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Multidisciplinary Approach to Obesity Management: A Case Report
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[Weight Recurrence After Bariatric Surgery: Definitions, Diagnosis, and Management Strategies. Part 2].

Ramón Díaz1, Sebastián Sapiain1, Úrsula Figueroa1

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

Revista Medica De Chile
|July 13, 2026
PubMed
Summary

Weight recurrence after bariatric surgery is a common issue. Management involves lifestyle changes, medications like GLP-1 agonists, and revisional surgery, all requiring a multidisciplinary approach for best outcomes.

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Area of Science:

  • Bariatric Surgery Outcomes
  • Metabolic and Endocrine Disorders
  • Surgical Complications

Background:

  • Weight recurrence (WR) is the primary long-term complication following bariatric surgery (BS), frequently necessitating revisional surgery.
  • A proactive, multidisciplinary strategy is crucial for optimizing long-term results after BS.

Purpose of the Study:

  • To evaluate the effectiveness and safety of various management strategies for WR after BS.
  • To analyze outcomes concerning weight loss and complication rates associated with WR management.

Main Methods:

  • A comprehensive literature review was performed on WR after BS.
  • Focused on medical and surgical management alternatives, including revisional procedures.
  • Comparative data on %EWL and complication rates were reported.

Main Results:

  • WR management integrates lifestyle modifications, pharmacotherapy (e.g., GLP-1 agonists, naltrexone/bupropion), and surgical interventions.
  • Behavioral programs and remote monitoring show promise for weight loss improvement.
  • Revisional surgeries (e.g., pouch reduction, TORe, ROSE, duodenal switch, distal RYGB) are effective but demand expertise.

Conclusions:

  • Effective WR management post-BS necessitates a multidisciplinary approach addressing multifactorial causes.
  • A stepwise, patient-tailored strategy (behavioral, pharmacological, surgical) is essential.
  • Setting realistic expectations and assessing anatomy/nutrition are vital before revisional surgery to mitigate risks.