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Weight regain after bariatric surgery

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https://www.readbyqxmd.com/read/27903153/management-of-obesity
#1
Naji Alamuddin, Zayna Bakizada, Thomas A Wadden
This review examines weight loss and accompanying improvements in obesity-related comorbidities produced by intensive lifestyle intervention, pharmacotherapy, and bariatric surgery. Obese individuals lose approximately 6 to 8 kg (approximately 6% to 8% of initial weight) with 6 months of participation in a high-intensity lifestyle intervention (≥ 14 treatment visits) consisting of diet, physical activity, and behavior therapy. Such losses reduce progression to type 2 diabetes in at-risk people and decrease blood pressure and triglyceride levels...
December 10, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/27902660/preventing-long-term-poor-outcomes-in-the-bariatric-patient-postoperatively
#2
Melissa Cooley
The obesity epidemic in America continues to rise. People are desperately trying to find ways to lose weight successfully and keep the weight off, and many people are turning to bariatric surgery as the only remaining option for morbid obesity. Bariatric surgery is considered to be a viable treatment option for morbid obesity. However, long-term data are revealing that many postsurgical bariatric patients are regaining the weight after 5 years. The purpose of lifelong follow-up appointments in the bariatric patient is to prevent weight regain and poor outcomes...
January 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/27885532/whey-protein-supplementation-enhances-body-fat-and-weight-loss-in-women-long-after-bariatric-surgery-a-randomized-controlled-trial
#3
Daniela Lopes Gomes, Milene Moehlecke, Fernanda Bassan Lopes da Silva, Eliane Said Dutra, Beatriz D'Agord Schaan, Kenia Mara Baiocchi de Carvalho
BACKGROUND: The ideal nutritional approach for weight regain after bariatric surgery remains unclear. OBJECTIVE: The objective of this study is to assess the effect of whey protein supplementation on weight loss and body composition of women who regained weight 24 or more months after bariatric surgery. METHODS: This is a 16-week open-label, parallel-group, randomized controlled trial of women who regained at least 5 % of their lowest postoperative weight after a Roux-en-Y gastric bypass (RYGB)...
November 24, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27852664/long-term-protective-changes-in-adipose-tissue-after-gastric-bypass
#4
Johan Hoffstedt, Daniel P Andersson, Daniel Eriksson Hogling, Jakob Theorell, Erik Näslund, Anders Thorell, Anna Ehrlund, Mikael Rydén, Peter Arner
OBJECTIVE: Although long-term weight regain may occur after bariatric surgery, many patients are protected against relapse or development of type 2 diabetes. The study objective was to investigate whether this involves beneficial changes in adipose function. RESEARCH DESIGN AND METHODS: Forty-nine obese women were investigated before and 2 and 5 years after Roux-en-Y gastric bypass (RYGB). At the 5-year follow-up, 30 subjects were pairwise matched for BMI and age to 30 control women...
November 16, 2016: Diabetes Care
https://www.readbyqxmd.com/read/27771313/food-cravings-and-food-consumption-after-roux-en-y-gastric-bypass-versus-cholecystectomy
#5
Reena Sudan, Ranjan Sudan, Elizabeth Lyden, Jon S Thompson
BACKGROUND: Food cravings and consumption of craved foods after Roux-en-Y gastric bypass (RYGB) are poorly understood. Food cravings after bariatric surgery may explain why some patients fail to change eating behaviors after RYGB, and understanding these cravings may provide better information for nutritional counseling to either enhance weight loss or prevent weight regain. OBJECTIVES: To study cravings in RYGB patients and compare them with cholecystectomy (CC) control patients...
September 9, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27771312/long-term-outcomes-of-gastric-band-removal-without-additional-bariatric-surgery
#6
Andreas Rohner, Jeannette D Widmer, Jennifer Klasen, Anita Scheiwiller, Dominik Muller, Markus K Muller
OBJECTIVE: The outcomes of patients undergoing band removal alone without an additional bariatric procedure after laparoscopic gastric banding are not well reported. We seek to close this gap in the literature. SETTING: Cantonal Hospital & University Teaching Hospital, Switzerland METHODS: In this retrospective study, we investigated 21 patients who underwent band removal with a mean follow-up of 63 months. Weight regain, co-morbidities, and quality of life were assessed...
September 14, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27759978/good-weight-loss-responders-and-poor-weight-loss-responders-after-roux-en-y-gastric-bypass-clinical-and-nutritional-profiles
#7
Gisele Farias, Rubia D Thieme, Laila M Teixeira, Maria Emilia V D Heyde, Solange C Bettini, Rosana B Radominski
BACKGROUND: Bariatric surgery is one of the main treatments for severity obesity, but weight regain after surgery is an important issue. OBJECTIVES: To compare the clinical and nutritional profiles of good and poor weight loss responders in the late postoperative period after bariatric surgery. METHODS: A cross-sectional study with patients undergoing Roux-en-Y gastric bypass in a University Hospital. Patients were divided into good weight loss responders (GWLR) and poor weight loss responders (PWLR) defined as ≥ 50% or < 50% excess weight loss (EWL), respectively, at least 2 years post-surgery...
