Impact of Patient Follow-Up on Weight Loss after Bariatric Surgery

Shen, Roy; Dugay, Giovanni S.; Rajaram, Kavitha; Cabrera, Izumi; Siegel, Niccole; Ren, Christine

doi:10.1381/096089204323013523

Cited by 230 publications

(114 citation statements)

References 6 publications

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“…It has been consistently reported that bariatric operations frequently lead to significant weight loss, which starts shortly after the surgical procedure, continues for some time and is thought to plateau for most individuals around 18 months after surgery, when maximal weight loss is reached. 9,[16][17][18][19][20][21] In our study, the GEE analysis suggested that the nadir of body weight loss occurs around the 4 th trimester after surgery, between the first and second years after surgery and this finding agrees with those previous reported.…”

Section: Discussionsupporting

confidence: 93%

“…Some studies have found a positive association between weight loss and adherence to postsurgical appointments, [6][7][8] whereas others have not found such an association. 9,10 The lack of consistent findings can be partially explained by the heterogeneity of methodologies including different study designs, sample sizes, lengths and definitions of follow-up, and variables measured such as types of bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

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Obese patients lose weight independently of nutritional follow-up after bariatric surgery

Tess

Scabim

Santo

et al. 2015

Rev. Assoc. Med. Bras.

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Obese patients lOse weight independently Of nutritiOnal fOllOw-up after bariatric surgery rev assoC med bras 2015; 61 (2) Brazil). Data were collected through hospital records review and the variables analyzed included sex, age, immediate preoperative weight, adherence to postsurgical nutritional visits and length of postoperative period. Proportional body weight reductions during the 18-month follow-up period were examined using generalized estimating equations. Results: 81% (n=195) of participants were female, with overall mean age of 44.4 ± 11.6 years, mean preoperative weight of 123.1± 21.2 kg and mean preoperative body mass index of 47.2± 6.2 kg/m 2 . The overall adherence to postoperative follow-up schedule was 51% (95%CI: 44.5-57.5%). Preoperative body weight and adherence were not associated with proportional weight reduction (Wald's test p > 0.18). Weight loss leveled off at the end of the 18-month follow-up period for both compliant and non-compliant patients (Wald's test p = 0.00). Conclusions: our study showed that weight loss occurred steadily over the first 18 months after RYGBP, leveling off at around 40% weight reduction. It was associated with neither presurgical weight, nor nutritional follow-up and it may be primarily dependent on the surgical body alterations themselves. This finding may have implications for intervention strategies aimed at motivating patients to comply with early postsurgical and life-long follow-up.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Obese patients lose weight independently of nutritional follow-up after bariatric surgery

Tess

Scabim

Santo

et al. 2015

Rev. Assoc. Med. Bras.

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“…Shen et al demonstrated that patients who were seen in clinic six times or more after gastric banding had a significantly greater reduction in %EWL than patients who returned less frequently. 32 Patient motivation as well as surgical team support is needed to achieve optimal weight loss after banding. In addition, nutritional education and dietary compliance are likely to be the most important elements for achieving successful weight loss and maintenance.…”

Section: Maintenance Followupmentioning

confidence: 99%

Past, present, and future: Critical analysis of use of gastric bands in obese patients

Snyder¹,

Worley²,

Aluka³

et al. 2010

DMSO

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Adjustable gastric banding (AGB) is quickly becoming the most popular bariatric operation performed in the United States and Canada. Patients are particularly fond of the simplicity of the tool, the relatively low morbidity of the surgery, the quick recovery, and overall results. The gastric band has evolved over its 35-year history into a very successful adjustable tool used to restrict food consumption and limit caloric intake. The percent of excessive weight loss after banding can range from 30%-60% and depends on the time out from surgery. Along with weight loss, there is good resolution of the co-morbid conditions that are associated with excess weight and improvements in quality of life demonstrated after banding. Nutrition and follow up are extremely important after banding to ensure good compliance and adequate weight loss. Failure to follow the postoperative diet, exercise regiment, or mechanical failure of the band can lead to failure to lose adequate weight. While there are particular early and late complications associated with this surgery, the safety profile of the AGB is very appealing when compared to other bariatric operations. As we continue to reduce the morbidity of the procedure, the simple adjustable band concept has a lot of potential to remain a primary technique of maintaining long term weight loss. In conclusion, AGB has and continues to play an important role in the treatment of morbid obesity. It offers reasonably good weight loss results with very little morbidity, and the future of the adjustable band is bright.

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“…Our study also explains the same, there is no association found between SCD, nonfatal MI and weight loss. Remarkable weight loss was found in patients 1 year after bariatric surgery however, baseline depression and anxiety are not a predictors of post-surgical weight loss [31,32]. In addition, treating baseline anxiety/depression disorder might result in better QoL after surgery [32].…”

Section: Discussionmentioning

confidence: 99%

Association Between the Weight Loss and Anxiety, Depression After Percutaneous Transluminal Coronary Angioplasty: A Need for Pre-Discharged Counseling

Shetty

Devasia

Rao

et al. 2017

Asian J Pharm Clin Res

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Objectives: To see the association between weight loss and anxiety, depression after percutaneous transluminal coronary angioplasty (PTCA) for coronary artery disease patients. (1) To see the severity of anxiety and depression 1 month after PTCA, (2) to evaluate the relationship between the weight changes and major adverse cardiac events (MACE) in 1 month follow-up. Methods:A total 1001 patients who underwent PTCA for acute coronary syndrome and coronary heart disease were included. Data were collected at baseline and 1 month after PTCA. A validated Euro 5Q-5D-5L questionnaire was used to assess the level of anxiety and depression. Chi-square test was applied to find out the association between weight loss status and anxiety, depression.Results: There was a significant decrease in mean weight 1 month after coronary angioplasty (64.18±11.022 vs. 61.96±11.17, p<0.001). No association was observed between weight loss status and anxiety, depression in PTCA patients (p=0.5) and there is no significant association between weight changes and MACE 1 month after PTCA (p=0.92). Conclusion:Data show that anxiety and depression were observed in 64.9% of the study population after coronary angioplasty but anxiety and depression are not associated with weight loss after PTCA. Loss of weight may be due to the modified post angioplasty lifestyles such as adherent to Mediterranean diet, physical exercise, cessation of smoking, optimum control of blood pressure, blood sugar, and blood cholesterol along with prescribed medications. Anxiety and depression may turn into chronic stage if not treated wisely could lead to significant MACE. Proper pre-hospital discharge counseling is necessary for all post PTCA patients to sustain their quality of life.

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Impact of Patient Follow-Up on Weight Loss after Bariatric Surgery

Abstract: Patient follow-up plays a significant role in the amount of weight lost after LAGB, but not after RYGBP. Patient motivation and surgeon commitment for long-term follow-up is critical for successful weight loss after LAGB surgery.

Cited by 230 publications

References 6 publications

Obese patients lose weight independently of nutritional follow-up after bariatric surgery

Obese patients lose weight independently of nutritional follow-up after bariatric surgery

Past, present, and future: Critical analysis of use of gastric bands in obese patients

Association Between the Weight Loss and Anxiety, Depression After Percutaneous Transluminal Coronary Angioplasty: A Need for Pre-Discharged Counseling

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