Long-term (&gt;10-year) outcomes after laparoscopic Roux-en-Y gastric bypass

Kothari, Shanu N.; Borgert, Andrew J.; Kallies, Kara J.; Baker, Matthew T.; Grover, Brandon T.

doi:10.1016/j.soard.2016.12.011

Cited by 68 publications

(22 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…gaining 5% of maximum weight lost vs regaining all of the weight previously lost). A recent study in JAMA suggested reporting weight regain as percentage of maximum weight lost as this parameter appeared to perform better for association with most clinical outcomes than the alternatives examined [2].…”

Section: Extended Datamentioning

confidence: 99%

“…Past reviews have included modifiable factors and interventions. 1,2,3 It is also problematic when recommendations are given, e.g, "Regular, routine and long-term follow-up with the bariatric team is essential to the longterm weight regain prevention." Although this is sound advice, there is a large body of literature that has attempted to understand which interventions should be provided, when to intervene, for how long and by whom.…”

Section: Abbreviationsmentioning

confidence: 99%

“…cardiovascular diseases, type 2 diabetes, cancers) and mortality 1 . Bariatric surgery has been established as a promising treatment option for severe obesity and shown to be successful in achieving varying degrees of weight loss, health gain (including reduced morbidity and mortality), improved mental health, and quality of life 2 . However, the sustained health improvements following bariatric surgery are dependent on the individual's adherence to long-term changes in lifestyle habits 3 .…”

Section: Introductionmentioning

confidence: 99%

“…Studies have estimated an average of 56% of patients regain weight within two years of their surgery 3 , and about one in four fail to achieve the average expected weight loss and begin to regain weight from their lowest post-operative weight, following the first post-operative year. On average, individuals will achieve 20 -30% of total weight loss at one to two years post-operative 4 , and can regain an average of 7% of their total body weight from their lowest post-operative weight over the course of 10 years 2,5,6 . Among patients who have had Roux-en-Y gastric bypass (RYGB), about 15% regain between 2 -5% of weight from their lowest reported post-operative weight (nadir weight) within two years of surgery, which has been reported to increase to 70% of patients between two and five years, and 85% at over five years post-surgery 3 .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Modifiable factors associated with weight regain after bariatric surgery: a scoping review

et al. 2019

View full text Add to dashboard Cite

Background: Although bariatric surgery is the most effective treatment for severe obesity, weight regain may still occur. While non-modifiable factors associated with weight regain have been explored, modifiable factors responsible for weight regain are understudied. This scoping review aimed to identify modifiable behaviors associated with weight regain after bariatric surgery. Methods: A systematic search was conducted in Medline, Google Scholar, Cochrane, National Collaborating Centre for Methods and Tools (NCCMT) and Practice-based Evidence in Nutrition (PEN) which included articles published between January 1990 and February 2 2017, for studies examining “weight regain” after bariatric surgery. A total of 293 citations were retrieved. Eligible articles must have examined modifiable factors and addressed weight regain, or a long-term post-operative phase in which weight regain may occur. After removing duplicates, 22 studies were included for thematic analysis. Results: Key modifiable factors associated with weight regain were identified and categorized under the following themes: poor dietary adherence (e.g. excessive calorie, carbohydrate, and alcohol intake), maladaptive eating behaviors (e.g. grazing, binging), lack of on-going follow-up with the bariatric team and insufficient physical activity. Conclusions: Health professionals and self-monitoring tools for patients who have undergone bariatric surgery may benefit from these findings to direct their education and interventions to target behavior change.

show abstract

Section: Extended Datamentioning

confidence: 99%

Section: Abbreviationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Modifiable factors associated with weight regain after bariatric surgery: a scoping review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…is the fact that they must commit to a life of vitamin supplements and medications such as iron and calcium compared to only a year requirement for a sleeve gastrectomy [20][21][22][23].…”

Section: Roux En Y Gastric Bypassmentioning

confidence: 99%

Metabolic and Bariatric Surgery: Evolution, Techniques, and Management

Barrera¹

2018

Gastrointestinal Surgery - New Technical Proposals

View full text Add to dashboard Cite

Metabolic and bariatric surgery involves more than altering the stomach and small bowel anatomy to provoke structural changes in the gastrointestinal tract from a mechanical point of view to treat morbid obesity. Its profound impact on the body's metabolism goes beyond anatomy and enters the realm of physiology. This is one of the most challenging and influential surgical subspecialties today due to its proven beneficial impact on the worldwide obesity epidemic and its millions of patients. A brief but comprehensive overview of the history of this fascinating yet challenging discipline and its advancement into the minimally invasive arena will be presented. Moreover, the body of this chapter will provide evidence-based data dealing with its indications, approaches, minimally invasive techniques including robotic surgery, the most common operations and the most recently introduced procedures, and management of complications. The impact of the laparoscopic revolution at the end of the twentieth century and the relevance of the robotic revolution from this century will be emphasized. An important point that will be made is the very specialized discipline of revisional bariatric surgery and its crucial role on the treatment of complications and failures that require extensive training and experience.

show abstract