Benefits of Adjuvant Medical Weight Loss Intervention in Setting of Weight Regain and Inadequate Weight Loss After Weight Loss Surgery
العنوان: | Benefits of Adjuvant Medical Weight Loss Intervention in Setting of Weight Regain and Inadequate Weight Loss After Weight Loss Surgery |
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المؤلفون: | Stuart A Abel, Wayne J English, Meredith C Duke, D Brandon Williams, Chetan V Aher, Joseph R Broucek, Matthew D Spann |
المصدر: | The American Surgeon. :000313482210789 |
بيانات النشر: | SAGE Publications, 2022. |
سنة النشر: | 2022 |
مصطلحات موضوعية: | General Medicine |
الوصف: | Background Currently, there is no nationally accepted protocol for addressing weight regain or inadequate weight loss after MBS. Objectives To devise, implement, and evaluate a protocol targeting weight regain or inadequate weight loss in MBS patients at our institution. Setting Vanderbilt University Medical Center, Nashville, TN, United States Methods Patients at least 6 months following primary sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) who achieved or were trending toward 2, treatment with adjustable gastric banding, and conversion from SG to RYGB. Results 2274 patients who were >6 months out from surgery were evaluated over 12 months. 93 patients (86% female) met criteria for inclusion. 69 (74%) patients agreed to intervention and were followed for an average of 165 days (SD 106.89 days), demonstrating a mean weight change of −5.11 kg (SD 6.86 kg), and BMI change of −1.81 kg/m2 (SD 2.37 kg/m2). Patients who spent 2 vs −2.29 kg/m2) ( P = .0037) when compared to patients who spent >90 days in the MWL intervention. Conclusions This study identifies criteria for intervention in patients suffering weight regain or inadequate weight loss after MBS and demonstrates that standardized identification and referral for treatment results in modest weight loss. |
تدمد: | 1555-9823 0003-1348 |
DOI: | 10.1177/00031348221078957 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::98031298fe31d22131f76163a954761a https://doi.org/10.1177/00031348221078957 |
Rights: | CLOSED |
رقم الانضمام: | edsair.doi.dedup.....98031298fe31d22131f76163a954761a |
قاعدة البيانات: | OpenAIRE |
تدمد: | 15559823 00031348 |
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DOI: | 10.1177/00031348221078957 |