September 20, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27689013/roux-en-y-gastric-bypass-surgery-is-effective-in-fibroblast-growth-factor-21-deficient-mice
#8
Christopher D Morrison, Zheng Hao, Michael B Mumphrey, R Leigh Townsend, Heike Münzberg, Jianping Ye, Hans-Rudolf Berthoud
OBJECTIVE: The mechanisms by which bariatric surgeries so effectively and lastingly reduce body weight and normalize metabolic dysfunction are not well understood. Fibroblast growth fator-21 (FGF21) is a key regulator of metabolism and is currently considered for treatment of obesity. Although elevated by acute food deprivation, it is downregulated after weight loss induced by chronic calorie restriction but not after Roux-en-Y gastric bypass surgery. Therefore, the goal of the present study was to assess the role of FGF21-signaling in the beneficial effects of Roux-en-Y gastric bypass surgery (RYGB)...
October 2016: Molecular Metabolism
https://www.readbyqxmd.com/read/27683787/proposal-of-a-revisional-surgery-to-treat-severe-nutritional-deficiency-post-gastric-bypass
#9
José Sampaio-Neto, Alcides José Branco-Filho, Luis Sérgio Nassif, André Thá Nassif, Flávia David João De Masi, Graciany Gasperin
Background: The gastric bypass has nutritional and electrolyte disturbances rate of approximately 17%. The most common deficits are protein malnutrition, ferric and zinc, in addition to the vitamin. Although rare, some malnutrition stages reach such severity that ends up being necessary hospitalization and sometimes revisional or reversal surgical procedures. Aim: To present a proposal of surgical revision for treatment of severe malnutrition after bariatric surgery...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27586525/project-help-a-remotely-delivered-behavioral-intervention-for-weight-regain-after-bariatric-surgery
#10
Lauren E Bradley, Evan M Forman, Stephanie G Kerrigan, Stephanie P Goldstein, Meghan L Butryn, J Graham Thomas, James D Herbert, David B Sarwer
BACKGROUND: Weight regain following bariatric surgery is common and potentially compromises the health benefits initially attained after surgery. Poor compliance to dietary and physical activity prescriptions is believed to be largely responsible for weight regain. Patients may benefit from developing specialized psychological skills necessary to engage in positive health behaviors over the long term. Unfortunately, patients often face challenges to physically returning to the bariatric surgery program for support in developing and maintaining these behaviors...
September 1, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27579793/bariatric-surgery-and-long-term-durability-of-weight-loss
#11
Matthew L Maciejewski, David E Arterburn, Lynn Van Scoyoc, Valerie A Smith, William S Yancy, Hollis J Weidenbacher, Edward H Livingston, Maren K Olsen
Importance: Bariatric surgery induces significant weight loss for severely obese patients, but there is limited evidence of the durability of weight loss compared with nonsurgical matches and across bariatric procedures. Objectives: To examine 10-year weight change in a large, multisite, clinical cohort of veterans who underwent Roux-en-Y gastric bypass (RYGB) compared with nonsurgical matches and the 4-year weight change in veterans who underwent RYGB, adjustable gastric banding (AGB), or sleeve gastrectomy (SG)...
November 1, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27521255/laparoscopic-sleeve-gastrectomy-conversion-to-roux-en-y-gastric-bypass-experience-in-50-patients-after-1-to-3-years-of-follow-up
#12
Nicolás Quezada, Julián Hernández, Gustavo Pérez, Mauricio Gabrielli, Alejandro Raddatz, Fernando Crovari
BACKGROUND: Sleeve gastrectomy (SG) is currently one of the most frequently performed bariatric interventions worldwide due to its simplicity and good weight loss results. Nevertheless, SG failure and complications are increasingly being observed as the number of procedures increases. OBJECTIVES: To report our results in converting SG to revisional laparoscopic Roux-en-Y gastric bypass (R-LRYGB). SETTING: University Hospital, Chile. METHODS: Retrospective analysis of our bariatric surgery database...
June 2, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27516222/long-term-outcome-after-laparoscopic-sleeve-gastrectomy-in-patients-over-65-years-old-a-retrospective-analysis
#13
Fabio Garofalo, Ronald Denis, Radu Pescarus, Henri Atlas, Simon L Bacon, Pierre Garneau
BACKGROUND: Bariatric surgery has been proven to be a safe and effective treatment for obesity with BMI (body mass index) reduction, and resolution or lowering of obesity-related co-morbidities. The relative age limit for bariatric surgery has gradually been increased to 60 years of age and above. OBJECTIVES: The aim of this study was to assess the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) performed in older patients (≥65 years old). SETTING: University hospital...
