Long‐term Health Related Quality of Life Outcomes of Patients who have undergone Bariatric Surgery with the Biliary Pancreatic Diversion with Duodenal Switch

Abstract

BackgroundOf the different procedures used for bariatric surgery, BPD/DS is the most uncommon and has been associated with the longest durable weight loss with significant improvement in obesity‐related comorbidities. Improvement in health‐related quality of life (HRQoL) is of paramount importance and an essential metric to evaluate additional outcomes. Previous studies have shown significant improvement following BPD/DS for up to 5 years after surgery.Methods: We studied HRQoL in 27 patients who have had BPD/DS at an academic medical center over a period of 19 years. This study had utilized the validated SF‐36 survey and concluded that for most patients, surgery improved their HRQoL.Results: Of the 27 respondents who had BPD/DS surgery, 77.8% were female, and 96.3% were White. Sex # % Female 21 77.8 Male 6 22.2 Race White 26 96.3 Black 1 3.7 Mean SD Age at Surgery 44.33 8.9 Pre‐Operative BMI 48.89 11.5 Time Lapse Since Surgery (Years) 12.3 0.6 Weight Loss (Kilograms) 41.90 30.4 Their average age at the time of surgery was 44.3 years (SD=8.9), their average pre‐surgery BMI was 48.9 (SD=11.5) and their average time since surgery was 12.3 years (SD=0.6). Mean SF‐36 scores are shown in Table 2. Table 2: SF‐36 Scores Mean SD Physical Component Score (PCS) 47.677 12.5408 Mental Component Scores (MCS) 48.308 12.0977 General Health 63.52 27.694 Physical Functioning 71.67 28.723 Role limitations due to physical health 62.04 43.506 Energy/Fatigue 53.08 28.812 Pain 72.5 24.789 Emotional well‐being 72.31 20.612 Role limitations due to emotional health 70.37 42.701 Social Functioning 79.81 20.334 ConclusionIn summary, our study was comprised of patients in the US who had undergone BPD/DS. Both, their physical and mental scores were close to the population norm.