Differential impact of laparoscopic sleeve gastrectomy and roux-en-Y gastric bypass on postoperative constipation: insights for optimized patient care

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dc.contributor.authorKudaş, İlyas
dc.contributor.authorBaşak, Fatih
dc.contributor.authorÇalışkan, Yahya Kemal
dc.contributor.authorTosun, Hüsna
dc.contributor.authorAcar, Aylin
dc.contributor.authorCanbak, Tolga
dc.contributor.authorŞişik, Abdullah
dc.contributor.authorErdem, Olgun
dc.date.accessioned2026-01-30T08:04:34Z
dc.date.available2026-01-30T08:04:34Z
dc.date.issued2025
dc.departmentMeslek Yüksekokulu, Gedik Meslek Yüksekokulu, Anestezi Programı
dc.description.abstractBackground: While bariatric surgery effectively treats morbid obesity, its impact on postoperative bowel habits, particularly constipation, remains underexplored. This study compared constipation prevalence and changes after laparoscopic sleeve gastrectomy (LSG) and Roux-en-Y gastric bypass (RYGB).Methods: A prospective observational study included 120 patients undergoing LSG or RYGB, evaluated preoperatively and 6 months postoperatively. Constipation was assessed using bowel habit parameters and the Wexner Constipation Score (WCS). Incontinence was assessed using the Cleveland Clinic Incontinence Score (CCIS).Results: Preoperative constipation prevalence was similar between groups. At 6 months, trends toward improvements in WCS (LSG: 4.9 to 4.3; RYGB: 5.1 to 4.8) and CCIS (LSG: 8.5 to 8.1; RYGB: 8.7 to 8.4) were observed, with more patients reporting better bowel habits. WCS and CCIS scores decreased in both groups at 6 months compared with baseline, but these changes were not statistically significant.Conclusion: No significant differences in postoperative constipation outcomes (WCS) were observed between RYGB and LSG patients, although both showed a trend toward improved bowel habits. Similarly, CCIS changes were not significantly different. These findings suggest potential benefits for bowel function, but further research is needed to determine their clinical importance and underlying causes.
dc.identifier.doi10.1089/bari.2024.0075
dc.identifier.endpage195
dc.identifier.issn2168-023X
dc.identifier.issn2168-0248
dc.identifier.issue4
dc.identifier.scopus2-s2.0-105008567864
dc.identifier.scopusqualityQ3
dc.identifier.startpage188
dc.identifier.urihttps://doi.org/10.1089/bari.2024.0075
dc.identifier.urihttps://hdl.handle.net/11501/2602
dc.identifier.volume20
dc.identifier.wosWOS:001511556400001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorŞişik, Abdullah
dc.institutionauthorid0000-0002-7500-8651
dc.language.isoen
dc.publisherMary Ann Liebert Inc.
dc.relation.ispartofBariatric Surgical Practice and Patient Care
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBariatric Surgery
dc.subjectBowel Motility
dc.subjectConstipation
dc.subjectGut Microbiota
dc.subjectObesity
dc.subjectProspective Study
dc.subjectRoux-en-Y Gastric Bypass
dc.subjectSleeve Gastrectomy
dc.titleDifferential impact of laparoscopic sleeve gastrectomy and roux-en-Y gastric bypass on postoperative constipation: insights for optimized patient care
dc.typeArticle

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