May 26, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27350180/weight-regain-after-bariatric-surgery-how-should-it-be-defined
#14
REVIEW
Marius Nedelcu, Haris A Khwaja, Tomasz G Rogula
No abstract text is available yet for this article.
June 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27339606/evening-chronotype-associates-with-obesity-in-severe-obese-subjects-interaction-with-clock-3111t-c
#15
T Ruiz-Lozano, J Vidal, A de Hollanda, M Canteras, M Garaulet, M Izquierdo-Pulido
BackgroundChronotype has been related to obesity and metabolic disturbances. However, little is known about the relationship between circadian preferences and genetic background in CLOCK genes with obesity and weight loss among severe obese patients after bariatric surgery.ObjectiveThe research goals were (1) to examine whether evening chronotype is related to obesity and weight loss evolution in severe obese followed during six years after bariatric surgery and (2) to examine potential interactions between circadian preferences and CLOCK 3111T/C for obesity in this population...
June 24, 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27317599/weight-loss-weight-regain-and-conversions-to-roux-en-y-gastric-bypass-10-year-results-of-laparoscopic-sleeve-gastrectomy
#16
Daniel M Felsenreich, Felix B Langer, Ronald Kefurt, Peter Panhofer, Martin Schermann, Philipp Beckerhinn, Christoph Sperker, Gerhard Prager
BACKGROUND: With promising short-term results, laparoscopic sleeve gastrectomy (SG) has become the second most frequently performed bariatric procedure worldwide. Aside from a growing number of reports covering up to 10 years of follow-up, only limited data have been published so far on long-term results. OBJECTIVES: The aim of the study was to present a 10-year follow-up for SG. SETTING: University hospital setting, Austria. METHODS: We present the first complete 10-year follow-up of 53 consecutive patients who underwent SG before 2006...
February 26, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27273813/maintaining-weight-loss-after-bariatric-surgery-when-the-spectator-role-is-no-longer-enough
#17
L Jones, J Cleator, J Yorke
Bariatric (weight loss) surgery is the gold standard treatment for severe obesity. Concern exists that patients are regaining weight in the longer term. Success and cost-effectiveness of surgery are threatened due to the re-emergence of related conditions such as diabetes. This exploratory qualitative study investigates patients' expectations and experiences of weight regain (WR) 2 years or more after Roux-en-Y gastric bypass (RYGB). Ten participants (two men and eight women) who experienced WR were interviewed between 2 and 6 years following surgery...
August 2016: Clinical Obesity
https://www.readbyqxmd.com/read/27259684/conversion-to-gastric-bypass-after-either-failed-gastric-band-or-failed-sleeve-gastrectomy
#18
M R van Wezenbeek, T R van Oudheusden, J P J G M de Zoete, J F Smulders, S W Nienhuijs
BACKGROUND: Roux-en-Y gastric bypass (RYGB) is still considered the gold standard in bariatric surgery. Before, adjustable gastric banding (AGB) was regarded as an alternative; nowadays, sleeve gastrectomy (SG) is a more favorable alternative. In case of unsatisfactory results, RYGB is often performed as a secondary procedure. Conversion of an AGB is associated with a high risk of complications; the hypothesis was that this would be less after conversion of an SG. METHODS: All patients undergoing conversion to RYGB after AGB or SG between 2005 and 2012 were included for retrospective analysis...
June 3, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27258911/long-term-effect-of-percutaneous-electrical-neurostimulation-of-dermatome-t6-for-appetite-reduction-and-weight-loss-in-obese-patients
#19
Jaime Ruiz-Tovar, Carolina Llavero
INTRODUCTION: A continuous feeling of hunger is the major cause of dietary treatment failure and the patients abandon the diet. A previous study of our group demonstrated that percutaneous electrical neurostimulation (PENS) of T6 dermatome induces an appetite reduction and significantly greater weight loss compared with only diet as a preoperative measure in morbidly obese patients who are candidates for bariatric surgery. The aim of this study was to evaluate the long-term effect of this therapy...
June 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27188053/-not-all-patients-might-benefit-from-gastric-by-pass
#20
Zoltan Pataky, Loïc Locatelli, Minoa Jung, Alain Golay
Obesity is a chronic disease with a need for long-term follow-up. Bariatric surgery is very beneficial for patients who are not able to lose weight by lifestyle modifications alone. However, some patients present a weight regain after surgery. Predictive factors for the evolution of weight loss after bariatric surgery are not available today. For that reason, all preventive and therapeutic facilities should be used in order to reduce the risk of relapse after surgery. A recently introduced multidisciplinary therapeutic program for preparation of patients before bariatric surgery could be very valuable for a sustainable change of their lifestyle in order to minimize the risk of weight regain in the years after surgery...
March 23, 2016: Revue Médicale Suisse
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