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Patterns of Weight Loss Response Following Gastric Bypass and Sleeve Gastrectomy
Background Despite the health benefits of bariatric surgery (BS) extend beyond WL, better understanding of the WL response may help improve the outcomes of BS. In this context, we aimed to assess patterns within the variability of weight loss (WL) after Roux-en-Y gastric bypass (RYGB) and sleeve gas...
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Published in: | Obesity surgery 2015-07, Vol.25 (7), p.1177-1183 |
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creator | de Hollanda, Ana Ruiz, Tania Jiménez, Amanda Flores, Lílliam Lacy, Antonio Vidal, Josep |
description | Background
Despite the health benefits of bariatric surgery (BS) extend beyond WL, better understanding of the WL response may help improve the outcomes of BS. In this context, we aimed to assess patterns within the variability of weight loss (WL) after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG).
Methods
WL data from 658 subjects that underwent RYGB (
n
= 464) or SG (
n
= 194) as first BS were analyzed. Based on excess WL (EWL), subjects were categorized as good WL responders (EWL ≥ 50 % at nadir weight and throughout follow-up), primarily poor WL responders (1-PWL:EWL |
doi_str_mv | 10.1007/s11695-014-1512-7 |
format | article |
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Despite the health benefits of bariatric surgery (BS) extend beyond WL, better understanding of the WL response may help improve the outcomes of BS. In this context, we aimed to assess patterns within the variability of weight loss (WL) after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG).
Methods
WL data from 658 subjects that underwent RYGB (
n
= 464) or SG (
n
= 194) as first BS were analyzed. Based on excess WL (EWL), subjects were categorized as good WL responders (EWL ≥ 50 % at nadir weight and throughout follow-up), primarily poor WL responders (1-PWL:EWL < 50 % at nadir weight and thereafter), and secondarily poor WL responders (2-PWL:EWL ≥ 50 % at nadir weight, but <50 % at last follow-up visit). Predictors associated with different WL outcomes were ascertained using regression analysis.
Results
Median follow-up was 55.7 months. Nadir EWL ranged 12.4–143.6 %; last follow-up visit EWL ranged −22.1–143.6 % and weight regain (WR) ranged 0–64.1 kg. Good WL was found in 75.7 of the cohort. 1-PWL response (4.7 %) was characterized by lesser WL but similar WR as compared to good WL and was associated with larger BMI and diabetes prior to surgery. 2-PWL response (19.6 %) was characterized by larger WR as compared to the other groups and was more common following SG. Lesser percentage of medical appointments kept was associated with 1-PWL and 2-PWL.
Conclusion
Our data show the high inter-individual variability of the WL response at mid-term after RYGB and SG and that poor WL after BS could be illustrated by two different patterns, characterized either by sustained limited WL (1-PWL), or pronounced weight regain (2-PWL).</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-014-1512-7</identifier><identifier>PMID: 25421881</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Female ; Gastrectomy ; Gastric Bypass ; Gastrointestinal surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity ; Obesity, Morbid - physiopathology ; Obesity, Morbid - surgery ; Original Contributions ; Surgery ; Treatment Outcome ; Weight control ; Weight Loss - physiology</subject><ispartof>Obesity surgery, 2015-07, Vol.25 (7), p.1177-1183</ispartof><rights>Springer Science+Business Media New York 2014</rights><rights>Springer Science+Business Media New York 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-5eead4e508ef16c84f96acefff4c67dbcd4dde1c66ca5f4fba964fb71b1169c03</citedby><cites>FETCH-LOGICAL-c442t-5eead4e508ef16c84f96acefff4c67dbcd4dde1c66ca5f4fba964fb71b1169c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25421881$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Hollanda, Ana</creatorcontrib><creatorcontrib>Ruiz, Tania</creatorcontrib><creatorcontrib>Jiménez, Amanda</creatorcontrib><creatorcontrib>Flores, Lílliam</creatorcontrib><creatorcontrib>Lacy, Antonio</creatorcontrib><creatorcontrib>Vidal, Josep</creatorcontrib><title>Patterns of Weight Loss Response Following Gastric Bypass and Sleeve Gastrectomy</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Despite the health benefits of bariatric surgery (BS) extend beyond WL, better understanding of the WL response may help improve the outcomes of BS. In this context, we aimed to assess patterns within the variability of weight loss (WL) after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG).
Methods
WL data from 658 subjects that underwent RYGB (
n
= 464) or SG (
n
= 194) as first BS were analyzed. Based on excess WL (EWL), subjects were categorized as good WL responders (EWL ≥ 50 % at nadir weight and throughout follow-up), primarily poor WL responders (1-PWL:EWL < 50 % at nadir weight and thereafter), and secondarily poor WL responders (2-PWL:EWL ≥ 50 % at nadir weight, but <50 % at last follow-up visit). Predictors associated with different WL outcomes were ascertained using regression analysis.
Results
Median follow-up was 55.7 months. Nadir EWL ranged 12.4–143.6 %; last follow-up visit EWL ranged −22.1–143.6 % and weight regain (WR) ranged 0–64.1 kg. Good WL was found in 75.7 of the cohort. 1-PWL response (4.7 %) was characterized by lesser WL but similar WR as compared to good WL and was associated with larger BMI and diabetes prior to surgery. 2-PWL response (19.6 %) was characterized by larger WR as compared to the other groups and was more common following SG. Lesser percentage of medical appointments kept was associated with 1-PWL and 2-PWL.
