scholarly journals EP.WE.595Long-term Effects of Psychiatric Medication on Weight Loss after Bariatric Surgery: 5-year Outcomes with 100% Follow Up

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Hollie Alice Clements ◽  
Declan Fields ◽  
Stuart Oglesby ◽  
Afshin Alijani ◽  
Pradeep Patil
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Excess Weight Loss ◽  
Statistical Significance ◽  
Single Agent ◽  
Excess Weight ◽  
Laparoscopic Bariatric Surgery ◽  
Psychiatric Medication ◽  
Post Surgery ◽  
Significant Difference

Abstract Aims The long-term effect of psychiatric medication on weight loss after bariatric surgery is unknown. The aim of this study was to compare the 1 year and 5 year percentage excess weight loss (%EWL) and BMI between those prescribed and not prescribed psychiatric medication who underwent laparoscopic bariatric surgery. Methods Consecutive patients, who received identical perioperative care were selected from a prospectively maintained database. Patients who had gastric bands and revisional procedures were excluded. Patients were defined as “prescribed psychiatric medication” if prescribed antidepressant, antipsychotic or mood stabilizer at baseline and subdivided into those taking a single agent and those on two or more agents. Results Of 119 patients (58 sleeve gastrectomy, 61 gastric bypass), 46 patients were prescribed psychiatric medication (40 one agent, 6 two or more agents). At 1 year, median %EWL did not differ significantly in those taking no agent, 1 agent and 2 or more agents respectively (66.8, 63.3, 57.4, p = 0.433). At 5 years this approached, but did not reach statistical significance (56.6, 54.4, 40.6, p = 0.099). The same pattern was observed for median BMI at 5 years (35.7, 39.2, 40.7, p = 0.086). Conclusion There is no significant difference in excess weight loss or BMI at 1 year post surgery between patients prescribed psychiatric medication and those not prescribed psychiatric medication but there is a difference at 5 years, which shows a trend towards statistical significance. Such patients should receive intensive specialist bariatric psychological support for a prolonged period after surgery.

scholarly journals Mid-term bariatric surgery outcomes for obese patients: does weight matter?

2020 ◽  
Vol 102 (1) ◽  
pp. 54-61 ◽  
Author(s):  
N Samuel ◽  
Q Jalal ◽  
A Gupta ◽  
FAK Mazari ◽  
P Vasas ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Excess Weight Loss ◽  
Diabetes Remission ◽  
Excess Weight ◽  
Prognostic Indicators ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Super Obese ◽  
Significant Difference

Introduction Studies have attempted to identify prognostic indicators for successful outcomes following bariatric surgery for obesity. The aim of this study was to determine whether the degree of obesity affects outcomes in patients who are morbidly obese (basal metabolic index, BMI, 40–49.9 kg/m2), super-obese (BMI 50–59.9 kg/m2) and super-super-obese (BMI greater than 60 kg/m2) undergoing restrictive or malabsorptive bypass procedures. Material and methods Retrospective analysis of a prospectively maintained database was undertaken to include all consecutive laparoscopic adjustable gastric bands (LAGB), laparoscopic sleeve gastrectomies (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures since 2010. Patients with at least two years of follow-up were included. At each visit, the patient’s weight, BMI, excess weight loss and comorbidity status were recorded. Results A total of 353 patients (75% women) were included in the analysis; 65 (18.4%) underwent LAGB; 70 (19.8%) LSG and 218 (61.8%) LRYGB. At presentation, the median BMI for the morbidly obese sub-group was 47.2 kg/m2 for LAGB, 46.4 kg/m2 for LSG and 46.6 kg/m2 for LRYGB (P = 0.625); for the super-obese sub-group it was 53.2 kg/m2 for LAGB, 52.9 kg/m2 for LSG and 52.4 kg/m2 for LRYGB (P = 0.481); and for the super-super-obese sub-group 66.9 kg/m2 for (LAGB, 66.7 kg/m2 for LSG and 61.5 kg/m2 for LRYGB (P = 0.169). Percentage of excess weight loss at the end of two years was significantly higher in the morbidly obese and super-morbidly obese sub-groups undergoing LRYGB (median 68.5% and 69.5%, respectively; P < 0.001) than in the sub-groups undergoing LAGB and LSG. This was also reflected in the reduction of BMI achieved with bypass in the two sub-groups (P < 0.001). Complete diabetes remission was significantly higher in the morbidly obese and super-morbidly obese sub-groups undergoing LRYGB treatment (P < 0.05). Sleep apnoea, asthma and exercise tolerance had significantly improved in the super-morbidly obese undergoing LRYGB (P < 0.05). There was no significant difference between the three treatment groups in remission of hypertension; dyslipidaemia; gastro-oesophageal reflux disease and depression in all three BMI sub-groups. Conclusion The mid-term results for weight loss and resolution of obesity-related comorbidities is best achieved in super-obese patients undergoing LRYGB, without any significant increase in complications with this procedure as compared with LAGB and LSG.

