Predictive factors of weight regain following laparoscopic Roux-en-Y gastric bypass

Keith, Charles J.; Gullick, Allison A.; Feng, Katey; Richman, Joshua S.; Stahl, Richard; Grams, Jayleen

doi:10.1007/s00464-017-5913-2

Cited by 25 publications

(24 citation statements)

References 34 publications

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“…As shown in Table 2, six studies noted employment status pre-surgery and five studies noted this post-surgery. From these six studies, five studies based their classification of employment status when describing weight loss outcomes, on the presurgical assessment [26][27][28][29][30]. In the other three included studies is it unknown whether the employment status used in the description of weight loss outcomes is assessed prior or after to the assessment of weight loss [31][32][33].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In the other three included studies is it unknown whether the employment status used in the description of weight loss outcomes is assessed prior or after to the assessment of weight loss [31][32][33]. Four studies used self-report questionnaires for the evaluation of employment status [26,27,29,33], while patient files were also commonly used [26,28,29]. Three studies described the rate of retired and/or disabled patients separately [26,28,29].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Results for risk of bias were retrieved using the QUIPS tool as shown in Table 3. Overall, four studies were judged as "moderate" risk of bias [26,28,29,33] and four studies were judged as "low" risk of bias [27,[30][31][32]. Due to a lost to follow-up of 39% after one year [28] and 50% after two years [29], two studies were judged as having a "moderate" risk of attrition bias.…”

Section: Quality Of the Studies (Risk Of Bias)mentioning

confidence: 99%

“…Overall, four studies were judged as "moderate" risk of bias [26,28,29,33] and four studies were judged as "low" risk of bias [27,[30][31][32]. Due to a lost to follow-up of 39% after one year [28] and 50% after two years [29], two studies were judged as having a "moderate" risk of attrition bias. Furthermore, four studies were considered to have a "moderate" risk of bias concerning prognostic factor measurement, due to the lack of a questionnaire when evaluating employment status [26,28,29,33].…”

Section: Quality Of the Studies (Risk Of Bias)mentioning

confidence: 99%

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Place Work on a Scale: What Do We Know About the Association Between Employment Status and Weight Loss Outcomes After Bariatric Surgery?

et al. 2021

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Despite the initial successful weight loss after bariatric surgery, a significant amount of patients experience weight loss failure and weight regain. Several factors are known to contribute to this, though the impact of employment status is unknown. The objective of this systematic review was to examine the impact of employment status on post-surgical weight loss outcomes. Eight studies were included with a follow-up ranging between 2 and 10 years. Employed patients seemed to present more weight loss (9.0–11.0% EWL, 1.3–1.6% BMI loss) compared to unemployed patients, but none of these numbers were statistically significant. Moreover, there were contrasting findings in terms of weight regain. This review may highlight the importance of working status after bariatric surgery and warrants further investigation on this topic. Graphical abstract

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Quality Of the Studies (Risk Of Bias)mentioning

confidence: 99%

Section: Quality Of the Studies (Risk Of Bias)mentioning

confidence: 99%

See 2 more Smart Citations

Place Work on a Scale: What Do We Know About the Association Between Employment Status and Weight Loss Outcomes After Bariatric Surgery?

et al. 2021

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“…Worldwide, more than half a million people have bariatric surgery every year, and most of them experience considerable weight loss during the first years after surgery (1,2). Usually the nadir weight is achieved between 1 and 2 years after surgery; however, most patients experience a varying degree of weight regain (WR) within the following years (3). Secondary WR after bariatric surgery might be regarded as a failure of the surgical method or as a natural progression of the chronic disease of obesity.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Post-bariatric Abdominoplasty on Secondary Weight Regain After Roux-en-Y Gastric Bypass

et al. 2020

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Roux-en-Y gastric bypass (RYGB), implies a considerable weight loss during the first two years after surgery. Excess skin due to rapid weight loss might affect self-esteem, decrease quality of life and be a hindrance to physical activity. Removing excess skin might reduce secondary weight regain. Among plastic surgeons, a BMI < 30 kg/m 2 is usually required to have abdominoplasty (AP). Many RYGB patients never reach this threshold even if they have a considerable weight loss and experience practical as well as emotional problems due to excess skin. The aim of this study was to investigate the role of abominoplasty on weight development until five years, among patients who did and did not achieve a nadir BMI < 30 kg/m 2 during the first two years after RYGB. Data on 645 patients from a single center RYGB-quality register from 2004 to 2013 with baseline and follow-up data were analyzed. Post-bariatric AP was publicly funded if medically needed. Weight regain (WR) from nadir weight to five years was analyzed as percentage WR of maximal weight loss. Nadir BMI was available in 633 (98.1%) patients, and BMI after five years in 553 (85.7%) patients. The 233 patients with nadir BMI < 30 kg/m 2 who underwent AP regained 17.8 (±16.1) % of their maximal weight loss at five years compared to 24.2 (±19.7) % in 185 patients not having AP (p < 0.001). The 27 patients with nadir BMI > 30 kg/m 2 within two years after RYGB who underwent AP regained 12.9 (±19.3) % compared to 31.4 (±24.7) % in 188 patients without AP (p < 0.001). This procedure was more common among women than men, as 224 (46.4%) women, and 36 (22.2%) men underwent AP. Abdominoplasty was associated with reduced secondary weight regain after RYGB in this study. Whether this is caused by increased bodily satisfaction and better physical function, or a biological response to reduction of adipose tissue remains unclear. If removing abdominal subcutaneous adipose tissue prevent secondary weight regain and increase the robustness of bariatric surgery, this should be offered as part of the standard treatment after bariatric surgery.

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Evaluation and Treatment of the Patient Who Is Regaining Weight

Guerrón

Sudan

2019

Foregut Surgery

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Predictive factors of weight regain following laparoscopic Roux-en-Y gastric bypass

Abstract: Several patient-related characteristics predicted an increased likelihood of weight regain. Further studies are needed to elucidate how these factors contribute to weight recidivism following bariatric surgery.

Cited by 25 publications

References 34 publications

Place Work on a Scale: What Do We Know About the Association Between Employment Status and Weight Loss Outcomes After Bariatric Surgery?

Place Work on a Scale: What Do We Know About the Association Between Employment Status and Weight Loss Outcomes After Bariatric Surgery?

The Impact of Post-bariatric Abdominoplasty on Secondary Weight Regain After Roux-en-Y Gastric Bypass

Evaluation and Treatment of the Patient Who Is Regaining Weight

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