The effect of close postoperative follow-up on co-morbidity improvement after bariatric surgery

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Andrea SchwoererKonstantinos Spaniolas

Abstract

Patients undergoing gastric bypass (RYGB) surgery require follow-up for efficacy assessment, early detection of postoperative complications, and also for management of co-morbid conditions. Recent literature shows support for improved long-term weight loss with close patient follow-up. However, attrition rates after RYGB have been reported as high as 50%. The objective of this study was to assess the relationship between complete follow-up and improvement or remission of co-morbid conditions at 12 months after surgery. University Hospital, United States. Using the Bariatric Outcomes Longitudinal Database (BOLD) data set, patients with 12-month follow-up after RYGB were identified. Patients with complete follow-up were compared with patients who had missed either or both of their 3- and 6-month visits. Improvement and remission of type 2 diabetes, hypertension, and dyslipidemia were evaluated at 12-month postoperatively. 46,381 patients (30.6% of all RYGB patients) were identified that had follow-up with minimum 12-month data. Complete follow-up was recorded for 75.6% of this group with 12-month data. Of the 18,629 patients with type 2 diabetes at baseline, 13,498 (72.4%) and 11,287 (60.6%) had improvement and remission, respect...Continue Reading

Citations

Oct 24, 2017·Obesity Surgery·Sonja ChiappettaRudolf A Weiner
Jul 7, 2018·Current Opinion in Clinical Nutrition and Metabolic Care·Emilie MontastierPatrick Ritz
May 19, 2018·Obesity Surgery·Ariela GoldenshlugerL Keinan-Boker
Apr 5, 2020·BMC Health Services Research·Jason A Davis, Rhodri Saunders
Sep 6, 2018·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·G MarjanovicJ M Fink
Jan 12, 2021·Obesity Surgery·Paolino LucaLazzati Andrea
May 23, 2020·Annals of Vascular Surgery·Linh Ngo KhanhKaren J Ho
Jul 11, 2021·Journal of Clinical Nursing·Antonia ArnaertSebastian Demyttenaere

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