Preoperative Weight Loss as a Predictor of Percentage Excess Weight Loss after Bariatric Surgery

2018 ◽  
Vol 227 (4) ◽  
pp. e75
Author(s):  
Mario A. Masrur ◽  
Luis Fernando Gonzalez Ciccarelli ◽  
Roberto Bustos ◽  
Ronak A. Patel ◽  
Kirstie K. Danielson ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Excess Weight Loss ◽  
Excess Weight ◽  
Preoperative Weight Loss ◽  
Preoperative Weight ◽  
Percentage Excess Weight Loss

Are there Pre-Operative Factors that Predict Successful Weight Loss (≥50% Excess Weight Loss) at 12 Months Post-Surgery?

2015 ◽  
Vol 39 ◽  
pp. S19-S20
Author(s):  
Laurie K. Twells ◽  
Deborah Gregory ◽  
Kendra Lester ◽  
Carla M. Dillon ◽  
William K. Midodzi ◽  
...  
Keyword(s):  
Weight Loss ◽  
Excess Weight Loss ◽  
Excess Weight ◽  
Post Surgery ◽  
Successful Weight Loss

Developing a New Bariatric Surgery Program

2007 ◽  
Vol 73 (11) ◽  
pp. 1092-1097 ◽  
Author(s):  
John Angstadt ◽  
Oliver Whipple
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Wound Infection ◽  
Planning Process ◽  
Excess Weight Loss ◽  
Wound Infection Rate ◽  
Excess Weight ◽  
Pulmonary Emboli ◽  
The Past ◽  
Multidisciplinary Program

We initiated a new bariatric surgery program in February 2004. Before starting the program, we initiated a systemic planning process to design, develop, and implement a comprehensive, multidisciplinary program. Between May 2004 and June 2006, 178 patients underwent Roux-en-Y gastric bypass to treat morbid obesity at our institution. We have had no pulmonary emboli and no deaths. Twenty-one patients (11.8%) developed wound infection after surgery. Thirteen patients (7.3%) developed stenosis at the gastrojejunostomy. Five patients (2.8%) bled from the gastrojejunostomy. Four patients (2.2%) developed atelectasis. Three patients (1.6%) developed an internal hernia after surgery. One patient (0.5%) developed deep venous thrombosis. Two patients (1.1%) developed small bowel obstruction from adhesions. One patient developed a leak (0.6%). By 6 months after surgery, our patients have lost an average of 85 pounds (53% excess weight loss). By 12 months, they have lost an average of 104 pounds (65% excess weight loss). A focused effort to reduce infection has dropped our wound infection rate to 0 per cent in the past 6 months. Our results indicate that with proper planning, it is possible to initiate a new program and achieve excellent outcomes. Proper planning, systematic implementation, and a focus on patient education are critical to success.

Body Composition Analysis in Bariatric Surgery: Use of Air Displacement Plethysmograph

2012 ◽  
Vol 78 (6) ◽  
pp. 698-701 ◽  
Author(s):  
Franziska Huettner ◽  
Charalambos K. Rammos ◽  
Danuta I. Dynda ◽  
Melinda L. Lange ◽  
J. Stephen Marshall ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Body Composition ◽  
Body Mass ◽  
Lean Mass ◽  
Excess Weight Loss ◽  
Excess Weight ◽  
Fat Percentage ◽  
Mass Percent ◽  
Mass Losses

Body weight, body mass index (BMI), and percent excess weight loss are used to assess patient outcomes after bariatric surgery; however, they provide little insight into the true nature of the patient's weight loss. Body composition measurements monitor fat versus lean mass losses to permit interventions to reduce or avoid lean body mass loss after bariatric surgery. A retrospective review of patients who underwent bariatric surgery between 2002 and 2008 was performed. Patients underwent body composition testing via air displacement plethysmography before and after surgery (6 and 12 months). Body composition changes were assessed and compared with the BMI. Results include 330 patients (54 male, 276 female). Average preoperative weight was 139 kg, BMI was 50 kg/m2, fat percentage was 55 per cent, and lean mass percent was 45 per cent. Twelve months after surgery average weight was 90 kg, mean BMI was 32 kg/m2, fat percentage was 38 per cent, and lean mass percent was 62 per cent. Body composition measurements help monitor fat losses versus lean mass gains after bariatric surgery. This may give a better assessment of the patient's health and metabolic state than either BMI or excess weight loss and permits intervention if weight loss results in lean mass losses.

A298 Long-Term Weight Regain After Bariatric Surgery: Does Postoperative Percent Excess Weight Loss Matter?

2019 ◽  
Vol 15 (10) ◽  
pp. S118-S119
Author(s):  
Laura Flores ◽  
Priscila Rodrigues-Armijo ◽  
Mark Ringle ◽  
Salim Hosein ◽  
Vishal Kothari
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Weight Regain ◽  
Excess Weight Loss ◽  
Excess Weight ◽  
Percent Excess Weight Loss
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