Predictors of poor follow-up after bariatric surgery

Belo, Giselle de Queiroz Menezes Batista; Siqueira, Luciana Teixeira de; Filho, Djalma A. Agripino Melo; Kreimer, Flávio; Ramos, Vânia Pinheiro; Ferraz, Álvaro Antônio Bandeira

doi:10.1590/0100-6991e-20181779

Cited by 14 publications

(7 citation statements)

References 22 publications

(42 reference statements)

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“…International surveys indicate progressively low rates of consultation attendance in the postoperative period: 50 % in the first year, 30 % in two years, and < 10 % in ten years [9]. In our study, the general consultation attendance was…”

Section: Discussioncontrasting

confidence: 48%

Assessment of factors influencing consultations after bariatric surgery

Barradas-Lagunes¹,

Ávila²,

Colorado-Subizar³

et al. 2022

Mìžnarodnij endokrinologìčnij žurnal

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Background. Bariatric surgery programs are recognized as the best alternative for patients with severe obesity. Many studies conclude that bariatric surgery programs that include these pre- and postoperative consultations (PPC) by the multidisciplinary team have better overall outcome. The purpose of the present study was to evaluate factors that affect PPC during a bariatric surgery program in Mexico and assess the possible impact on the patients’ post-operative course. Materials and methods. In accordance with the the International Federation for the Surgery of Obesity and Metabolic Disorders guidelines, all patients included were between 18 and 65 age when bariatric surgery was performed. Preoperative assessment of patient eligibility for bariatric surgery included consultation with the main surgeon, a dietician, an internist, and a psychologist. If non-eligible cases were detected, these issues were addressed and fully treated before surgery was considered. Results. A total of 110 patients were included in this study. Eighty-one (74 %) patients were women and 29 (26 %) were men. We observed that women had significantly more consultation attendance than men (54.3 % versus 24.1 %, p = 0.005). Patients with higher initial BMI had significantly more consultation attendance than those with lower BMI (42.9 kg/m2 versus 38.6 kg/m2, p = 0.007). When consultation attendance was evaluated according to occupation, teaching workers had significantly (p = 0.003) more consultation attendance (71.4 %) while the students group had less consultation attendance (0). Patients who had higher percentage of excess of weight loss (EWL) had significantly more general, medical, nutritional and psychological consultation attendance than those with lower percentage of EWL (p = 0.04, p = 0.032, p = 0.039 and p < 0.001). Conclusions. Consultation attendance with the multidisciplinary team is associated with better outcomes after bariatric surgery. “Nonattending” patients are at least partly responsible for any suboptimal results observed. Although this is certainly a factor for some patients, many other non-dependent reasons, such as cultural, social, economic or motivational reasons can also affect the loss of consultations in other patients.

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Section: Discussioncontrasting

confidence: 48%

Assessment of factors influencing consultations after bariatric surgery

Barradas-Lagunes¹,

Ávila²,

Colorado-Subizar³

et al. 2022

Mìžnarodnij endokrinologìčnij žurnal

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“…Self-reported depression was found mostly in female (p=0.041) and young patients (p=0.042) 6 , supporting the results of King (2019). Depression’s impact on surgical outcomes is not only limited to the statistical results but also it impairs cooperativeness 11 and impedes motivation, both of which interfere with overall adherence to protocols, diet 4 , physical activity 25 , behavioral change, and long-term follow-up adherence 8 . All of these are considered critical protectors for WR, long-term surgical success, and quality of life 9 , 31 , 32 .…”

Section: Discussionmentioning

confidence: 99%

“…WR was calculated using both the nadirs postsurgical weight considering a cutoff point of 15% and the percentage of maximum weight loss considering a cutoff point of 20% 4 , 5 .…”

Section: Methodsmentioning

confidence: 99%

Depressive and Eating Disorders in Patients Post-Bariatric Surgery With Weight Regain: A Descriptive Observational Study

Furtado¹,

Girundi

Campolina³

et al. 2023

ABCD, arq. bras. cir. dig.

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BACKGROUND: Although bariatric surgery is today’s gold standard treatment for obesity, weight regain affects the success rate of the procedure. Recent studies have identified psychiatric and neurological factors as possible causes. AIMS: The aim of this study was to evaluate the influence of psychiatric diseases on the outcome and long-term success of bariatric surgeries and find a weight regain threshold that has an acceptable sensibility to mental health-related issues to be used in research and clinical studies. METHODS: This is a observational study of bariatric patients submitted to Roux-en-Y bypass or sleeve gastrectomy, with a postoperative time of 2–10 years to access weight regain, depression, and binge-eating disorder. RESULTS: Of 217 patients studied, 163 were women and 54 were men, with an average postoperative time of 5.2±2.6 years. Weight regain was experienced in 35% of the patients, binge-eating disorder in 24.9%, and depression in 24%. The greater weight before surgery, body mass index (BMI), percentage increase to maximum weight loss, and time postoperatively all have a significant positive correlation with weight regain (p=0.045, p=0.026, p<0.001, and p<0.001, respectively). A significant association between binge-eating disorder, depression, and anxiety with weight regain (p=0.004, p=0.008, and p=0.001, respectively) was found. CONCLUSIONS: The significant weight regain rates with significant impact on psychiatric disorders highlight the need for continuous postoperative monitoring focused on the psychiatric aspects of obesity to aid surgeries’ long-term success.

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“…6 One study found that there is a loss of progressive follow-up of patients in medicalsurgical consultations starting from the second postoperative year. 7 Sexuality in women is closely linked to subjective aspects related to psychological, cultural, and social conditions, in addition to body perception. 8 In addition to having negative repercussions for female sexuality, obesity also affects ovulation, which culminates in fertility impairments.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Quality of Life in Women of Reproductive Age After Bariatric Surgery

Vieira

Cruz

Júnior

et al. 2020

Bariatric Surgical Practice and Patient Care

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Purpose: To evaluate the life quality of women of reproductive age in the late postoperative period of bariatric surgery, in addition to analyzing the physical and emotional difficulties related to the sexuality among these patients. Methods: A cross-sectional study, carried out in 2018 at Hospital das Clínicas, Federal University of Pernambuco, that analyzed the quality of life through the WHOQOL-Bref instrument, and the sexual experience of 49 women of reproductive age who had undergone bariatric surgery. Results: The mean age of the sample was 39.4 years. The mean weight before surgery was 116.8 kg, decreasing to 75.4 kg in the postoperative period. Sleeve gastrectomy was performed in 57.1% of the sample, and Roux-en-Y gastric bypass was performed in the remaining 42.9%. The mean follow-up time was 2.5 years. Infertility, depression, and polycystic ovary syndrome presented a statistically significant reduction in the postoperative period. In relation to the difficulties regarding sexual experience, the whole sample significantly improved after surgery. The great majority of patients positively classified their quality of life. Conclusion: Bariatric surgery leads to better quality of life in women of reproductive age, reducing comorbidities and improving their sexual experience in both physical and emotional scopes.

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Predictors of poor follow-up after bariatric surgery

Cited by 14 publications

References 22 publications

Assessment of factors influencing consultations after bariatric surgery

Assessment of factors influencing consultations after bariatric surgery

Depressive and Eating Disorders in Patients Post-Bariatric Surgery With Weight Regain: A Descriptive Observational Study

Evaluation of the Quality of Life in Women of Reproductive Age After Bariatric Surgery

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