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- W2997290187 abstract "Abstract Background Adolescent obesity is associated with significant co-morbidities, including decreased quality of life (QOL). QOL improves after metabolic and bariatric surgery (MBS), but recent studies have demonstrated that certain gastrointestinal symptoms (GIS) worsen after surgery, including reflux symptoms, nausea, bloating, and diarrhea. Objective The aim of this study was to evaluate QOL and the effect of these symptoms on QOL after bariatric surgery. Setting Five academic centers that perform adolescent MBS in the United States. Methods We prospectively studied 228 adolescents undergoing MBS using the Teen-Longitudinal Assessment of Bariatric Surgery cohort. GIS and QOL scores were assessed before surgery, at 6 months, and yearly to 5 years after surgery. Analysis involved linear models examining QOL and the association between GIS and QOL adjusting for a priori determined covariates. Results Adjusting for body mass index change over time, the physical component score (PCS) of the Short Form-36 (SF-36) increased after surgery from 44.2 at baseline to 54.4 at 5 years (P Conclusion QOL, specifically the SF-36 PCS, increases after MBS. Reflux symptoms, nausea, and diarrhea reduce the degree of improvement in QOL in adolescents after MBS. Patients should be monitored and treated for these symptoms to address this decreased QOL." @default.
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- W2997290187 date "2020-04-01" @default.
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- W2997290187 title "Gastrointestinal symptoms in relation to quality of life after metabolic surgery in adolescents" @default.
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- W2997290187 doi "https://doi.org/10.1016/j.soard.2019.12.025" @default.
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