How to address weight regain after bariatric surgery in an individualized way
Bariatric surgery is the most effective obesity treatment. As a chronic and progressive disease, weight loss response to surgery will vary individually. Thus, insufficient weight loss or regain can happen after surgery, but they lack a standard definition. There are different mechanisms underlying w...
Gespeichert in:
| Veröffentlicht in: | Reviews in endocrine & metabolic disorders 2023-10, Vol.24 (5), p.993-1002 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1002 |
|---|---|
| container_issue | 5 |
| container_start_page | 993 |
| container_title | Reviews in endocrine & metabolic disorders |
| container_volume | 24 |
| creator | Cohen, Ricardo V Petry, Tarissa BZ |
| description | Bariatric surgery is the most effective obesity treatment. As a chronic and progressive disease, weight loss response to surgery will vary individually. Thus, insufficient weight loss or regain can happen after surgery, but they lack a standard definition. There are different mechanisms underlying weight regain and/or insufficient weight loss, such as genetics, maladaptive eating behaviors, and the inadequate choice of index operations, among others. Patients with weight regain or insufficient weight loss should be submitted to an individualized and comprehensive evaluation by a multidisciplinary team. This may help identify the causes and direct the appropriate treatment individually. Options for patients with insufficient weight loss and/or weight regain following bariatric surgery include repair of postoperative complications, conversion into another operation, endoscopic therapies with inconsistent outcomes, and dietary/behavioral counseling. Revision and conversion surgeries have higher complication rates than primary operations. Although there is no standard pharmacological regimen for that indication, the new agents seem efficient and safe to promote the loss of the regained weight and even be adjunctive to selected patients before they reach the plateau. This review aims to summarize the knowledge of the best approach for patients with weight regain/insufficient weight loss and suggests an algorithm to customize the approach and therapeutic options after bariatric surgery. |
| doi_str_mv | 10.1007/s11154-023-09806-4 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2813560964</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A764514669</galeid><sourcerecordid>A764514669</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-a3d11393d83c0eb7a131bdbf4eb9dd26f09e6caf81c3a5309807f191dd2627c3</originalsourceid><addsrcrecordid>eNp9kVFLHTEQhUOpVKv-gT6UQF98WZtJNtnNo0hbC0pffA_ZZHIb2burya6X21_frFcrFZGBJGS-c5jhEPIJ2Ckw1nzNACDrinFRMd0yVdXvyAHIRlRcMfW-vEWrKw1S7pOPOd8wxkFp-YHsiwZKSXVAri7GDZ1Gar1PmDPdYFz9nmjClY0DtWHCRDubop1SdDTPaYVpS5fWUE4f76OfbR__oKcbuz0ie8H2GY8f70Ny_f3b9flFdfnrx8_zs8vK1TWfKis8gNDCt8Ix7BoLAjrfhRo77T1XgWlUzoYWnLBSLMs1ATQsPd44cUhOdra3abybMU9mHbPDvrcDjnM2vAUhFdOqLuiXF-jNOKehDFcoxdvizsQztbI9mjiEcUrWLabmrFG1hFopXajTV6hSHtfRjQOGWP7_E_CdwKUx54TB3Ka4tmlrgJklQrOL0JQIzUOEZpn48-PEc7dG_0_ylFkBxA7IpTWUPJ5XesP2L1bRpJM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2862853003</pqid></control><display><type>article</type><title>How to address weight regain after bariatric surgery in an individualized way</title><source>SpringerLink Journals - AutoHoldings</source><creator>Cohen, Ricardo V ; Petry, Tarissa BZ</creator><creatorcontrib>Cohen, Ricardo V ; Petry, Tarissa BZ</creatorcontrib><description>Bariatric surgery is the most effective obesity treatment. As a chronic and progressive disease, weight loss response to surgery will vary individually. Thus, insufficient weight loss or regain can happen after surgery, but they lack a standard definition. There are different mechanisms underlying weight regain and/or insufficient weight loss, such as genetics, maladaptive eating behaviors, and the inadequate choice of index operations, among others. Patients with weight regain or insufficient weight loss should be submitted to an individualized and comprehensive evaluation by a multidisciplinary team. This may help identify the causes and direct the appropriate treatment individually. Options for patients with insufficient weight loss and/or weight regain following bariatric surgery include repair of postoperative complications, conversion into another operation, endoscopic therapies with inconsistent outcomes, and dietary/behavioral counseling. Revision and conversion surgeries have higher complication rates than primary operations. Although there is no standard pharmacological regimen for that indication, the new agents seem efficient and safe to promote the loss of the regained weight and even be adjunctive to selected patients before they reach the plateau. This review aims to summarize the knowledge of the best approach for patients with weight regain/insufficient weight loss and suggests an algorithm to customize the approach and therapeutic options after bariatric surgery.