Özet:

INTRODUCTION: Sleeve gastrectomy (SG) is the most frequently performed bariatric surgery in recent years. The primary outcomes expected from bariatric and metabolic surgeries include weight loss, improvement in comorbidities, and increased quality of life (QoL). In this context, the objective of this study is to evaluate the effect of weight loss rates and symptomatic reflux on QoL. METHODS: The study sample comprised 86 patients who underwent laparoscopic SG (LSG) be-tween January 2017 and January 2018. Patients’ demographic characteristics were obtained from hospital records. The effects of excess weight loss rates and symptomatic reflux development on patients’ QoL were evaluated with the 36-Item Short Form Health Survey (SF-36) in the 4th year of follow-up. RESULTS: The median excess weight loss (EWL) was 88.5%, and post-operative weight gain (min. 4.0–max. 18.0 kg) was detected in 26 (30.2%) patients. Reflux was detected in 22 (25.6%) patients. There was a significant correlation between patients’ EWL values and their age and pre-operative body mass index values in the negative direction. In addition, there were significant correlations between EWL values and SF-36’s role limitations due to physical health problems (r=0.425, p<0.001) and general health perceptions (r=0.280, p=0.009) subscale scores in the positive direction. SF-36’s role limitations due to physical health problems, general health perceptions, and perceived change in health subscale scores were significantly lower in patients with reflux than those without reflux. DISCUSSION AND CONCLUSION: The study findings indicated that low EWL and symptomatic reflux after LSG adversely affect the QoL.

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