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Background <p>Satiety, cravings, and appetite have a behavioral impact on eating and may be associated with obesity. There are limited data evaluating the trajectory of hunger after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB).</p> Methods <p>Metabolic and bariatric surgery (MBS) patients were given the Daily Eats questionnaire at their preoperative and postoperative appointments. Daily Eats is a validated survey which asks patients to rate hunger, appetite, cravings, and satiety on a scale of 0–10. Cross-sectional data were obtained at five timepoints including preoperative visits and postoperative appointments at monthly intervals including: 0–12, 12–24, 24–36, and &gt; 36. Average Daily Eats scores in the postoperative setting for SG and RYGB patients were compared using independent sample <i>t</i>-tests with a <i>p</i>-value of &lt; 0.05 indicating significance.</p> Results <p>There were 3898 Daily Eats questionnaires completed (2334 preoperative, 996 postoperative SG, 568 postoperative RYGB). Patient-reported outcome measures (PROMs) survey compliance was 77% at the time of this study with 2334/2537 (92%) preoperative surveys completed and 1564/2523 (62%) postoperative surveys completed. Patients who underwent SG reported significantly higher scores for hunger (4.87 ± 2.33 vs. 3.53 ± 2.16; <i>p</i> &lt; 0.01) and appetite (5.07 ± 2.05 vs. 3.85 ± 1.76; <i>p</i> &lt; 0.01) at 24–36&#xa0;months when compared to patients who underwent RYGB. Patients who were &gt; 36&#xa0;months after SG reported significantly higher scores for hunger (4.58 ± 2.21 vs. 3.94 ± 2.39; <i>p</i> &lt; 0.01) and appetite (4.67 ± 1.90 vs. 4.08 ± 2.27; <i>p</i> &lt; 0.01) when compared to patients who underwent RYGB.</p> Conclusion <p>Compared to RYGB, patients who underwent SG reported significantly more long-term hunger and appetite. PROMs after MBS may enable tailored postoperative care by procedure and improve preoperative counseling by illustrating how hunger-related sensations evolve differently depending on the surgical procedure.</p> Graphical abstract <p></p>

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How does patient reported satiety, hunger, and appetite change after metabolic and bariatric surgery? A comparison between sleeve gastrectomy and Roux-en-Y gastric bypass

  • 期刊论文

  • 发表日期：

    2025年7月2日

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  • Nicole L. Petcka,
  • Jessica Wu,
  • Savannah Smith,
  • Seyed A. Arshad,
  • Chelsea Yost,
  • Jahnavi Srinivasan,
  • S. Scott Davis Jr.,
  • Edward Lin,
  • Elizabeth Hechenbleikner,
  • Danny Mou

摘要

Background

Satiety, cravings, and appetite have a behavioral impact on eating and may be associated with obesity. There are limited data evaluating the trajectory of hunger after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB).

Methods

Metabolic and bariatric surgery (MBS) patients were given the Daily Eats questionnaire at their preoperative and postoperative appointments. Daily Eats is a validated survey which asks patients to rate hunger, appetite, cravings, and satiety on a scale of 0–10. Cross-sectional data were obtained at five timepoints including preoperative visits and postoperative appointments at monthly intervals including: 0–12, 12–24, 24–36, and > 36. Average Daily Eats scores in the postoperative setting for SG and RYGB patients were compared using independent sample t-tests with a p-value of < 0.05 indicating significance.

Results

There were 3898 Daily Eats questionnaires completed (2334 preoperative, 996 postoperative SG, 568 postoperative RYGB). Patient-reported outcome measures (PROMs) survey compliance was 77% at the time of this study with 2334/2537 (92%) preoperative surveys completed and 1564/2523 (62%) postoperative surveys completed. Patients who underwent SG reported significantly higher scores for hunger (4.87 ± 2.33 vs. 3.53 ± 2.16; p < 0.01) and appetite (5.07 ± 2.05 vs. 3.85 ± 1.76; p < 0.01) at 24–36 months when compared to patients who underwent RYGB. Patients who were > 36 months after SG reported significantly higher scores for hunger (4.58 ± 2.21 vs. 3.94 ± 2.39; p < 0.01) and appetite (4.67 ± 1.90 vs. 4.08 ± 2.27; p < 0.01) when compared to patients who underwent RYGB.

Conclusion

Compared to RYGB, patients who underwent SG reported significantly more long-term hunger and appetite. PROMs after MBS may enable tailored postoperative care by procedure and improve preoperative counseling by illustrating how hunger-related sensations evolve differently depending on the surgical procedure.

Graphical abstract