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
Citations
More filters
Journal ArticleDOI
Predictive factors of weight regain following laparoscopic Roux-en-Y gastric bypass.
Charles J. Keith,Allison A. Gullick,Katey Feng,Joshua S. Richman,Joshua S. Richman,Richard Stahl,Jayleen Grams,Jayleen Grams +7 more
TL;DR: Several patient-related characteristics predicted an increased likelihood of weight regain, including male sex, white race, and being from a neighborhood of socioeconomic advantage, which contribute to weight recidivism following bariatric surgery.
Journal ArticleDOI
Plasma amino acids, adiposity, and weight change after gastric bypass surgery: are amino acids associated with weight regain?
Susanna E Hanvold,Susanna E Hanvold,Kathrine J. Vinknes,Nasser E. Bastani,C. A. P. Turner,E B Løken,Tom Mala,Helga Refsum,Helga Refsum,Anne-Marie Aas,Anne-Marie Aas +10 more
TL;DR: Results suggest that high total cysteine at 2 years may be used as a prognostic marker for future weight regain, and plasma AAAs, BCAAs, and tCys at 2-years were associated with BMI at 2 years.
Journal ArticleDOI
Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities
Sama Abdulrazzaq,Wahiba Elhag,Walid El Ansari,Walid El Ansari,Walid El Ansari,Amjad Salah Mohammad,Davit Sargsyan,Davit Sargsyan,Moataz Bashah,Moataz Bashah +9 more
TL;DR: Although R-RYGB effectively addressed inadequate weight loss, weight regain, and recurrence of comorbidities after restrictive bariatric surgery, R-ryGB resulted in inferior weight loss compared with P-RY GB.
Journal ArticleDOI
Laparoscopic Adjustable Gastric Banding After Failed Roux-En-Y Gastric Bypass
Martine Uittenbogaart,Wouter K. G. Leclercq,Arijan A. P. M. Luijten,François M. H. van Dielen +3 more
TL;DR: In this largest published cohort, secondary banding of failed RYGB provides only limited additional weight loss and this technique is associated with high morbidity and reoperation rates.
Journal ArticleDOI
Eating behaviors and weight outcomes in bariatric surgery patients amidst COVID-19.
TL;DR: In this article, the incremental impact of COVID-19 lockdown on treatment outcomes of postbariatric patients in the risk period for weight regain was investigated, and evidence for the impact of the coronavirus outbreak on eating-related psychopathology and weight outcomes in post-bariatric surgery patients.
References
More filters
Journal ArticleDOI
Bariatric surgery: a systematic review and meta-analysis.
Henry Buchwald,Yoav Avidor,Eugene Braunwald,Michael D. Jensen,Walter J. Pories,Kyle Fahrbach,Karen Schoelles +6 more
TL;DR: Effective weight loss was achieved in morbidly obese patients after undergoing bariatric surgery, and a substantial majority of patients with diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea experienced complete resolution or improvement.
Journal ArticleDOI
Lifestyle, Diabetes, and Cardiovascular Risk Factors 10 Years after Bariatric Surgery
TL;DR: A prospective, controlled Swedish Obese Subjects Study involved obese subjects who underwent gastric surgery and contemporaneously matched, conventionally treated obese control subjects, which reported follow-up data for subjects who had been enrolled for at least 2 years or 10 years before the analysis.
Journal ArticleDOI
Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies
Gary Whitlock,Sarah Lewington,Paul Sherliker,Robert Clarke,Jonathan Emberson,Jim Halsey,Nawab Qizilbash,Rory Collins,Richard Peto +8 more
TL;DR: Below the range 22.5-25 kg/m(2), BMI was associated inversely with overall mortality, mainly because of strong inverse associations with respiratory disease and lung cancer, despite cigarette consumption per smoker varying little with BMI.
Journal ArticleDOI
National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participants
Mariel M. Finucane,Gretchen A Stevens,Melanie J. Cowan,Goodarz Danaei,John K Lin,Christopher J. Paciorek,Gitanjali M Singh,Hialy R. Gutierrez,Yuan Lu,Adil N. Bahalim,Farshad Farzadfar,Leanne M Riley,Majid Ezzati +12 more
TL;DR: In this paper, the authors estimated trends and their uncertainties of mean BMI for adults 20 years and older in 199 countries and territories, and used a Bayesian hierarchical model to estimate mean BMI by age, country, and year.
A Systematic Review and Meta-analysis
TL;DR: A systematic review of studies published from January 1, 1950, through November 31, 2008 using PubMed, EMBASE, Web of Knowledge, CINAHL, and all Evidence-Based Medicine Reviews found that randomized clinical trials and prospective studies of RRTs that reported data on changes in the primary outcome of hospital mortality or the secondary outcome of cardiopulmonary arrest cases were included.