title: Observations regarding 'quality of life' and 'comfort with food' after bariatric surgery: comparison between laparoscopic adjustable gastric banding and sleeve gastrectomy.
abstract: BACKGROUND
  Although laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) are coexisting first-choice restrictive procedures for bariatric surgery candidates, it is possible, given their different modes of action, that these procedures have different effects on quality of life (QOL). We hypothesized that improvement of QOL and comfort with food could be better with LSG compared to LAGB.
  
  
  METHODS
  This cohort study included 131 obese patients who had either LAGB (n = 102) or LSG (n = 29). Patients were assessed during preoperative and at 6- and 12-month postoperative visits. Five QOL dimensions were assessed using the 'Quality of Life, Obesity and Dietetics' rating scale: physical impact, psycho-social impact, impact on sex life, comfort with food and diet experience. We compared QOL evolution between LAGB and LSG using linear mixed models adjusted for gender and body mass index at each visit.
  
  
  RESULTS
  Excess weight loss was 28.4 ± 14.7% and 34.8 ± 18.4% for LAGB and 35.7 ± 14.3% and 43.8 ± 17.8% for LSG at 6 and 12 months postoperatively, respectively. Both LAGB and LSG provided significant improvement in the physical, psycho-social, sexual and diet experience dimensions of QOL. LSG was associated with better improvement than LAGB in short-term (6-month) comfort with food.
  
  
  CONCLUSIONS
  Our results add further evidence to the benefit of LSG and LAGB in obesity management. Within the first year of follow-up, there is no lasting difference in the comfort with food dimension between LSG and LABG.
authors.affiliation: Clinique Psychiatrique Universitaire, CHRU de Tours, Tours, France.
authors.forename: Paul
authors.initials: P
authors.lastname: Brunault
authors.forename: David
authors.initials: D
authors.lastname: Jacobi
authors.forename: Julie
authors.initials: J
authors.lastname: Léger
authors.forename: Céline
authors.initials: C
authors.lastname: Bourbao-Tournois
authors.forename: Noël
authors.initials: N
authors.lastname: Huten
authors.forename: Vincent
authors.initials: V
authors.lastname: Camus
authors.forename: Nicolas
authors.initials: N
authors.lastname: Ballon
authors.forename: Charles
authors.initials: C
authors.lastname: Couet
mesh_terms: D000328:Adult; D015331:Cohort Studies; D004435:Eating / Q000523:psychology*; D005260:Female; D005743:Gastrectomy / Q000379:methods* / Q000523:psychology; D015391:Gastroplasty / Q000379:methods* / Q000523:psychology; D006801:Humans; D010535:Laparoscopy; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology / Q000601:surgery*; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D015431:Weight Loss