Systematic Review of Definitions of Failure in Revisional Bariatric Surgery

Mann, Jake; Jakes, Adam D; Hayden, Jeremy D.; Barth, Julian H.

doi:10.1007/s11695-014-1541-2

Cited by 112 publications

(55 citation statements)

References 8 publications

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“…One limitation of this study is the lack of established definition of weight regain in the current literature 44. Our study uses a cut-off of 15% or greater as the definition of significant weight regain.…”

Section: Discussionmentioning

confidence: 99%

Weight regain after Roux-en-Y gastric bypass has a large negative impact on the Bariatric Quality of Life Index

Jirapinyo

Dayyeh

Thompson

2017

BMJ Open Gastroenterol

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BackgroundDespite initial successful weight loss, some patients may experience weight regain following Roux-en-Y gastric bypass (RYGB).ObjectiveTo assess the impact of weight regain on bariatric patients’ quality of life (QoL).MethodsThis was a prospective cross-sectional study. Fifty-six consecutive RYGB patients were recruited and divided into weight-regain and weight-stable cohorts. QoL was assessed using the Bariatric Quality of Life (BQL) questionnaire. The BQL Index scores of the weight-regain and weight-stable groups were compared using Student’s t-test. Additionally, the BQL Index score of the weight-regain group was compared with that of historical prebariatric patients. Predictors of BQL were assessed using univariate and multivariate linear regression analyses.ResultsOf 56 RYGB patients, 41 (73%) had weight regain. On average, patients had body mass index (BMI) of 37 ±7.5 kg/m2 and gained 34 ±26% of maximal weight initially lost. Weight-regain patients had lower BQL Index scores than weight-stable patients (44.8±6 vs 53±7, p<0.001). Patients with weight regain had similar BQL Index scores as the prebariatric patients despite lower BMI (BMI of 39.7±6.8 vs 47.2±7.6, p<0.05; BQL Index of 44.8±6 vs 41.6±10.4, p=0.144, respectively). Years from RYGB, BMI and amount of weight regain were associated with BQL Index on a univariate analysis (β=−0.55,−0.52, −0.7; p<0.0001). Only weight regain was a significant predictor of BQL on a multivariate analysis (β =−0.56; p=0.001).ConclusionWeight regain had a negative impact on bariatric patients’ QoL. Patients who regained at least 15% of maximal weight lost appeared to have as low QoL as those who had not undergone bariatric surgery despite a lower BMI.

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Section: Discussionmentioning

confidence: 99%

Weight regain after Roux-en-Y gastric bypass has a large negative impact on the Bariatric Quality of Life Index

Jirapinyo

Dayyeh

Thompson

2017

BMJ Open Gastroenterol

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“…Bariatric surgery has been considered to be successful, regarding weight loss, when patients were able to lose more than 50 % of their excess weight [6]. This happened in more than 85 % of our patients (Table 1), and the most important thing is that the same weight loss was maintained for at least 10 years of followup.…”

Section: Discussionmentioning

confidence: 83%

“…Body fat was assessed by TANITA TBF-300A Body Composition Analyzer (TANITA Corporation, Japan). Bariatric surgery was considered successful if patients reached at least 50 % of %EWL [6] and/or patients achieved a BMI lower than 35 kg/m 2 (Table 1). Bariatric Analysis and Reporting Outcome System (BAROS) questionnaire was carried out to assess the efficacy of the bariatric procedure, and scores higher than 3 were considered to have very good or excellent results [7,8].…”

Section: Methodsmentioning

confidence: 99%

Biliopancreatic Diversion for Severe Obesity: Long-Term Effectiveness and Nutritional Complications

et al. 2015

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“…The most frequently used definition of failure of the initial operation is <50% of excess weight lost (EWL), with or without a BMI of >35 m/ kg² at 18 months post-operatively. [4] None of the reviewed articles described failure of remission of type 2 diabetes or hypertension as an indication for reoperation.…”

Section: Motivation and Indication For Revisional Bariatric Surgerymentioning

confidence: 99%

Revisional bariatric surgery: An update

Debergh¹

2017

Laparosc Endosc Surg Sci

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Obesity can be defined as a chronic disease with a serious impact on an individual's quality of life; moreover, it is a leading risk factor for global death. Bariatric surgery has already proven its efficacy in providing the patient with a healthier life. Nonetheless, failure of initiated treatment can occur in medical practice. We can and should offer our patients correct, patient-tailored revisional therapy conducted by an experienced surgeon in a high-volume hospital facility. In this article, current indications and strategies for secondary bariatric procedures were summarized.

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Systematic Review of Definitions of Failure in Revisional Bariatric Surgery

Abstract: The majority of published studies do not define failure of bariatric surgery, and <50 % excess weight loss at 18 months was the most frequent definition identified.

Cited by 112 publications

References 8 publications

Weight regain after Roux-en-Y gastric bypass has a large negative impact on the Bariatric Quality of Life Index

Weight regain after Roux-en-Y gastric bypass has a large negative impact on the Bariatric Quality of Life Index

Biliopancreatic Diversion for Severe Obesity: Long-Term Effectiveness and Nutritional Complications

Revisional bariatric surgery: An update

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