Bariatric Surgeries, from Weight Loss to Weight Regain: A Retrospective Five-Years Cohort Study
Abstract Introduction: Bariatric surgery may lead to unsatisfactory weight loss, weight loss plateau, and even weight regain after various types of surgery. Despite the numerous studies, the mid-term results of surgery, after repetitive weight fluctuations remain a major concern. The aim of the pres...
Gespeichert in:
| Veröffentlicht in: | Obesity Facts 2023-12, Vol.16 (6), p.540-547 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 547 |
|---|---|
| container_issue | 6 |
| container_start_page | 540 |
| container_title | Obesity Facts |
| container_volume | 16 |
| creator | Hatami, Mahsa Pazouki, Abdolreza Hosseini-baharanchi, Fatemeh Sadat Kabir, Ali |
| description | Abstract
Introduction: Bariatric surgery may lead to unsatisfactory weight loss, weight loss plateau, and even weight regain after various types of surgery. Despite the numerous studies, the mid-term results of surgery, after repetitive weight fluctuations remain a major concern. The aim of the present study was to determine the key time points of weight changes after three types of bariatric procedures, as well as to determine 5-year weight loss outcome after surgery. Methods: This is a retrospective cohort study including patients with morbid obesity conducted in the Minimally Invasive Surgery Research Center. The patients underwent one of the three types of bariatric surgeries including laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (RYGB), and one-anastomosis gastric bypass (OAGB), who had been followed up for weight loss trend during 5 years postoperatively. Results: The mean excessive weight loss (%EWL) and total weight loss (%TWL) of 2,567 participants with obesity (mean age = 39.03, mean BMI = 45.67) in the first 6 months after surgery was independent of the type of surgery (p > 0.05). OAGB and RYGB showed significantly higher weight loss compared to LSG in ninth and 24th month after surgery, respectively (p < 0.05). The 5 years %WL could be comparable with %WL in 6, 9, and 12 months after LSG, RYGB, and OAGB, respectively. Conclusion: OAGB provides the fastest and highest %EWL and %TWL, while LSG induced the earliest and largest weight plateau and weight regain during 5-years post-surgery. The pattern of early weight loss could predict the mid-term outcome of bariatric surgery. So, early identification of suboptimal weight loss could enhance long-term weight loss. |
| doi_str_mv | 10.1159/000533586 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1159_000533586</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A775630212</galeid><doaj_id>oai_doaj_org_article_78ae64494faf49b1bb3bcea7a8e9ea44</doaj_id><sourcerecordid>A775630212</sourcerecordid><originalsourceid>FETCH-LOGICAL-c586t-cdb8fcba06d13e95aabba362e097df286d6b140656e36ab69c1fe55e88f19ed33</originalsourceid><addsrcrecordid>eNptUlFrFDEQXkSxtfrgu8iCLwpeTTbZZNMXOQ9PC4WCVcSnMMlO9nLebc5kt9B_b653Pa1IIJlMvnzzTfIVxXNKTimt1TtCSM1Y3YgHxTEVoppwwtjDQ1zVR8WTlJaECMolfVwcMVmrRgh5XOgPED0M0dvyaowdRo_pbeliWJff0XeLobwIKZVDuNt-wQ58f1ZOczTEkDZoB3-N5TxPkx8IMZWzsAhxKK-Gsb15WjxysEr4bL-eFN_mH7_OPk8uLj-dz6YXE5tlDxPbmsZZA0S0lKGqAYwBJiokSrauakQrDOVE1AKZACOUpQ7rGpvGUYUtYyfF-Y63DbDUm-jXEG90AK9vEyF2GuLg7Qq1bAAF54o7cFwZagwzFkFCgwqB88z1fse1Gc0aW4v9EGF1j_T-Se8XugvXmhKhpOQiM7zeM8Twa8Q06LVPFlcr6DGMSVdNzRmXRFUZ-uof6DKMsc9vpStFCKukupV0ukN1kDvwvQu5sM2jxbW3oUfnc34qZS0YqeiW9s3ugs1_lCK6g3xK9NY0-mCajH35d78H5J1L_mj8CVuLHACX8-mOQm9al1Ev_ovaV_kNFg3Rkw</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2900327944</pqid></control><display><type>article</type><title>Bariatric Surgeries, from Weight Loss to Weight Regain: A Retrospective Five-Years Cohort Study</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Karger Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Hatami, Mahsa ; Pazouki, Abdolreza ; Hosseini-baharanchi, Fatemeh Sadat ; Kabir, Ali</creator><creatorcontrib>Hatami, Mahsa ; Pazouki, Abdolreza ; Hosseini-baharanchi, Fatemeh Sadat ; Kabir, Ali</creatorcontrib><description>Abstract
