Laparoscopic Roux-en-Y gastric bypass surgery improves quality of life for overweight type 2 diabetes mellitus patients
Li Kun, Han Xiaodong, Di Jianzhong, Zhang Hongwei, Zhou Yulong, Du Yibao, Zhang Pin
Published 2014-07-25
Cite as Chin J Gen Surg, 2014,29(07): 517-519. DOI: 10.3760/cma.j.issn.1007-631x.2014.07.009
Abstract
Objective To investigate the change in quality of life (QoL) following laparoscopic Roux-en-Y gastric bypass (LRYGB) for T2DM with obesity.Methods A total of 46 overweight T2DM cases (mean baseline BMI (32.7 ± 3.9) kg/m2) undergoing LRYGB were followed by QoL questionnaires (SF-36) before and after 6 and 12 months.Results The preoperative physical QoL scales (physical component summary,PCS) was significantly different from the general population(GP) scales (P < 0.01),and the improvement in QoL was significant at 6 months postoperative and continued to consistently increase up to 12 months (P < 0.01).For mental component summary (MCS),the preoperative scales was not significantly different from the GP scales,however,the 6 and 12 postoperative scales improved significantly (P <0.01).As for physical function,role physical,role emotion,the 6 (78 ± 8,76 ± 17,70 ± 23) and 12 months' (85 ± 7,82 ± 18,77 ± 18) postoperative scales were markedly higher than those in the preoperative controls (P < 0.01),and there were no differences between the 12 month's postoperative scales and GP scales.The preoperative bodily pain,general health and social function (66 ± 14,55 ± 12,63 ±15) was different when compared with (76 ± 12,75 ±6,75 ± 13) at 6 months and (82 ±9,79 ±6,94 ±9) at 12 months (P <0.01).The preopertive mental health (71 ± 12) was not significantly different from GP scales,nor there were significant difference when compared with (71 ± 10) at 6 months and (73 ±8) at 12 months.Conclusions There were improvements in physical and mental QoL in T2DM patients with obesity after LRYGB.
Key words:
Diabetes mellitus, Type 2 ; Obesity, morbid ; Quality of life ; Gastric bypass
Contributor Information
Li Kun
Department of General Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiaotong University , Shanghai 200233, China
Han Xiaodong
Department of General Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiaotong University , Shanghai 200233, China
Di Jianzhong
Department of General Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiaotong University , Shanghai 200233, China
Zhang Hongwei
Department of General Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiaotong University , Shanghai 200233, China
Zhou Yulong
Department of General Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiaotong University , Shanghai 200233, China
Du Yibao
Department of General Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiaotong University , Shanghai 200233, China
Zhang Pin
Department of General Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiaotong University , Shanghai 200233, China