</description><identifier>ISSN: 1389-9155</identifier><identifier>EISSN: 1573-2606</identifier><identifier>DOI: 10.1007/s11154-023-09806-4</identifier><identifier>PMID: 37171756</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Care and treatment ; Complications ; Diabetes ; Endocrinology ; Food habits ; Gastrointestinal surgery ; Health aspects ; Internal Medicine ; Medicine ; Medicine & Public Health ; Methods ; Obesity ; Patients ; Postoperative ; Surgery ; Type 2 diabetes ; Weight ; Weight loss</subject><ispartof>Reviews in endocrine & metabolic disorders, 2023-10, Vol.24 (5), p.993-1002</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>COPYRIGHT 2023 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-a3d11393d83c0eb7a131bdbf4eb9dd26f09e6caf81c3a5309807f191dd2627c3</citedby><cites>FETCH-LOGICAL-c442t-a3d11393d83c0eb7a131bdbf4eb9dd26f09e6caf81c3a5309807f191dd2627c3</cites><orcidid>0000-0001-8779-3055</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11154-023-09806-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11154-023-09806-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37171756$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cohen, Ricardo V</creatorcontrib><creatorcontrib>Petry, Tarissa BZ</creatorcontrib><title>How to address weight regain after bariatric surgery in an individualized way</title><title>Reviews in endocrine & metabolic disorders</title><addtitle>Rev Endocr Metab Disord</addtitle><addtitle>Rev Endocr Metab Disord</addtitle><description>Bariatric surgery is the most effective obesity treatment. As a chronic and progressive disease, weight loss response to surgery will vary individually. Thus, insufficient weight loss or regain can happen after surgery, but they lack a standard definition. There are different mechanisms underlying weight regain and/or insufficient weight loss, such as genetics, maladaptive eating behaviors, and the inadequate choice of index operations, among others. Patients with weight regain or insufficient weight loss should be submitted to an individualized and comprehensive evaluation by a multidisciplinary team. This may help identify the causes and direct the appropriate treatment individually. Options for patients with insufficient weight loss and/or weight regain following bariatric surgery include repair of postoperative complications, conversion into another operation, endoscopic therapies with inconsistent outcomes, and dietary/behavioral counseling. Revision and conversion surgeries have higher complication rates than primary operations. Although there is no standard pharmacological regimen for that indication, the new agents seem efficient and safe to promote the loss of the regained weight and even be adjunctive to selected patients before they reach the plateau. This review aims to summarize the knowledge of the best approach for patients with weight regain/insufficient weight loss and suggests an algorithm to customize the approach and therapeutic options after bariatric surgery.</description><subject>Care and treatment</subject><subject>Complications</subject><subject>Diabetes</subject><subject>Endocrinology</subject><subject>Food habits</subject><subject>Gastrointestinal surgery</subject><subject>Health aspects</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methods</subject><subject>Obesity</subject><subject>Patients</subject><subject>Postoperative</subject><subject>Surgery</subject><subject>Type 2 diabetes</subject><subject>Weight</subject><subject>Weight loss</subject><issn>1389-9155</issn><issn>1573-2606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kVFLHTEQhUOpVKv-gT6UQF98WZtJNtnNo0hbC0pffA_ZZHIb2burya6X21_frFcrFZGBJGS-c5jhEPIJ2Ckw1nzNACDrinFRMd0yVdXvyAHIRlRcMfW-vEWrKw1S7pOPOd8wxkFp-YHsiwZKSXVAri7GDZ1Gar1PmDPdYFz9nmjClY0DtWHCRDubop1SdDTPaYVpS5fWUE4f76OfbR__oKcbuz0ie8H2GY8f70Ny_f3b9flFdfnrx8_zs8vK1TWfKis8gNDCt8Ix7BoLAjrfhRo77T1XgWlUzoYWnLBSLMs1ATQsPd44cUhOdra3abybMU9mHbPDvrcDjnM2vAUhFdOqLuiXF-jNOKehDFcoxdvizsQztbI9mjiEcUrWLabmrFG1hFopXajTV6hSHtfRjQOGWP7_E_CdwKUx54TB3Ka4tmlrgJklQrOL0JQIzUOEZpn48-PEc7dG_0_ylFkBxA7IpTWUPJ5XesP2L1bRpJM</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Cohen, Ricardo