Journal ArticleDOI
Weight Recidivism Post-Bariatric Surgery: A Systematic Review
Shahzeer Karmali,Balpreet Brar,Xinzhe Shi,Arya M. Sharma,Christopher de Gara,Daniel W. Birch +5 more
TLDR
Assessment of the incidence and causative factors associated with weight regain following bariatric surgery and a systematic approach to patient assessment focusing on contributory dietary, psychologic, medical and surgical factors are conducted.Abstract:
Obesity is considered a worldwide health problem of epidemic proportions. Bariatric surgery remains the most effective treatment for patients with severe obesity, resulting in improved obesity-related co-morbidities and increased overall life expectancy. However, weight recidivism has been observed in a subset of patients post-bariatric surgery. Weight recidivism has significant medical, societal and economic ramifications. Unfortunately, there is a very limited understanding of how to predict which bariatric surgical patients are more likely to regain weight following surgery and how to appropriately treat patients who have regained weight. The objective of this paper is to systematically review the existing literature to assess the incidence and causative factors associated with weight regain following bariatric surgery. An electronic literature search was performed of the Medline, Embase and Cochrane library databases along with the PubMed US national library from January 1950 to December 2012 to identify relevant articles. Following an initial screen of 2,204 titles, 1,437 abstracts were reviewed and 1,421 met exclusion criteria. Sixteen studies were included in this analysis: seven case series, five surveys and four non-randomized controlled trials, with a total of 4,864 patients for analysis. Weight regain in these patients appeared to be multi-factorial and overlapping. Aetiologies were categorized as patient specific (psychiatric, physical inactivity, endocrinopathies/metabolic and dietary non-compliance) and operation specific. Weight regain following bariatric surgery varies according to duration of follow-up and the bariatric surgical procedure performed. The underlying causes leading to weight regain are multi-factorial and related to patient- and procedure-specific factors. Addressing post-surgical weight regain requires a systematic approach to patient assessment focusing on contributory dietary, psychologic, medical and surgical factors.read more
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Journal ArticleDOI
Reoperative Bariatric Surgery: a Systematic Review of the Reasons for Surgery, Medical and Weight Loss Outcomes, Relevant Behavioral Factors
TL;DR: This literature review was conducted to organize the emerging, but scattered, literature regarding the reasons for undergoing surgery, the best available options, the predictors of success, and the psychological characteristics of patients submitted to reoperative surgeries.
Journal ArticleDOI
Recommendations for Management and Treatment of Nonalcoholic Steatohepatitis.
TL;DR: The available evidence is described and consensus guidance is provided on the lifestyle and pharmacologic therapies of NAFLD, and the consensus position on alcohol use in patients withNAFLD is described.
Journal ArticleDOI
How are bariatric patients coping during the coronavirus disease 2019 (COVID-19) pandemic? Analysis of factors known to cause weight regain among postoperative bariatric patients.
Dimitrios I. Athanasiadis,Edward Hernandez,William Hilgendorf,William Hilgendorf,Alexandra Roper,Marisa Embry,Don J. Selzer,Don J. Selzer,Dimitrios Stefanidis,Dimitrios Stefanidis +9 more
TL;DR: Risk factors for weight regain were found to be loss of control when eating, increase in snacking and binge eating, reduced consumption of healthy food, and reduced physical activity.
Journal ArticleDOI
Road Running After Gastric Bypass for Morbid Obesity: Rationale and Results of a New Protocol
Federico Marchesi,Giuseppina De Sario,Valeria Reggiani,Francesco Tartamella,Andrea Giammaresi,Stefano Cecchini,Renato Costi,Giovanni Guareschi,Gianfranco Beltrami,Chiara De Panfilis,Elisabetta Dall'Aglio,Matteo Riccò,Valerio Brambilla +12 more
TL;DR: Road running seems to have an important supporting role in boosting bariatric surgery results and the utilization of monitored and regulated training programs represents a fundamental prerequisite to achieving satisfactory results and patient compliance.
Journal ArticleDOI
Prevalence of insufficient weight loss 5 years after Roux-en-Y gastric bypass: metabolic consequences and prediction estimates: a prospective registry study.
TL;DR: In this article, the authors investigated the heterogeneity of weight loss 5 years after Roux-en-Y gastric bypass and the association with cardiometabolic health as well as to model prediction estimates of surgical treatment failure.
References
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Journal ArticleDOI
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