Skip to main content
Top
Published in: Obesity Surgery 3/2021

01-03-2021 | Obesity | Review

Multidisciplinary Approach for Weight Regain—how to Manage this Challenging Condition: an Expert Review

Authors: Maria Paula Carlin Cambi, Giorgio Alfredo Pedroso Baretta, Daniéla De Oliveira Magro, Cesar Luiz Boguszewski, Igor Braga Ribeiro, Pichamol Jirapinyo, Diogo Turiani Hourneaux de Moura

Published in: Obesity Surgery | Issue 3/2021

Login to get access

Abstract

Weight regain is a multifactorial condition that affects many patients following bariatric surgery. The purpose of the paper is to review the multidisciplinary approach for the management of weight regain. We performed a search in current clinical evidence regarding the causes, consequences, and treatments of weight regain. The multidisciplinary approach with periodic monitoring is of fundamental importance to prevent or treat weight regain. Several therapeutic options are ranging from nutritional to surgical options, which should be tailored according to patients’ anatomy, lifestyle behavior, and compliance. Specialized multidisciplinary care is the key to achieve optimal long-term weight loss and maintenance goals following bariatric surgery.
Literature
7.
go back to reference O'Brien PE, Hindle A, Brennan L, et al. Long-term outcomes after bariatric surgery: a systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-center review of 20-year outcomes after adjustable gastric banding. Obes Surg. 2019;29(1):3–14.PubMed O'Brien PE, Hindle A, Brennan L, et al. Long-term outcomes after bariatric surgery: a systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-center review of 20-year outcomes after adjustable gastric banding. Obes Surg. 2019;29(1):3–14.PubMed
24.
go back to reference Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update: cosponsored by american association of clinical endocrinologists. Obes Soc Am Soc Obes. 2013;21:S1–27. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23529939 Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update: cosponsored by american association of clinical endocrinologists. Obes Soc Am Soc Obes. 2013;21:S1–27. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​23529939
29.
go back to reference Cambi MPC, Marchesini SD. Recuperei Peso. Por quê? Uma análise do reganho de peso. 1 ed. Curitiba, PR: CRV; 2014. Cambi MPC, Marchesini SD. Recuperei Peso. Por quê? Uma análise do reganho de peso. 1 ed. Curitiba, PR: CRV; 2014.
48.
go back to reference Karbaschian Z, Mokhtari Z, Pazouki A, et al. Probiotic supplementation in morbid obese patients undergoing one anastomosis gastric bypass-mini gastric bypass (OAGB-MGB) surgery: a randomized, double-blind, placebo-controlled, clinical trial. Obes Surg. 2018;28:2874–85. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29725975PubMed Karbaschian Z, Mokhtari Z, Pazouki A, et al. Probiotic supplementation in morbid obese patients undergoing one anastomosis gastric bypass-mini gastric bypass (OAGB-MGB) surgery: a randomized, double-blind, placebo-controlled, clinical trial. Obes Surg. 2018;28:2874–85. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​29725975PubMed
50.
go back to reference Mokhtari Z, Karbaschian Z, Pazouki A, et al. The effects of probiotic supplements on blood markers of endotoxin and lipid peroxidation in patients undergoing gastric bypass surgery; a randomized, double-blind, placebo-controlled, clinical trial with 13 months follow-up. Obes Surg. 2019;29:1248–58. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30612325PubMed Mokhtari Z, Karbaschian Z, Pazouki A, et al. The effects of probiotic supplements on blood markers of endotoxin and lipid peroxidation in patients undergoing gastric bypass surgery; a randomized, double-blind, placebo-controlled, clinical trial with 13 months follow-up. Obes Surg. 2019;29:1248–58. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​30612325PubMed
61.
go back to reference Ünal S, Sevinçer GM, Maner AF. Prediction of weight regain after bariatric surgery by night eating, emotional eating, eating concerns, depression and demographic characteristics. Turk Psikiyatri Derg Spring. 2019;30(1):31–41. Available from: https://pubmed.ncbi.nlm.nih.gov/31170305 Ünal S, Sevinçer GM, Maner AF. Prediction of weight regain after bariatric surgery by night eating, emotional eating, eating concerns, depression and demographic characteristics. Turk Psikiyatri Derg Spring. 2019;30(1):31–41. Available from: https://​pubmed.​ncbi.​nlm.​nih.​gov/​31170305
83.
go back to reference Jaruvongvanich V, Vantanasiri K, Laoveeravat P, et al. Endoscopic full-thickness suturing plus argon plasma mucosal coagulation versus argon plasma mucosal coagulation alone for weight regain after gastric bypass: a systematic review and meta-analysis. Gastrointest Endosc. 2020;S0016–5107(20):34564–8. Available from:. https://doi.org/10.1016/j.gie.2020.07.013.CrossRef Jaruvongvanich V, Vantanasiri K, Laoveeravat P, et al. Endoscopic full-thickness suturing plus argon plasma mucosal coagulation versus argon plasma mucosal coagulation alone for weight regain after gastric bypass: a systematic review and meta-analysis. Gastrointest Endosc. 2020;S0016–5107(20):34564–8. Available from:. https://​doi.​org/​10.​1016/​j.​gie.​2020.​07.​013.CrossRef
87.
go back to reference Brunaldi VO, Farias GFA, de Rezende DT, et al. Argon plasma coagulation alone versus argon plasma coagulation plus full-thickness endoscopic suturing to treat weight regain after Roux-en-Y gastric bypass: a prospective randomized trial (with videos). Gastrointest Endosc. 2020;92:97–107.e5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32217111PubMed Brunaldi VO, Farias GFA, de Rezende DT, et al. Argon plasma coagulation alone versus argon plasma coagulation plus full-thickness endoscopic suturing to treat weight regain after Roux-en-Y gastric bypass: a prospective randomized trial (with videos). Gastrointest Endosc. 2020;92:97–107.e5. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​32217111PubMed
Metadata
Title
Multidisciplinary Approach for Weight Regain—how to Manage this Challenging Condition: an Expert Review
Authors
Maria Paula Carlin Cambi
Giorgio Alfredo Pedroso Baretta
Daniéla De Oliveira Magro
Cesar Luiz Boguszewski
Igor Braga Ribeiro
Pichamol Jirapinyo
Diogo Turiani Hourneaux de Moura
Publication date
01-03-2021
Publisher
Springer US
Published in
Obesity Surgery / Issue 3/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-05164-1

Other articles of this Issue 3/2021

Obesity Surgery 3/2021 Go to the issue