V</creator><creator>Petry, Tarissa BZ</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8779-3055</orcidid></search><sort><creationdate>20231001</creationdate><title>How to address weight regain after bariatric surgery in an individualized way</title><author>Cohen, Ricardo V ; Petry, Tarissa BZ</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-a3d11393d83c0eb7a131bdbf4eb9dd26f09e6caf81c3a5309807f191dd2627c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Care and treatment</topic><topic>Complications</topic><topic>Diabetes</topic><topic>Endocrinology</topic><topic>Food habits</topic><topic>Gastrointestinal surgery</topic><topic>Health aspects</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methods</topic><topic>Obesity</topic><topic>Patients</topic><topic>Postoperative</topic><topic>Surgery</topic><topic>Type 2 diabetes</topic><topic>Weight</topic><topic>Weight loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cohen, Ricardo V</creatorcontrib><creatorcontrib>Petry, Tarissa BZ</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Reviews in endocrine & metabolic disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cohen, Ricardo V</au><au>Petry, Tarissa BZ</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How to address weight regain after bariatric surgery in an individualized way</atitle><jtitle>Reviews in endocrine & metabolic disorders</jtitle><stitle>Rev Endocr Metab Disord</stitle><addtitle>Rev Endocr Metab Disord</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>24</volume><issue>5</issue><spage>993</spage><epage>1002</epage><pages>993-1002</pages><issn>1389-9155</issn><eissn>1573-2606</eissn><abstract>Bariatric surgery is the most effective obesity treatment. As a chronic and progressive disease, weight loss response to surgery will vary individually. Thus, insufficient weight loss or regain can happen after surgery, but they lack a standard definition. There are different mechanisms underlying weight regain and/or insufficient weight loss, such as genetics, maladaptive eating behaviors, and the inadequate choice of index operations, among others. Patients with weight regain or insufficient weight loss should be submitted to an individualized and comprehensive evaluation by a multidisciplinary team. This may help identify the causes and direct the appropriate treatment individually. Options for patients with insufficient weight loss and/or weight regain following bariatric surgery include repair of postoperative complications, conversion into another operation, endoscopic therapies with inconsistent outcomes, and dietary/behavioral counseling. Revision and conversion surgeries have higher complication rates than primary operations. Although there is no standard pharmacological regimen for that indication, the new agents seem efficient and safe to promote the loss of the regained weight and even be adjunctive to selected patients before they reach the plateau. This review aims to summarize the knowledge of the best approach for patients with weight regain/insufficient weight loss and suggests an algorithm to customize the approach and therapeutic options after bariatric surgery.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>37171756</pmid><doi>10.1007/s11154-023-09806-4</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8779-3055</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1389-9155 |
| ispartof | Reviews in endocrine & metabolic disorders, 2023-10, Vol.24 (5), p.993-1002 |
| issn | 1389-9155 1573-2606 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2813560964 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Care and treatment Complications Diabetes Endocrinology Food habits Gastrointestinal surgery Health aspects Internal Medicine Medicine Medicine & Public Health Methods Obesity Patients Postoperative Surgery Type 2 diabetes Weight Weight loss |
| title | How to address weight regain after bariatric surgery in an individualized way |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T12%3A52%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=How%20to%20address%20weight%20regain%20after%20bariatric%20surgery%20in%20an%20individualized%20way&rft.jtitle=Reviews%20in%20endocrine%20&%20metabolic%20disorders&rft.au=Cohen,%20Ricardo%20V&rft.date=2023-10-01&rft.volume=24&rft.issue=5&rft.spage=993&rft.epage=1002&rft.pages=993-1002&rft.issn=1389-9155&rft.eissn=1573-2606&rft_id=info:doi/10.1007/s11154-023-09806-4&rft_dat=%3Cgale_proqu%3EA764514669%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2862853003&rft_id=info:pmid/37171756&rft_galeid=A764514669&rfr_iscdi=true |