Laparoscopic re-sleeve gastrectomy as a treatment of weight regain after sleeve gastrectomy

Cesana, Giovanni; Uccelli, Matteo; Ciccarese, Francesca; Carrieri, D.; Castello, G; Olmi, Stefano

doi:10.4240/wjgs.v6.i6.101

Cited by 39 publications

(20 citation statements)

References 27 publications

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“…Apesar da eficácia da cirurgia bariátrica, a recuperação do peso pode ocorrer em longo prazo [6][7][8][9][10]. Neste estudo, a baixa assiduidade às consultas nutricionais no pré-operatório refletiu-se significativamente na recidiva de peso corporal.…”

Section: Discussionunclassified

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Fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica

Bardal

Ceccatto

Mezzomo

2016

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ) e Alimentação Emocional associada à Restrição Cognitiva em 4 (8,69%) dos entrevistados. A recidiva de peso ocorreu em 18 (39%) dos indivíduos, a partir principalmente dos 12 meses após a cirurgia. Observou-se que a renda familiar mensal superior a 4000 reais e a frequência a consultas com nutricionista inferior a três vezes no pré-operatório estiveram associadas a maior chance de recidiva de peso. Conclusões: Nessa amostra, a baixa assiduidade às consultas nutricionais no pré-operatório, bem como a renda familiar elevada foram fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica. DESCRITORES: cirurgia bariátrica; obesidade; programas de nutrição. ABSTRACT Aims:To evaluate risk factors for weight regain in patients undergoing bariatric surgery. Methods: Cross-sectional study using self-administered online questionnaire. The questionnaire asked about factors that can be associated with weight regain after bariatric surgery. Weight, height, sex, age, education, income, and nutrition appointment attendance before and after surgery were registered. Body mass index, weight loss, and loss of excess weight in the immediate postoperative period and at 6, 12, and 24 months postoperatively, as well as at the time of completing the questionnaire, were evaluated. Weight regain was evaluated according to the lowest weight achieved since surgery. The Three Factor Eating Questionnaire-21 was used to classify eating behavior into Emotional Eating, Cognitive Dietary Restraint, or Uncontrolled Eating. Results: The questionnaire was answered by 46 individuals who underwent bariatric surgery, with a mean age of 38±8.78 years and a median of three postoperative years. Forty-three (93.5%) patients were female. The mean loss of excess weight and current weight loss were 78.56±16.12% and 35.24±8.19%, respectively. The current body mass index was 27.35±3.98 kg/m 2 . Emotional eating was observed in 18 (39.13%), cognitive restraint in 24 (52.17%), and emotional eating associated with cognitive restraint in 4 (8.69%) of the respondents. Eighteen individuals (39%) regained weight, especially after 12 months. A monthly family income greater than 4000 Brazilian Reals and nutrition appointments fewer than three in the preoperative period were associated with a larger probability of weight regain. Conclusions: In this sample, low nutrition appointment attendance in the preoperative period and a high family income were risk factors for weight regain in the late postoperative period of bariatric surgery.

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Section: Discussionunclassified

“…No Brasil, tem-se observado considerável aumento no número de cirurgias bariátricas realizadas [2]. Contudo, apesar da eficácia da cirurgia bariátrica na perda de peso, a recuperação deste pode ocorrer após uma perda satisfatória ou mesmo antes de obtê-la, conforme já demonstrado em diversos estudos [7][8][9][10].…”

Section: Introductionunclassified

Fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica

Bardal

Ceccatto

Mezzomo

2016

Sci Med

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“…In this study, we evaluate the gastric pouch using UGI study because, according to some authors, we believe that weight loss should be better without a pouch [19][20][21][22]. Gastric cell in the fundic region produces ghrelin [15][16][17], and a gastric pouch may cause a lower satiety control resulting in reduced weight loss or weight regain.…”

Section: Introductionmentioning

confidence: 99%

Relationship between gastric pouch and weight loss after laparoscopic sleeve gastrectomy

et al. 2015

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“…Laparoscopic sleeve gastrectomy is the most common bariatric procedure. However weight re-gain after long-term follow-up was reported [54][55][56][57][58] . Prospective studies and reviews report a general tendency for patients with metabolic disorders to improve or normalize after bariatric surgery.…”

Section: Outcomementioning

confidence: 99%

Medical management of patients after bariatric surgery: Principles and guidelines

Elrazek¹,

Elbanna²,

Bilasy³

2014

WJGS

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Obesity is a major and growing health care concern. Large epidemiologic studies that evaluated the relationship between obesity and mortality, observed that a higher body-mass index (BMI) is associated with increased rate of death from several causes, among them cardiovascular disease; which is particularly true for those with morbid obesity. Being overweight was also associated with decreased survival in several studies. Unfortunately, obese subjects are often exposed to public disapproval because of their fatness which significantly affects their psychosocial behavior. All obese patients (BMI ≥ 30 kg/m 2 ) should receive counseling on diet, lifestyle, exercise and goals for weight management. Individuals with BMI ≥ 40 kg/m 2 and those with BMI > 35 kg/m 2 with obesity-related comorbidities; who failed diet, exercise, and drug therapy, should be considered for bariatric surgery. In current review article, we will shed light on important medical principles that each surgeon/gastroenterologist needs to know about bariatric surgical procedure, with special concern to the early post operative period. Additionally, we will explain the common complications that usually follow bariatric surgery and elucidate medical guidelines in their management. For the first 24 h after the bariatric surgery, the postoperative priorities include pain management, leakage, nausea and vomiting, intravenous fluid management, pulmonary hygiene, and ambulation. Patients maintain a low calorie liquid diet for the first few postoperative days that is gradually changed to soft solid food diet within two or three weeks following the bariatric surgery. Later, patients should be monitored for postoperative complications. Hypertension, diabetes, dumping syndrome, gastrointestinal and psychosomatic disorders are among the most important medical conditions discussed in this review.

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Laparoscopic re-sleeve gastrectomy as a treatment of weight regain after sleeve gastrectomy

Abstract: Laparoscopic re-sleeve gastrectomy is a feasible and effective intervention to correct weight regain after sleeve.

Cited by 39 publications

References 27 publications

Fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica

Fatores de risco para recidiva de peso no pós-operatório tardio de cirurgia bariátrica

Relationship between gastric pouch and weight loss after laparoscopic sleeve gastrectomy

Medical management of patients after bariatric surgery: Principles and guidelines

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