The average impact of bariatric surgery on quality of life corresponded to an effect size of 0.88 ( 95 % CI : 0.80 - 0.96 ) , indicating that bariatric surgery has a significant positive influence on quality of life in general .
The impact varied considerably across studies with bariatric surgery showing a significantly greater positive influence on physical quality of life compared to mental quality of life .
Bariatric surgery is effective in improving quality of life , especially when looking at physical well-being .
Greater focus on the psychological well-being of the person undergoing surgery for obesity may lead to a better post-surgery prognosis for more people
This study aims to review the obesity literature in order to assess the impact of bariatric surgery on quality of life and the between- study variation by examining the st and ardized mean magnitude of effect in change in the levels of quality of life .
Efficacy, Safety, and Tolerance of Two Types of Intragastric Balloons Placed in Obese Subjects: A Double-Blind Comparative Study
The intragastric balloon is a temporary treatment for obese patients . Fluid-filled devices have shown efficacy and safety , and are widely used . Recently , although there are no comparative studies between them , an air-filled balloon , Heliosphere ® bag , has been proposed . Prospect i ve , double-blind study in 33 patients with morbid and type 2 obesity : 23 female , 43.9 ± 10 years , 120.3 ± 17 kg , and body mass index ( BMI ) of 44.2 ± 5 kg/m2 , placing 18 gastric balloons filled with 960 cm3 of air ( Heliosphere ® bag ) or 15 balloons filled with 700 ml of saline ( Bioenterics-BIB ® ) . Both balloons were placed with conscious sedation and removed under general anesthesia 6 months later . Intravenous drugs were given to control symptoms for 48 h. Patients were sent home on a 1000-kcal diet , multivitamin supplements , and oral proton pump inhibitors , and were followed monthly . Complications , symptoms , weight , and quality of life evaluated by the Gastrointestinal Quality of Life Index ( GIQLI ) scale were recorded . At 6 months , mean weight loss ( 12.8 ± 8 vs 14.1 ± 8 kg ) , BMI loss ( 4.6 ± 3 vs 5.5 ± 3 kg/m2 ) and percent excess weight loss ( 27 ± 16 vs.30.2 ± 17 ) showed no significant differences between both groups . At removal , two Heliosphere ® bags were not found in the stomach , and four patients required extraction of the balloon by rigid esophagoscopy or surgery ( p = 0.02 ) . Tolerance was good in both groups , but early removal occurred in three BIB ® ( 20 % ) due to vomits and dehydration . The GIQLI total scores remained unchanged . Both balloons achieve a significant weight loss with good tolerance in obese patients .  Nevertheless , Heliosphere ® bag has severe technical problems that need to be solved before recommending it
The average impact of bariatric surgery on quality of life corresponded to an effect size of 0.88 ( 95 % CI : 0.80 - 0.96 ) , indicating that bariatric surgery has a significant positive influence on quality of life in general .
The impact varied considerably across studies with bariatric surgery showing a significantly greater positive influence on physical quality of life compared to mental quality of life .
Bariatric surgery is effective in improving quality of life , especially when looking at physical well-being .
Greater focus on the psychological well-being of the person undergoing surgery for obesity may lead to a better post-surgery prognosis for more people
This study aims to review the obesity literature in order to assess the impact of bariatric surgery on quality of life and the between- study variation by examining the st and ardized mean magnitude of effect in change in the levels of quality of life .