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24-01-2022 | Sleeve Gastrectomy | 2021 SAGES Oral

S157-a structured early intervention program in patients with predicted poor long-term outcome following bariatric surgery: a prospective randomized study

Authors: Panagiotis Drakos, Panagiotis Volteas, Kevin Seeras, Shabana Humayon, Benjamin Flink, Jie Yang, Chencan Zhu, Konstantinos Spaniolas, Mark Talamini, Aurora Pryor

Published in: Surgical Endoscopy | Issue 9/2022

Abstract

Background

Early postoperative weight loss can be predictive of one-year outcomes. It is unclear if poor performers identified in the first post-operative month can have improvement in outcomes with additional support and education.

Purpose

To evaluate the impact of a structured targeted support program for patients with lower-than-average early post-operative weight loss on 1-year outcomes.

Methods

This was a prospective randomized study of bariatric surgery patients who experienced less than 50th percentile excess body weight loss (%EWL) at 3 weeks. Subjects with EWL < 18% were randomized into two groups: an intervention (IV) arm or a control (NI, no intervention) arm. The IV arm was offered a program with 7-weekly behavioral support sessions, while the NI patients received routine post-operative care.

Results

A total of 128 patients were randomized: 65 NI and 63 IV. In the IV group, 20 attended all sessions, 7 attended < 4, and 36 did not participate. There was no difference in baseline demographics, procedure type, or BMI. At 1 year, there was no difference in %EWL (ratio 0.993, 95% CI 0.873, 1.131), %EBMIL (ratio 0.997, 95% CI 0.875, 1.137), and %TWL (ratio 1.016, 95% CI 0.901, 1.146) between groups. A subgroup analysis including only the subjects who participated in all seven sessions showed similar results.

Conclusion

Patients who present with suboptimal weight loss early after bariatric surgery do not experience a significant weight loss improvement with a structured behavioral support program. Importantly, despite being alerted to their poor early weight loss, patients demonstrated poor adherence to the proposed interventions.

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Title: S157-a structured early intervention program in patients with predicted poor long-term outcome following bariatric surgery: a prospective randomized study
Authors: Panagiotis Drakos
Panagiotis Volteas
Kevin Seeras
Shabana Humayon
Benjamin Flink
Jie Yang
Chencan Zhu
Konstantinos Spaniolas
Mark Talamini
Aurora Pryor
Publication date: 24-01-2022
Publisher: Springer US
Keywords: Sleeve Gastrectomy
Bariatric Surgery
Bariatric Surgery
Published in: Surgical Endoscopy / Issue 9/2022
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-022-09029-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

S157-a structured early intervention program in patients with predicted poor long-term outcome following bariatric surgery: a prospective randomized study

Abstract

Background

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Purpose

Methods

Results

Conclusion

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