Metabolic/Bariatric Surgery Therapy for the Metabolic Syndrome

Buchwald, Hēnry

doi:10.1002/9781444347319.ch19

The Metabolic Syndrome 2011

DOI: 10.1002/9781444347319.ch19

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Metabolic/Bariatric Surgery Therapy for the Metabolic Syndrome

Hēnry Buchwald¹

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Cited by 3 publications

(1 citation statement)

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“…However, weight recidivism may occur approximately 2 years postsurgery [4] and is often attributed to reduced motivation [5], reemergence of unhealthy behaviors [6], stress [7], and limited social support [8]. As bariatric surgery remains an effective treatment for severe obesity [2,9], it is imperative to understand how presurgical medical weight management and educational programming can be designed to provide a foundation for positive and sustainable behavior change, and weight loss both pre- and postsurgery.…”

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confidence: 99%

Postoperative outcomes based on patient participation in a presurgery education and weight management program

Pratt

Needleman

Urse

et al. 2018

Surgery for Obesity and Related Diseases

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Background: The benefits of presurgery weight management programs (WMPs) for bariatric patients are mixed; some show a positive impact on percent excess weight loss (%EWL) at 12 months postsurgery, while others show no effect. Objectives: The purpose of this study was to compare pre- and postoperative 6- and 12-month outcomes between patients who attended a 12-week presurgery WMP and patients who did not participate. Setting: Ohio State Wexner Medical Center, University Hospital, United States. Methods: A retrospective medical record analysis was conducted to compare preoperative and 6- and 12-month postoperative outcomes for patients who attend the presurgery WMP (n = 56) and patients who did not (n = 441) within a 2-year time period (N = 497). Descriptive statistics and independent t tests were conducted to determine mean differences between groups, while controlling for surgery type, for weight status outcomes (%EWL, change in body mass index) preoperatively and 6 and 12 months postsurgery, and length of stay and readmission rate. Results: Patients who attended the preoperative WMP had significantly higher %EWL at 12 months postsurgery compared with patients who did not attend the WMP. Additional findings indicated a positive, but nonsignificant effect, from the WMP on presurgery body mass index, and postsurgery %EWL at 6 months and body mass index change at 6 and 12 months postsurgery. Conclusions: Patients attending the WMP had better 12-month %EWL and outcomes compared with those who did not attend the WMP, though this was not true for 6-month outcomes and differed based on surgery type. (Surg Obes Relat Dis 2018;14:1714–1724.) Published by Elsevier Inc. on behalf of American Society for Bariatric Surgery.

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mentioning

confidence: 99%

Postoperative outcomes based on patient participation in a presurgery education and weight management program

Pratt

Needleman

Urse

et al. 2018

Surgery for Obesity and Related Diseases

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Henry Buchwald, M.D., Ph.D.

Shikora

2015

OBES SURG

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Conversional Weight Loss Surgery: an Australian Experience of Converting Laparoscopic Adjustable Gastric Bands to Laparoscopic Sleeve Gastrectomy

Devadas

2018

OBES SURG

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Metabolic/Bariatric Surgery Therapy for the Metabolic Syndrome

Cited by 3 publications

References 77 publications

Postoperative outcomes based on patient participation in a presurgery education and weight management program

Postoperative outcomes based on patient participation in a presurgery education and weight management program

Henry Buchwald, M.D., Ph.D.

Conversional Weight Loss Surgery: an Australian Experience of Converting Laparoscopic Adjustable Gastric Bands to Laparoscopic Sleeve Gastrectomy

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