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Quality of life after laparoscopic sleeve gastrectomy – review of literature

100%
Wityk M., Bobowicz M., Kaczmarkiewicz C., Makarewicz W.
|
2019
|
vol. 2
|
issue 2
52-60
EN
Background: Last decade brought changes in trends of most frequently performed types of bariatric procedures. Despite the well-grounded knowledge of bariatric surgery positive impact on comorbidities, life prolongation, cancer risk, depression etc. there is still insufficient data on patients’ quality of life (QoL) after surgery. Methods: In this review PubMed and Scopus databases as well as Mendeley search engine were used for searching publications from last ten years focusing on QoL after LSG. 702 abstracts were reviewed. 13 publications, with 1630 patients in total were finally included. Results: Six different QoL tools were used: SF-36, BAROS, Moorehead-Ardelt II questionnaire, IWQOL-Lite, GIQLI and SF8. In majority of publications QoL was improved. Pre and postoperative assessment with SF-36 showed significant improvement. The mean BAROS score was 5.1-7.1 with 77-96% of patients achieving good to excellent outcomes. In some studies, QoL was better in females and in one study QoL did not achieve results of general population norms. There was no improvement in QoL after LSG in some studies or no correlation between %EWL and health related QOL. Conclusions: There is limited good quality research into QoL after LSG, though quality of life seems to be better after that procedure.
2
Publication available in full text mode
Content available

Quality of life after laparoscopic sleeve gastrectomy – review of literature

100%
Wityk M., Makarewicz W., Kaczmarkiewicz C., Bobowicz M.
European Journal of Translational and Clinical Medicine
|
2020
|
vol. 2
|
issue 2
52-60
EN
Background: Last decade brought changes in trends of most frequently performed types of bariatric procedures. Despite the well-grounded knowledge of bariatric surgery positive impact on comorbidities, life prolongation, cancer risk, depression etc. there is still insufficient data on patients’ quality of life (QoL) after surgery. Methods: In this review PubMed and Scopus databases as well as Mendeley search engine were used for searching publications from last ten years focusing on QoL after LSG. 702 abstracts were reviewed. 13 publications, with 1630 patients in total were finally included. Results: Six different QoL tools were used: SF-36, BAROS, Moorehead-Ardelt II questionnaire, IWQOL-Lite, GIQLI and SF8. In majority of publications QoL was improved. Pre and postoperative assessment with SF-36 showed significant improvement. The mean BAROS score was 5.1-7.1 with 77-96% of patients achieving good to excellent outcomes. In some studies, QoL was better in females and in one study QoL did not achieve results of general population norms. There was no improvement in QoL after LSG in some studies or no correlation between %EWL and health related QOL. Conclusions: There is limited good quality research into QoL after LSG, though quality of life seems to be better after that procedure.
3
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Laparoscopic cholecystectomy in a patient with total situs inversus – case report

88%
Stojcev Z., Duszewski M., Bobowicz M., Galla W., Maliszewski D.
|
|
vol. 85
|
issue 3
141-144
EN
For many years, laparoscopic cholecystectomy remains the method of choice for both the treatment of symptomatic cholelithiasis, and chronic and acute cholecystitis (1). The experience of the surgeon grows with each laparoscopic procedure, which enables to operate in case of difficult anatomical conditions and associated anatomical variants. The aim of the study was to present a case of a 47-year old male patient with total situs inversus and several months history of recurrent left epigastric pain, radiating to the left scapula, being accompanied by nausea and vomiting. The study presented the operative technique of laparoscopic cholecystectomy and postoperative period data. In conclusion, laparoscopic cholecystectomy in a patient with total situs inversus is possible and safe, providing relevant precautions. The main issues certainly include a good and feasible plan of the operation, discussion concerning the possible intraoperative and postoperative complications, a good plan considering the localization of the trocars, as well as an experienced surgical team. One should also not forget that early conversion to classical cholecystectomy is not considered as failure, but might prevent accidental damage of the biliary ducts and long-term complications.
4
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Morbidity, Mortality and Survival after Stomach Resection with or without Splenectomy – The Single Centre Observations

88%
Stojcev Z., Bobowicz M., Jarząb M., Pawłowska-Stojcev T., Banasiewicz T.
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EN
Over the last decade, gastric cancer treatment has changed from extensive multiorgan resections towards less invasive approaches with limited resections and a more selective lymphadenectomy. Despite all available trials, the conclusions on the extent of necessary resections still remain debatable. The aim of the study was to assess the short term outcomes (morbidity and mortality) of a total gastrectomy depending on the simultaneous splenectomy status. Material and methods. We performed a retrospective analysis of the records of all patients treated with a curative intent using a total gastrectomy for gastric cancer between 1997 and 2003. 49 patients fulfilled the inclusion criteria. Patients were divided into two groups: S(+) gastrectomy with splenectomy group (29 patients) and S(-) total gastrectomy with spleen preservation (20 patients). Results. Survival analysis at one year showed that there was no difference in survival between the two groups (p=0.84). There were six recurrences, one in the group S(+) and five in group S(-) (p>0.05). Dissemination was observed in three patients in group S(-) (p>0.05). Other complications including infectious complications, exenteration, subileus, cardiovascular insufficiency, multiorgan failure were more frequent in the S(+) group (31% v 15%) although the difference was not significant (p=0.17). Conclusions. Splenectomy during gastrectomy for cancer has no statistically significant impact on short-term morbidity and mortality. Even though it does not show benefit in terms of 5-year overall survival rates it might be performed when needed in more advanced cases in properly selected patients (e.g. upper gastric T3/4 gastric cancer)
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