Introduction: Bariatric surgery may lead to unsatisfactory weight loss, weight loss plateau, and even weight regain after various types of surgery. Despite the numerous studies, the mid-term results of surgery, after repetitive weight fluctuations remain a major concern. The aim of the present study was to determine the key time points of weight changes after three types of bariatric procedures, as well as to determine 5-year weight loss outcome after surgery. Methods: This is a retrospective cohort study including patients with morbid obesity conducted in the Minimally Invasive Surgery Research Center. The patients underwent one of the three types of bariatric surgeries including laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (RYGB), and one-anastomosis gastric bypass (OAGB), who had been followed up for weight loss trend during 5 years postoperatively. Results: The mean excessive weight loss (%EWL) and total weight loss (%TWL) of 2,567 participants with obesity (mean age = 39.03, mean BMI = 45.67) in the first 6 months after surgery was independent of the type of surgery (p > 0.05). OAGB and RYGB showed significantly higher weight loss compared to LSG in ninth and 24th month after surgery, respectively (p < 0.05). The 5 years %WL could be comparable with %WL in 6, 9, and 12 months after LSG, RYGB, and OAGB, respectively. Conclusion: OAGB provides the fastest and highest %EWL and %TWL, while LSG induced the earliest and largest weight plateau and weight regain during 5-years post-surgery. The pattern of early weight loss could predict the mid-term outcome of bariatric surgery. So, early identification of suboptimal weight loss could enhance long-term weight loss.</description><identifier>ISSN: 1662-4025</identifier><identifier>EISSN: 1662-4033</identifier><identifier>DOI: 10.1159/000533586</identifier><identifier>PMID: 37598667</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adult ; Bariatric Surgery ; Body mass index ; Body weight ; Cardiovascular disease ; Cohort analysis ; Cohort Studies ; Forecasts and trends ; Gastrectomy - methods ; Gastric Bypass - methods ; Gastrointestinal surgery ; Humans ; Hypertension ; Hypothyroidism ; Knee ; Laparoscopy ; Laparoscopy - methods ; Metabolic disorders ; Minimally invasive surgery ; Obesity ; Obesity, Morbid - surgery ; Research Article ; Retrospective Studies ; Sleep apnea ; Surgeons ; Surgery ; Treatment Outcome ; Variables ; Weight control ; Weight Gain ; Weight Loss</subject><ispartof>Obesity Facts, 2023-12, Vol.16 (6), p.540-547</ispartof><rights>2023 The Author(s). Published by S. Karger AG, Basel</rights><rights>2023 The Author(s). Published by S. Karger AG, Basel.</rights><rights>COPYRIGHT 2023 S. Karger AG</rights><rights>2023 The Author(s). Published by S. Karger AG, Basel. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at: https://uk.sagepub.com/en-gb/eur/reusing-open-access-and-sage-choice-content</rights><rights>2023 The Author(s). Published by S. Karger AG, Basel 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c586t-cdb8fcba06d13e95aabba362e097df286d6b140656e36ab69c1fe55e88f19ed33</citedby><cites>FETCH-LOGICAL-c586t-cdb8fcba06d13e95aabba362e097df286d6b140656e36ab69c1fe55e88f19ed33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697746/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697746/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,27635,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37598667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hatami, Mahsa</creatorcontrib><creatorcontrib>Pazouki, Abdolreza</creatorcontrib><creatorcontrib>Hosseini-baharanchi, Fatemeh Sadat</creatorcontrib><creatorcontrib>Kabir, Ali</creatorcontrib><title>Bariatric Surgeries, from Weight Loss to Weight Regain: A Retrospective Five-Years Cohort Study</title><title>Obesity Facts</title><addtitle>Obes Facts</addtitle><description>Abstract
Introduction: Bariatric surgery may lead to unsatisfactory weight loss, weight loss plateau, and even weight regain after various types of surgery. Despite the numerous studies, the mid-term results of surgery, after repetitive weight fluctuations remain a major concern. The aim of the present study was to determine the key time points of weight changes after three types of bariatric procedures, as well as to determine 5-year weight loss outcome after surgery. Methods: This is a retrospective cohort study including patients with morbid obesity conducted in the Minimally Invasive Surgery Research Center. The patients underwent one of the three types of bariatric surgeries including laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (RYGB), and one-anastomosis gastric bypass (OAGB), who had been followed up for weight loss trend during 5 years