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
When is the best time to deliver behavioral intervention to bariatric surgery patients: before or after surgery?
Tricia M. Leahey,Tricia M. Leahey,Tricia M. Leahey,Dale S. Bond,Sharon R. Irwin,Janis H. Crowther,Rena R. Wing +6 more
TL;DR: Comprehensive bariatric surgery programs ought to consider balancing the needs of the preoperative patients presenting with maladaptive eating behavior with the likelihood of them participating in a behavioral intervention before surgery.
Journal ArticleDOI
Physical function improvements after laparoscopic Roux-en-Y gastric bypass surgery
TL;DR: It is shown that in morbidly obese individuals with a high risk of mobility impairments, surgical procedures to reduce body weight increase mobility and improve performance of daily activities in as few as 3 weeks after gastric bypass surgery.
Journal ArticleDOI
Meal suppression of circulating ghrelin is normalized in obese individuals following gastric bypass surgery.
TL;DR: Marked weight reduction after RYGBP at the Uppsala University Hospital is followed by a normalization of gh Relin secretion, illustrated by increased fasting levels compared to the preoperative obese state and regain of meal-induced ghrelin suppression.
Journal ArticleDOI
Weight Loss and Quality of Life After Gastric Band Removal or Deflation
TL;DR: Long-term outcome following band removal is unsatisfactory in many patients, Nevertheless, a minority of patients was able to maintain its weight loss and a minority would not agree to gastric banding again.
Journal ArticleDOI
Pouch Enlargement: Myth or Reality? Impressions from Serial Upper Gastrointestinal Series in Silicone Gastric Banding Patients.
Lubomyr I Kuzmak,Edward Burak +1 more
TL;DR: Results would seem to indicate that some enlargement will occur with time, but in most SGB patients it is not excessive and does not affect the results of the operation.