A Specialized Medical Management Program to Address Post-operative Weight Regain in Bariatric Patients

Obesity Surgery
Gitanjali Srivastava, Cynthia Buffington

Abstract

Although bariatric surgery results in massive weight loss, weight regain over time up to as much as 25% is not uncommon. Weight regain in this population often leads to long-term weight loss failure and non-compliance in clinical follow-up and program recommendations. We analyzed early weight outcomes at 3 and 6 months of 48 bariatric patients referred to an individualized, multidisciplinary medical management program at the Center for Obesity Medicine (COM) to address weight regain in 2015 and compared to a group of matched non-bariatric patients. The medical management center, under the direction of a medical obesity specialist and complementary to the surgical program and multidisciplinary team, addressed weight regain with intensive lifestyle (diet, activity, anti-stress therapy, behavioral counseling, sleep) and with medical intervention (one or more anti-obesity medications). According to early findings, the average percentage post-operative weight regain of patients entering the weight management program was 20% above nadir and time since surgery averaged 6 years (range = 1 to 20 years) with a mean weight loss of - 2.3 kg after 3 months and - 4.4 kg at 6 months into the program. Individuals most successful with weight lo...Continue Reading

References

Dec 24, 2004·The New England Journal of Medicine·Lars SjöströmUNKNOWN Swedish Obese Subjects Study Scientific Group
Apr 18, 2006·Psychoneuroendocrinology·A MolesF R D'Amato
Aug 24, 2007·The New England Journal of Medicine·Lars SjöströmUNKNOWN Swedish Obese Subjects Study
Feb 2, 2008·Obesity·Sanjay R Patel, Frank B Hu
May 4, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·David B SarwerNoel N Williams
Dec 4, 2012·Clinical Endocrinology·Daniela Schiavo-CardozoBruno Geloneze
Jan 9, 2013·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·A Rudolph, A Hilbert
Feb 8, 2013·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·H K J GonnissenM S Westerterp-Plantenga
Mar 27, 2013·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Jeffrey I MechanickUNKNOWN American Society for Metabolic & Bariatric Surgery
Sep 3, 2013·Obesity Surgery·Shahzeer KarmaliDaniel W Birch
Nov 6, 2013·JAMA : the Journal of the American Medical Association·Anita P CourcoulasUNKNOWN Longitudinal Assessment of Bariatric Surgery (LABS) Consortium
Nov 14, 2013·Journal of the American Pharmacists Association : JAPhA
Jan 28, 2014·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Emanuelle Cristina Lins BastosSandra Mary Lima Vasconcelos
Jun 18, 2014·Current Opinion in Endocrinology, Diabetes, and Obesity·Arlet V Nedeltcheva, Frank A J L Scheer
Nov 26, 2014·Obesity Surgery·Ana de HollandaJosep Vidal
Jan 16, 2015·The Journal of Clinical Endocrinology and Metabolism·Caroline M ApovianUNKNOWN Endocrine Society
Jan 24, 2015·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·H MünzbergH-R Berthoud
Jul 1, 2015·Appetite·Corinna Noel, Robin Dando
Oct 10, 2015·Obesity Surgery·Marco Aurelio SantoIvan Cecconello
Oct 27, 2015·International Journal of Obesity : Journal of the International Association for the Study of Obesity·M E J Lean, D Malkova
Dec 3, 2015·Current Obesity Reports·Robert F Kushner, Kirsten Webb Sorensen
Jan 24, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·William F GourashDavid Nolfi
Jan 27, 2016·Physiology & Behavior·Juliane Calvez, Elena Timofeeva
Apr 28, 2016·The Proceedings of the Nutrition Society·Margriet S Westerterp-Plantenga
Dec 18, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Fatima Cody StanfordLouis J Aronne
Jun 10, 2017·Journal of Obesity·Linda Sillén, Ellen Andersson

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Citations

Apr 16, 2020·Expert Opinion on Pharmacotherapy·Kishore M Gadde, Katelyn D Atkins
May 27, 2020·Current Obesity Reports·Julie M ParrottMary O'Kane
Jan 26, 2021·Current Obesity Reports·Ilana P RedmondLouis J Aronne
Feb 20, 2021·Obesity Surgery·Marine CossecDavid Jacobi

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