Conclusion
Our data show the high inter-individual variability of the WL response at mid-term after RYGB and SG and that poor WL after BS could be illustrated by two different patterns, characterized either by sustained limited WL (1-PWL), or pronounced weight regain (2-PWL).</description><subject>Adult</subject><subject>Female</subject><subject>Gastrectomy</subject><subject>Gastric Bypass</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - physiopathology</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><subject>Weight Loss - physiology</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kE1LAzEQhoMoWqs_wIssePGymkmz2exRi1ahoPiBx5BmJ3XLdlOTrdJ_b5ZVEcHL5DDPvJN5CDkCegaU5ucBQBRZSoGnkAFL8y0ygJzKlHImt8mAFoKmsmCjPbIfwoJSBoKxXbLHMs5AShiQ-3vdtuibkDibvGA1f22TqQshecCwck3A5NrVtfuomnky0aH1lUkuNysdCd2UyWON-I59B03rlpsDsmN1HfDw6x2S5-urp_FNOr2b3I4vpqnhnLVphqhLjhmVaEEYyW0htEFrLTciL2em5GWJYIQwOrPcznQhYs1h1t1s6GhITvvclXdvawytWlbBYF3rBt06KBAyHwkY0Q49-YMu3No38XcdJXIuC5pFCnrK-Hi_R6tWvlpqv1FAVadb9bpV1K063SqPM8dfyevZEsufiW-_EWA9EGKrmaP_tfrf1E9F7YtV</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>de Hollanda, Ana</creator><creator>Ruiz, Tania</creator><creator>Jiménez, Amanda</creator><creator>Flores, Lílliam</creator><creator>Lacy, Antonio</creator><creator>Vidal, Josep</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150701</creationdate><title>Patterns of Weight Loss Response Following Gastric Bypass and Sleeve Gastrectomy</title><author>de Hollanda, Ana ; Ruiz, Tania ; Jiménez, Amanda ; Flores, Lílliam ; Lacy, Antonio ; Vidal, Josep</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-5eead4e508ef16c84f96acefff4c67dbcd4dde1c66ca5f4fba964fb71b1169c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Female</topic><topic>Gastrectomy</topic><topic>Gastric Bypass</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - physiopathology</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><topic>Weight Loss - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Hollanda, Ana</creatorcontrib><creatorcontrib>Ruiz, Tania</creatorcontrib><creatorcontrib>Jiménez, Amanda</creatorcontrib><creatorcontrib>Flores, Lílliam</creatorcontrib><creatorcontrib>Lacy, Antonio</creatorcontrib><creatorcontrib>Vidal, Josep</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Hollanda, Ana</au><au>Ruiz, Tania</au><au>Jiménez, Amanda</au><au>Flores, Lílliam</au><au>Lacy, Antonio</au><au>Vidal, Josep</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of Weight Loss Response Following Gastric Bypass and Sleeve Gastrectomy</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2015-07-01</date><risdate>2015</risdate><volume>25</volume><issue>7</issue><spage>1177</spage><epage>1183</epage><pages>1177-1183</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Despite the health benefits of bariatric surgery (BS) extend beyond WL, better understanding of the WL response may help improve the outcomes of BS. In this context, we aimed to assess patterns within the variability of weight loss (WL) after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG).
Methods
WL data from 658 subjects that underwent RYGB (
n
= 464) or SG (
n
= 194) as first BS were analyzed. Based on excess WL (EWL), subjects were categorized as good WL responders (EWL ≥ 50 % at nadir weight and throughout follow-up), primarily poor WL responders (1-PWL:EWL < 50 % at nadir weight and thereafter), and secondarily poor WL responders (2-PWL:EWL ≥ 50 % at nadir weight, but <50 % at last follow-up visit). Predictors associated with different WL outcomes were ascertained using regression analysis.
Results
Median follow-up was 55.7 months. Nadir EWL ranged 12.4–143.6 %; last follow-up visit EWL ranged −22.1–143.6 % and weight regain (WR) ranged 0–64.1 kg. Good WL was found in 75.7 of the cohort. 1-PWL response (4.7 %) was characterized by lesser WL but similar WR as compared to good WL and was associated with larger BMI and diabetes prior to surgery. 2-PWL response (19.6 %) was characterized by larger WR as compared to the other groups and was more common following SG. Lesser percentage of medical appointments kept was associated with 1-PWL and 2-PWL.
Conclusion
Our data show the high inter-individual variability of the WL response at mid-term after RYGB and SG and that poor WL after BS could be illustrated by two different patterns, characterized either by sustained limited WL (1-PWL), or pronounced weight regain (2-PWL).</abstract><cop>New York</cop><pub>Springer US</pub><pmid>25421881</pmid><doi>10.1007/s11695-014-1512-7</doi><tpages>7</tpages></addata></record> |
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language | eng |
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source | Springer Nature |
subjects | Adult Female Gastrectomy Gastric Bypass Gastrointestinal surgery Humans Male Medicine Medicine & Public Health Middle Aged Obesity Obesity, Morbid - physiopathology Obesity, Morbid - surgery Original Contributions Surgery Treatment Outcome Weight control Weight Loss - physiology |
title | Patterns of Weight Loss Response Following Gastric Bypass and Sleeve Gastrectomy |
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