Abstract
Background: Approximately 25% of patients after bariatric surgery either do not lose enough weight or regain a considerable amount of weight, both are referred to as nonresponse. This study aimed to describe the added value of a multidisciplinary approach on treatment strategies in patients with nonresponse.Materials and Methods: The primary outcome of this retrospective cohort study was the initiated treatment by the multidisciplinary team (MDT). Outcomes were described separately for patients with primary (i.e., <50% excess weight loss [EWL]) and secondary nonresponse (i.e., >= 50% EWL followed by >5% regain).Results: Of the 83 included patients, 10 patients underwent revisional surgery. A total of 73 patients received a conservative treatment as they either had not been able to change their lifestyle or due to certain behavioral factors. Conservatively treated patients stabilized in weight after 2 years (-0.9 kg +/- 5.8, n = 27), while surgically treated patients did lose weight (-12.1 kg +/- 16.9, n = 7). One patient suffered from an ulcerative stenosis at the gastroenterostomy after limb length alteration.Conclusions: a conservative treatment was the most frequently advocated treatment by the MDT. A surgical treatment resulted in successful weight loss, although only a few patients were selected for this by the MDT. A multidisciplinary approach can be beneficial for the identification of lifestyle and behavioral factors.
Original language | English |
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Pages (from-to) | 9-16 |
Number of pages | 8 |
Journal | Bariatric Surgical Practice and Patient Care |
Volume | 17 |
Issue number | 1 |
Early online date | 6 May 2021 |
DOIs | |
Publication status | Published - 1 Mar 2022 |
Keywords
- bariatric surgery
- obesity
- weight regain
- multidisciplinary team
- revisional surgery
- GASTRIC BYPASS
- WEIGHT REGAIN
- MANAGEMENT
- OUTCOMES
- CANCER