postoperatively. Results: The mean excessive weight loss (%EWL) and total weight loss (%TWL) of 2,567 participants with obesity (mean age = 39.03, mean BMI = 45.67) in the first 6 months after surgery was independent of the type of surgery (p > 0.05). OAGB and RYGB showed significantly higher weight loss compared to LSG in ninth and 24th month after surgery, respectively (p < 0.05). The 5 years %WL could be comparable with %WL in 6, 9, and 12 months after LSG, RYGB, and OAGB, respectively. Conclusion: OAGB provides the fastest and highest %EWL and %TWL, while LSG induced the earliest and largest weight plateau and weight regain during 5-years post-surgery. The pattern of early weight loss could predict the mid-term outcome of bariatric surgery. So, early identification of suboptimal weight loss could enhance long-term weight loss.</description><subject>Adult</subject><subject>Bariatric Surgery</subject><subject>Body mass index</subject><subject>Body weight</subject><subject>Cardiovascular disease</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Forecasts and trends</subject><subject>Gastrectomy - methods</subject><subject>Gastric Bypass - methods</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypothyroidism</subject><subject>Knee</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Metabolic disorders</subject><subject>Minimally invasive surgery</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Research Article</subject><subject>Retrospective Studies</subject><subject>Sleep apnea</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Variables</subject><subject>Weight control</subject><subject>Weight Gain</subject><subject>Weight Loss</subject><issn>1662-4025</issn><issn>1662-4033</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>DOA</sourceid><recordid>eNptUlFrFDEQXkSxtfrgu8iCLwpeTTbZZNMXOQ9PC4WCVcSnMMlO9nLebc5kt9B_b653Pa1IIJlMvnzzTfIVxXNKTimt1TtCSM1Y3YgHxTEVoppwwtjDQ1zVR8WTlJaECMolfVwcMVmrRgh5XOgPED0M0dvyaowdRo_pbeliWJff0XeLobwIKZVDuNt-wQ58f1ZOczTEkDZoB3-N5TxPkx8IMZWzsAhxKK-Gsb15WjxysEr4bL-eFN_mH7_OPk8uLj-dz6YXE5tlDxPbmsZZA0S0lKGqAYwBJiokSrauakQrDOVE1AKZACOUpQ7rGpvGUYUtYyfF-Y63DbDUm-jXEG90AK9vEyF2GuLg7Qq1bAAF54o7cFwZagwzFkFCgwqB88z1fse1Gc0aW4v9EGF1j_T-Se8XugvXmhKhpOQiM7zeM8Twa8Q06LVPFlcr6DGMSVdNzRmXRFUZ-uof6DKMsc9vpStFCKukupV0ukN1kDvwvQu5sM2jxbW3oUfnc34qZS0YqeiW9s3ugs1_lCK6g3xK9NY0-mCajH35d78H5J1L_mj8CVuLHACX8-mOQm9al1Ev_ovaV_kNFg3Rkw</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Hatami, Mahsa</creator><creator>Pazouki, Abdolreza</creator><creator>Hosseini-baharanchi, Fatemeh Sadat</creator><creator>Kabir, Ali</creator><general>S. Karger AG</general><general>Karger Publishers</general><scope>M--</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7WY</scope><scope>7X7</scope><scope>7XB</scope><scope>883</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>M0F</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PADUT</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYYUZ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20231201</creationdate><title>Bariatric Surgeries, from Weight Loss to Weight Regain: A Retrospective Five-Years Cohort Study</title><author>Hatami, Mahsa ; Pazouki, Abdolreza ; Hosseini-baharanchi, Fatemeh Sadat ; Kabir, Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c586t-cdb8fcba06d13e95aabba362e097df286d6b140656e36ab69c1fe55e88f19ed33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Bariatric Surgery</topic><topic>Body mass index</topic><topic>Body weight</topic><topic>Cardiovascular disease</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Forecasts and trends</topic><topic>Gastrectomy - methods</topic><topic>Gastric Bypass - methods</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypothyroidism</topic><topic>Knee</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Metabolic disorders</topic><topic>Minimally invasive surgery</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Research Article</topic><topic>Retrospective Studies</topic><topic>Sleep apnea</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Variables</topic><topic>Weight control</topic><topic>Weight Gain</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hatami, Mahsa</creatorcontrib><creatorcontrib>Pazouki, Abdolreza</creatorcontrib><creatorcontrib>Hosseini-baharanchi, Fatemeh Sadat</creatorcontrib><creatorcontrib>Kabir, Ali</creatorcontrib><collection>Karger Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Access