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Impact of Routine and Long-Term Follow-Up on Weight Loss after Bariatric Surgery
J Lujan1, C Tuero1, M F Landecho2
1Department General Surgery, Bariatric and Metabolic Surgery, Clínica Universidad de Navarra, Avenida Pio XII 36, 31008, Pamplona, Navarra, Spain.
Obesity Surgery
|June 26, 2020
Summary
Bariatric surgery patients who attend regular follow-up appointments achieve significantly better long-term weight loss. Gastric bypass shows greater benefits than sleeve gastrectomy for patients with poor follow-up compliance.
Area of Science:
- Bariatric Surgery
- Surgical Outcomes
- Weight Management
Background:
- Weight loss after bariatric surgery is variable.
- Patients with consistent follow-up generally achieve greater weight loss than those lost to follow-up.
Purpose of the Study:
- To assess how follow-up compliance impacts long-term excess weight loss (EWL) and total weight loss (TWL).
- To compare outcomes between gastric bypass (GB) and sleeve gastrectomy (SG) based on follow-up adherence.
Main Methods:
- Retrospective analysis of 385 patients with up to 5 years of follow-up data.
- Patients categorized into two groups: consistent attendees (group 1) and those lost to follow-up before 1 year (group 2).
- Comparison of EWL and TWL between groups and surgical types.
Main Results:
- Consistent follow-up (group 1) showed significantly higher EWL at 5 years for both SG (78%) and GB (75%).
- Patients lost to follow-up (group 2) had significantly lower EWL, with GB (62%) showing better results than SG (39%).
- Group 2 patients also exhibited significant differences in TWL across all study periods.
Conclusions:
- Regular long-term follow-up is crucial for maximizing weight loss after bariatric surgery.
- Gastric bypass may offer superior long-term weight loss benefits compared to sleeve gastrectomy for patients with poor follow-up adherence.
- Encouraging consistent patient follow-up is vital for improving postoperative weight loss outcomes.
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