Keywords
Calidad De Vida, Cirugía Bariátrica, Obesidad, Gastrectomía En Manga, Equipo Asistencial, Bienestar Psicológico, Quality Of Life, Bariatric Surgery, Obesity, Sleeve Gastrectomy, Patient Care Team, Psychological Well-Being
Postoperative quality of life
Abstract
El capítulo analiza la calidad de vida tras la cirugía bariátrica, prestando especial atención a su valoración después de la gastrectomía en manga. Presenta la calidad de vida como un resultado multidimensional que comprende aspectos físicos, psicológicos y sociales, y revisa instrumentos genéricos y específicos utilizados para medirla, entre ellos SF-36, EuroQol-5D y escalas desarrolladas para pacientes con obesidad y cirugía bariátrica. La evidencia revisada muestra una mejora general de la calidad de vida después de la cirugía, relacionada con la pérdida de peso y la mejoría funcional. Sin embargo, factores como la recuperación ponderal, la salud psicológica, la imagen corporal y las expectativas del paciente pueden modificar los resultados a largo plazo. El seguimiento multidisciplinar y la evaluación sistemática de resultados comunicados por los pacientes resultan fundamentales.
The chapter examines quality of life after bariatric surgery, with particular attention to its assessment following sleeve gastrectomy. Quality of life is considered a multidimensional outcome encompassing physical, psychological, and social well-being. The chapter reviews generic and obesity- or bariatric-specific measurement instruments, including the SF-36, EuroQol-5D, and dedicated bariatric quality-of-life scales. Available evidence indicates an overall improvement in quality of life after surgery, associated with weight reduction and better physical functioning. Nevertheless, long-term outcomes may be influenced by weight regain, psychological health, body image, patient expectations, and satisfaction with appearance. The chapter also highlights the importance of systematic patient-reported outcome assessment, multidisciplinary follow-up, and emerging digital tools for monitoring quality of life throughout postoperative care.
The chapter examines quality of life after bariatric surgery, with particular attention to its assessment following sleeve gastrectomy. Quality of life is considered a multidimensional outcome encompassing physical, psychological, and social well-being. The chapter reviews generic and obesity- or bariatric-specific measurement instruments, including the SF-36, EuroQol-5D, and dedicated bariatric quality-of-life scales. Available evidence indicates an overall improvement in quality of life after surgery, associated with weight reduction and better physical functioning. Nevertheless, long-term outcomes may be influenced by weight regain, psychological health, body image, patient expectations, and satisfaction with appearance. The chapter also highlights the importance of systematic patient-reported outcome assessment, multidisciplinary follow-up, and emerging digital tools for monitoring quality of life throughout postoperative care.
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