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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Prevention and Management of Recurrent Weight Gain After Bariatric Surgery: Integrating Behavioural, Pharmacological
Sally Louise Tucker1, Samer Humadi2
1Ashford and St Peter's Hospitals NHS Foundation Trust, Chertsey, United Kingdom. sally.tucker2@nhs.net.
Abstract:
Recurrent weight gain (RWG) after bariatric surgery leads to a suboptimal clinical response for many patients, challenging long-term outcomes. This narrative review focuses on evidence-based strategies for the prevention and management of this multifactorial challenge. Successful persistent outcomes rely on proactive, structured multidisciplinary follow-up to enable early detection of weight trajectories and timely, tiered intervention. Initial treatment involves intensive nutritional and behavioral therapy, including cognitive behavioral techniques. When insufficient, pharmacological adjuncts, notably GLP-1 receptor agonists, demonstrate efficacy. Endoscopic revision and surgical revision or conversion are reserved for anatomical causes or refractory cases. A tailored integration of behavioral, pharmacological, and procedural strategies is essential to sustain metabolic health and durable weight control.
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