Does Patient Compliance with Follow-up Influence Weight Loss After Gastric Bypass Surgery? A Systematic Review and Meta-Analysis

Gastric bypass surgery is an effective intervention to manage morbid obesity. However, there have been suggestions that patients who do not comply to follow-up lose less weight. This study evaluated the influence of patient’s follow-up compliance on weight loss post gastric bypass surgery. From the...

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Bibliographic Details
Published in:Obesity surgery 2014-04, Vol.24 (4), p.647-651
Main Authors: Kim, Hyun Joon, Madan, Aman, Fenton-Lee, Douglas
Format: Article
Language:English
Subjects:
Aftercare - statistics & numerical data
Bariatric Surgery
Compliance
Gastric Bypass
Gastrointestinal surgery
Humans
Medicine
Medicine & Public Health
Obesity
Obesity, Morbid - surgery
Patient Compliance
Postoperative Period
Review Article
Surgery
Systematic review
Treatment Outcome
Weight control
Weight Gain
Weight Loss
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Summary:Gastric bypass surgery is an effective intervention to manage morbid obesity. However, there have been suggestions that patients who do not comply to follow-up lose less weight. This study evaluated the influence of patient’s follow-up compliance on weight loss post gastric bypass surgery. From the search of MEDLINE and EMBASE, four studies ( n  = 365) were identified and majority of these studies concluded that compliance with follow-up leads to increased weight loss. Our meta-analysis of these studies found increase in the percentage of excess weight loss (%EWL) at 1-year post gastric bypass surgery (mean difference 6.38 % %EWL, 95 % CI 1.68–11.15) when patients were compliant with follow-up. Therefore, this review found that continued long-term follow up of gastric bypass patients has the potential to increase postoperative weight loss.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-014-1178-1