Dietary intake and eating behavior after bariatric surgery: threats to weight loss maintenance and strategies for success

Sarwer, David B.; Dilks, Rebecca J.; West‐Smith, Lisa

doi:10.1016/j.soard.2011.06.016

Cited by 200 publications

(128 citation statements)

References 65 publications

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“…20,21 Additionally, preoperative binge eating is also associated with poor results after gastric bypass. 8 However, since the exact mechanism of failure is still unknown, several studies have aimed to detect additional factors that could predict long-term outcome.…”

Section: Discussionmentioning

confidence: 99%

Initial Weight Loss after Restrictive Bariatric Procedures May Predict Mid-Term Weight Maintenance: Results From a 12-Month Pilot Trial

Nikolić

Kruljac

Kirigin

et al. 2015

Bariatric Surgical Practice and Patient Care

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Background: Bariatric procedures are effective options for weight loss (WL) in the morbidly obese. However, some patients fail to lose any weight after bariatric surgery, and mid-term weight maintenance is variable. The aim of this study was to investigate whether initial WL could predict mid-term weight maintenance. Methods: Eighty patients were enrolled, of whom 44 were treated with the BioEnterics Intragastric Balloon (BIB), 21 with laparoscopic adjustable gastric lap-banding (LAGB), and 15 with laparoscopic sleeve gastrectomy (LSG). Percentage of body WL and percentage of excess weight loss (EWL) were calculated at baseline and after 1, 3, 6, and 12 months. Successful WL was defined as EWL > 20% for patients treated with BIB and > 50% for patients treated with LAGB and SG. Results: Success in the 6th and 12th month was achieved in 80% and 58% of patients in the BIB group, 33% and 40% in the LAGB group, and 60% and 73% in the LSG group. In the BIB group, WL in the 1st month correlated positively with WL at the 6th and 12th month, and an initial WL > 6.5% best predicted success (sensitivity 50%, specificity 80%). A similar association was observed in the LAGB group at the 6th and 12th month and an initial WL > 9.4% best predicted success (sensitivity 90.0%, specificity 81.2%). In patients treated with LSG, WL in the 3rd month correlated positively with EWL at the 6th and 12th month, with a cutoff value of 17% (sensitivity 66.7%, specificity 100%). Conclusions: WL in the 1st month in patients treated with BIB and LAGB and WL in the 3rd month in patients treated with LSG could be used as a prognostic factor to predict mid-term weight maintenance.

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Section: Discussionmentioning

confidence: 99%

Initial Weight Loss after Restrictive Bariatric Procedures May Predict Mid-Term Weight Maintenance: Results From a 12-Month Pilot Trial

Nikolić

Kruljac

Kirigin

et al. 2015

Bariatric Surgical Practice and Patient Care

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“…Presence of 2 and more psychiatric/mental disorders increases the risk of inadequate weight loss after both purely food restrictive as well as metabolic type of procedures (EL B [111][112][113][114][115] ).…”

Section: Post-operative Psychological Supportmentioning

confidence: 99%

Interdisciplinary European guidelines on metabolic and bariatric surgery

Fried

Yumuk

Jm³

et al. 2017

Gastroent Hepatol

148

207

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In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity -European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery.

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“…In addition, changes in food preference have been documented after different types of bariatric surgery [33,34]. Restrictive operations such as the vertical banded gastroplasty (VBG) lead to the consumption of high-calorie soft sweet foods, especially in liquid form, that can pass through small openings in the GI tract [35,36]. Moreover, distinctive differences in food preference between VBG and RYGB patients were noted [37].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy Surgery on Dietary Intake, Food Preferences, and Gastrointestinal Symptoms in Post-Surgical Morbidly Obese Lebanese Subjects: A Cross-Sectional Pilot Study

2015

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Dietary intake and eating behavior after bariatric surgery: threats to weight loss maintenance and strategies for success

Cited by 200 publications

References 65 publications

Initial Weight Loss after Restrictive Bariatric Procedures May Predict Mid-Term Weight Maintenance: Results From a 12-Month Pilot Trial

Initial Weight Loss after Restrictive Bariatric Procedures May Predict Mid-Term Weight Maintenance: Results From a 12-Month Pilot Trial

Interdisciplinary European guidelines on metabolic and bariatric surgery

The Effect of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy Surgery on Dietary Intake, Food Preferences, and Gastrointestinal Symptoms in Post-Surgical Morbidly Obese Lebanese Subjects: A Cross-Sectional Pilot Study

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