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
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Journal ArticleDOI
Weight Regain Following Sleeve Gastrectomy-a Systematic Review.
TL;DR: Bariatric literature would benefit from standardising definitions used to report weight regain and its rate in clinical series, and larger prospective studies are required to further understand mechanisms of weight regain following SG.
Journal ArticleDOI
Bariatric surgery and long-term nutritional issues.
Roberta Lupoli,Erminia Lembo,G. Saldalamacchia,Claudia Kesia Avola,Luigi Angrisani,Brunella Capaldo +5 more
TL;DR: Nu-tritional complications associated with bariatric surgery can be prevented by life-long nutritional monitoring with the administration of multi-vitamins and mineral supplements according to the patient’s needs.
Journal ArticleDOI
Trends in Weight Regain Following Roux-en-Y Gastric Bypass (RYGB) Bariatric Surgery
TL;DR: Despite the percentage of weight loss over the first year, all cohort patient groups regained on average between 21 and 29 % of lost weight and excessive weight gain was experienced by over one third of patients.
Journal ArticleDOI
Comparison of the Performance of Common Measures of Weight Regain After Bariatric Surgery for Association With Clinical Outcomes.
TL;DR: Among a large cohort of adults who underwent RYGB surgery, weight regain quantified as percentage of maximum weight lost performed better for association with most clinical outcomes than the alternatives examined and may inform standardizing the measurement of weight regain in studies of bariatric surgery.
Journal ArticleDOI
Prevalence of 'obesity-associated gonadal dysfunction' in severely obese men and women and its resolution after bariatric surgery: a systematic review and meta-analysis.
Héctor F. Escobar-Morreale,Elisa Santacruz,Manuel Luque-Ramírez,José Ignacio Botella Carretero +3 more
TL;DR: An estimation of the prevalence of obesity-associated gonadal dysfunction among women and men presenting with severe obesity and the response to bariatric surgery in terms of resolution and/or improvement of this condition and changes in circulating sex hormone concentrations is obtained.
References
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Journal ArticleDOI
Obesity Surgery Results Depending on Technique Performed: Long-Term Outcome
TL;DR: The most complex bariatric procedures increase the effectiveness but unfortunately they also increase morbidity and mortality, and restrictive procedures such as VBG should only be performed in well-selected patients due to high rates of failure in long-term follow-up.
Journal ArticleDOI
High secondary failure rate of rebanding after failed gastric banding.
Markus K. Müller,Nicolas Attigah,Stephan M. Wildi,Dieter Hahnloser,R. Hauser,Pierre-Alain Clavien,Markus Weber +6 more
TL;DR: The present long-term study confirms the previous finding that LRYGB is a better treatment than rebanding after failed laparoscopic gastric banding regarding weight loss and treatment of co-morbidities.
Journal ArticleDOI
Fourteen-Year Long-Term Results after Gastric Banding
TL;DR: The complication and reoperation rate after GB is high, Nevertheless, GB is still a therapeutic option in morbid obese patients, but the criteria for patient selection should be carefully evaluated.
Journal Article
Gastrogastric fistula: a possible complication of Roux-en-Y gastric bypass.
TL;DR: Gastrogastric fistula is a possible complication of Roux-en-Y gastric bypass and its laparoscopic treatment is feasible, and when identified in the acute postoperative course, laparoscopy treatment is easy.
Journal ArticleDOI
Inadequate weight loss vs secondary weight regain: laparoscopic conversion from gastric banding to Roux-en-Y gastric bypass.
Felix B. Langer,Arthur Bohdjalian,Soheila Shakeri-Manesch,F. X. Felberbauer,Bernhard Ludvik,Johannes Zacherl,Gerald W. Prager +6 more
TL;DR: The safety and efficacy of laparoscopic conversion to Roux-en-Y gastric bypass (RYGBP) in these two indications was assessed, with no statistically significant differences found comparing weight loss within these two groups.