via ABI/INFORM (ProQuest)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Trade & Industry (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ABI/INFORM Trade & Industry</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Research Library China</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ABI/INFORM Collection China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Obesity Facts</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hatami, Mahsa</au><au>Pazouki, Abdolreza</au><au>Hosseini-baharanchi, Fatemeh Sadat</au><au>Kabir, Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bariatric Surgeries, from Weight Loss to Weight Regain: A Retrospective Five-Years Cohort Study</atitle><jtitle>Obesity Facts</jtitle><addtitle>Obes Facts</addtitle><date>2023-12-01</date><risdate>2023</risdate><volume>16</volume><issue>6</issue><spage>540</spage><epage>547</epage><pages>540-547</pages><issn>1662-4025</issn><eissn>1662-4033</eissn><abstract>Abstract
Introduction: Bariatric surgery may lead to unsatisfactory weight loss, weight loss plateau, and even weight regain after various types of surgery. Despite the numerous studies, the mid-term results of surgery, after repetitive weight fluctuations remain a major concern. The aim of the present study was to determine the key time points of weight changes after three types of bariatric procedures, as well as to determine 5-year weight loss outcome after surgery. Methods: This is a retrospective cohort study including patients with morbid obesity conducted in the Minimally Invasive Surgery Research Center. The patients underwent one of the three types of bariatric surgeries including laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (RYGB), and one-anastomosis gastric bypass (OAGB), who had been followed up for weight loss trend during 5 years postoperatively. Results: The mean excessive weight loss (%EWL) and total weight loss (%TWL) of 2,567 participants with obesity (mean age = 39.03, mean BMI = 45.67) in the first 6 months after surgery was independent of the type of surgery (p > 0.05). OAGB and RYGB showed significantly higher weight loss compared to LSG in ninth and 24th month after surgery, respectively (p < 0.05). The 5 years %WL could be comparable with %WL in 6, 9, and 12 months after LSG, RYGB, and OAGB, respectively. Conclusion: OAGB provides the fastest and highest %EWL and %TWL, while LSG induced the earliest and largest weight plateau and weight regain during 5-years post-surgery. The pattern of early weight loss could predict the mid-term outcome of bariatric surgery. So, early identification of suboptimal weight loss could enhance long-term weight loss.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>37598667</pmid><doi>10.1159/000533586</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1662-4025 |
| ispartof | Obesity Facts, 2023-12, Vol.16 (6), p.540-547 |
| issn | 1662-4025 1662-4033 |
| language | eng |
| recordid | cdi_crossref_primary_10_1159_000533586 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Karger Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adult Bariatric Surgery Body mass index Body weight Cardiovascular disease Cohort analysis Cohort Studies Forecasts and trends Gastrectomy - methods Gastric Bypass - methods Gastrointestinal surgery Humans Hypertension Hypothyroidism Knee Laparoscopy Laparoscopy - methods Metabolic disorders Minimally invasive surgery Obesity Obesity, Morbid - surgery Research Article Retrospective Studies Sleep apnea Surgeons Surgery Treatment Outcome Variables Weight control Weight Gain Weight Loss |
| title | Bariatric Surgeries, from Weight Loss to Weight Regain: A Retrospective Five-Years Cohort Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T15%3A20%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Bariatric%20Surgeries,%20from%20Weight%20Loss%20to%20Weight%20Regain:%20A%20Retrospective%20Five-Years%20Cohort%20Study&rft.jtitle=Obesity%20Facts&rft.au=Hatami,%20Mahsa&rft.date=2023-12-01&rft.volume=16&rft.issue=6&rft.spage=540&rft.epage=547&rft.pages=540-547&rft.issn=1662-4025&rft.eissn=1662-4033&rft_id=info:doi/10.1159/000533586&rft_dat=%3Cgale_cross%3EA775630212%3C/gale_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2900327944&rft_id=info:pmid/37598667&rft_galeid=A775630212&rft_doaj_id=oai_doaj_org_article_78ae64494faf49b1bb3bcea7a8e9ea44&rfr_iscdi=true |