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He/Him/His
Job Title
Research fellow
Academic Rank
Fellow or Postdoc
Department
Surgery
Authors
Pourya Medhati, MD, Omnia Saleh, MD, Eric Sheu, MD, DPhil, FACS, Ali Tavakkoli, MD, FACS
Principal Investigator
Ali Tavakkoli, MD, FACS
Categories
Tags
Background: Bariatric surgical patients are advised to have regular and lifelong follow up to monitor their outcomes and nutritional status. However, many patients do not routinely follow up with their surgical team.
Study Design: A retrospective cohort study of post-primary bariatric surgery patients who had discontinued regular bariatric surgical follow-up but represented to the Bariatric clinic between July 2018 and December 2022 to re-establish care. Patients with a history of a primary Sleeve Gastrectomy (SG), Roux-En-Y Gastric Bypass (RYGB), and Adjustable Gastric Banding (AGB) were included.
Results: We identified 400 patients (83.5% female, mean age 50.3 ± 12.2 years at the time of RBC visit), of whom 177 (44.2%) had RYGB, 154 (38.5%) had SG, and 69 (17.2%) had AGB. Overall, weight regain was the most common reason for presentation for all three procedures (81.2% in SG, 62.7% in RYGB, and 65.2% in AGB; p<.001), followed by reflux in SG (45.5%), abdominal pain in RYGB (35%), and dysphagia in AGB (36.2%). The AGB and SG groups were more likely to undergo surgical intervention than RYGB group.
Conclusions: This study highlights weight regain as the most common reason for post-bariatric surgery patients seeking to re-establish care with the surgical team.
Background: Patients after weight loss surgery are advised to have regular and lifelong follow-up to monitor their outcomes and nutritional status. However, many patients do not routinely follow-up with their surgical team.
Study Design: A retrospective cohort study of post-primary weight loss surgery patients who had discontinued regular bariatric surgical follow-up but represented to the Bariatric clinic between July 2018 and December 2022 to re-establish care. Patients with a history of a primary Sleeve Gastrectomy (SG), Roux-En-Y Gastric Bypass (RYGB), and Adjustable Gastric Banding (AGB) were included.
Results: We identified 400 patients (83.5% female, mean age 50.3 ± 12.2 years at the time of RBC visit), of whom 177 (44.2%) had RYGB, 154 (38.5%) had SG, and 69 (17.2%) had AGB. Overall, weight regain was the most common reason for presentation for all three procedures (81.2% in SG, 62.7% in RYGB, and 65.2% in AGB; p<.001), followed by reflux in SG (45.5%), abdominal pain in RYGB (35%), and dysphagia in AGB (36.2%). The AGB and SG groups were more likely to undergo surgical intervention than RYGB group.
Conclusions: This study highlights weight regain as the most common reason for post-bariatric surgery patients seeking to re-establish care with the surgical team.
