomized...

Area of Science:

• Bariatric surgery
• Obesity treatment
• Patient-reported outcomes

Background:

• The optimal surgical procedure for morbid obesity remains debated.
• Patient-reported outcome measures (PROMs) are crucial for evaluating bariatric procedures.
• Morbid obesity affects quality of life and is associated with various health issues.

Purpose of the Study:

• To compare the effectiveness of standard versus distal Roux-en-Y gastric bypass (RYGB) in treating morbid obesity.
• To evaluate patient-reported outcomes two years after surgery.
• To assess differences in quality of life, weight-related symptoms, and eating behaviors between the two surgical approaches.

Main Methods:

• A randomized controlled trial involving 113 patients with a BMI of 50-60.
• Patients were assigned to either standard (n=57) or distal (n=56) RYGB.
• Validated PROMs questionnaires were administered at baseline and two years post-surgery, with data analyzed using mixed models.

Main Results:

• Both standard and distal RYGB significantly improved obesity-related quality of life, with no significant between-group differences.
• Reductions in weight-related symptoms and symptom distress were observed in both groups.
• No significant differences were found between the groups regarding uncontrolled eating, cognitive restraint, emotional eating, anxiety, or depression.

Conclusions:

• Standard and distal RYGB yield comparable results two years post-surgery in terms of weight loss, quality of life, and psychological well-being.
• Neither surgical approach demonstrated superiority in improving eating behaviors or reducing symptoms of anxiety and depression.
• The choice between standard and distal RYGB may not significantly impact long-term patient-reported outcomes for morbidly obese patients.