PATIENT’S VIEWPOINT AFTER BARIATRIC SURGERY: A COMPREHENSIVE CLINICAL ASSESSMENT

Abstract

Background: Discusses the negative effects of obesity on various organ systems and the necessity of therapy due to lower life expectancy.

Aim: The study's main goals were to evaluate changes in eating behavior, the impact on end-point results, the significance of bariatric surgery in treating morbid obesity, the change process experienced by the subjects, gastrointestinal side effects, changes in quality of life, and changes in eating habits.

Methods: 38 patients aged 18 to 60 underwent either duodenal switch (n = 19) or gastric bypass (n = 19). The Gastrointestinal Symptom Rating Scale (GSRS), Osterberg Bowel Function Questionnaire, and Three Factor Eating Questionnaire (TFEQ-R21) were used to assess GI side effects, bowel functions, and eating behaviors, respectively.

Results: Control over eating habits had the biggest influence on end-point outcomes. The gastric bypass group showed less disruption of bowel function, while the duodenal switch group reported more issues with diarrhea and anal stool leakage. More patients with duodenal switches reported defecating during the day.

Conclusions: Bariatric surgery is crucial for morbidly obese patients to control weight, eating patterns, and physical health. Patients typically have low energy and self-esteem before surgery. Control over food habits improves for the first 12 months but declines over the next 24 months. HRQoL improved significantly from baseline to 12 and 24 months.