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[Weight Recurrence After Bariatric Surgery: Definitions, Diagnosis, and Management Strategies. Part 2].

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[Weight Recurrence After Bariatric Surgery: Definitions, Diagnosis, and Management Strategies. Part 1].

Ramón Díaz1, Sebastián Sapiain1, Úrsula Figueroa1

  • 1Departamento de Cirugía, Hospital Clínico, Universidad de Chile, Santiago, Chile.

Revista Medica De Chile
|June 8, 2026
PubMed
Summary

Weight recurrence after bariatric surgery affects over 70% of patients. Early detection and multidisciplinary management are crucial for successful long-term outcomes.

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Area of Science:

  • Bariatric Surgery
  • Obesity Management
  • Metabolic and Endocrine Disorders

Background:

  • Weight recurrence (WR) is a frequent long-term complication following bariatric surgery, diminishing procedure efficacy and obesity-related comorbidity resolution.
  • The reported prevalence of WR varies significantly, influenced by differing definitions and follow-up durations.

Purpose of the Study:

  • To systematically review current definitions, contributing factors, and management strategies for WR post-bariatric surgery.
  • To highlight the critical role of early detection and comprehensive follow-up in managing WR.

Main Methods:

  • A narrative review of existing literature on WR after bariatric surgery was performed.
  • The review focused on epidemiology, pathophysiology, risk factors, and therapeutic interventions, encompassing behavioral, pharmacological, endoscopic, and surgical approaches.

Main Results:

  • WR can affect over 70% of patients long-term, contingent on the criteria used.
  • Primary contributors include behavioral factors, poor adherence to nutritional guidelines, hormonal shifts, anatomical alterations, and inadequate postoperative care.
  • Early detection within two years post-surgery enhances intervention success rates.
  • Treatment spans lifestyle changes, psychological support, and advanced endoscopic/surgical methods, with variable outcomes.

Conclusions:

  • WR is a complex, multifactorial condition necessitating personalized, multidisciplinary management.
  • Enhancing follow-up protocols and employing predictive tools can improve long-term results for bariatric surgery patients.