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Excess Weight Loss Variation in Late Postoperative Period of Gastric Bypass

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Abstract

Background

In the late postoperative period of gastric bypass surgery, we observe that many patients weight regain. The objective of this study was to determine the excess weight loss variation at 24 and 60 months postoperative. A secondary objective was to evaluate in the period described, the association of weight regain with red meat intolerance, age, gender, and body mass index.

Methods

Historical cohort study includes only patients who had completed a follow-up of up to 60 months postoperative (93 patients). The variation in percent excess weight loss was determined at 24 and 60 months postoperative to assess any association with the variables preoperative body mass index (BMI), gender, age, and red meat intolerance.

Results

The excess weight loss varied about −8.7% (95% CI: −12.1 to −5.4). This weight regain showed a significant association with the variable age, where the patients who regained the least weight tended to be younger than those who regained more (p = 0.012). When comparing the intolerance level to red meat with weight regain, we observed that the lower the intolerance the greater the weight loss, although this finding did not reach statistical significance (p = 0.13).

Conclusions

Weight regain did not compromise therapeutic success. Less weight regain was seen in younger patients. Patients with lower intolerance to red meat tended to show less weight regain. Further studies are needed to elucidate the role of protein intake in weight regain in patients submitted to gastric bypass. No association between weight regain and preoperative BMI or gender was observed.

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References

  1. Mason EE, Ito C. Gastric bypass in obesity. Surg Clin N Am. 1967;47:1345–51.

    CAS  PubMed  Google Scholar 

  2. Griffen Jr WO, Young VL, Stevenson CC. A prospective comparison of gastric and jejunoileal bypass procedures for morbid obesity. Ann Surg. 1977;186:500–9.

    Article  PubMed  Google Scholar 

  3. Herrera MF, Lozano-Salazar RR, Gonzáles-Barranco J, et al. In: Deitel M, Cowan Jr GSM, editors. Update: surgery for the morbidly obese patient. Canadá: FD Communications; 2000. p. 55–62.

    Google Scholar 

  4. Christou NV, Look D, Maclean LD. Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg. 2006;244:734–40.

    Article  PubMed  Google Scholar 

  5. Sjöström L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683–93.

    Article  PubMed  Google Scholar 

  6. Biron S, Hould FS, Lebel S, et al. Twenty years of biliopancreatic diversion: what is the goal of the surgery? Obes Surg. 2004;14:160–4.

    Article  PubMed  Google Scholar 

  7. Shah M, Simha V, Garg A. Review: long-term impact of bariatric surgery on body weight, comorbidities, and nutritional status. J Clin Endocrinol Metab. 2006;91:4223–31.

    Article  CAS  PubMed  Google Scholar 

  8. Farias LM, Coêlho MPS, Barbosa RF, et al. Nutritional status of obese women subjected to vertical gastroplasty with Roux-en-Y gastric bypass. Rev Bras Nutr Clin. 2006;21:98–103.

    Google Scholar 

  9. Apolzan JW, Carnell NS, Mattes RD, et al. Inadequate dietary protein increases hunger and desire to eat in younger and older men. J Nutr. 2007;137:1478–82.

    CAS  PubMed  Google Scholar 

  10. Skov AR, Toubro S, Ronn B, et al. Randomized trial on protein vs carbohydrate in ad libitum fat reduced diet for the treatment of obesity. Int J Obes Relat Metab Disord. 1999;23:528–36.

    Article  CAS  PubMed  Google Scholar 

  11. Lejeune MP, Kovacs EM, Westerterp-Plantenga MS. Additional protein intake limits weight regain after weight loss in humans. Br J Nutr. 2005;93:281–9.

    Article  CAS  PubMed  Google Scholar 

  12. Deitel M, Gawdat K, Melissa J. Reporting weight loss 2007. Obes Surg. 2007;17:565–8.

    Article  PubMed  Google Scholar 

  13. Magro DO, Geloneze B, Delfini R, et al. Long-term weight regain after gastric bypass: a 5-year prospective study. Obes Surg. 2008;18:648–51.

    Article  PubMed  Google Scholar 

  14. Hsu Lk, Betancourt S, Sullivan SP. Eating disturbances before and after vertical banded gastroplasty: a pilot study. Int J Eat Disord. 1996;19:23–34.

    Article  CAS  PubMed  Google Scholar 

  15. Malone M, Alger-Mayer S. Binge status and quality of life after gastric bypass surgery: a one-year study. Obes Res. 2004;12:473–81.

    Article  PubMed  Google Scholar 

  16. Kalarchian MA, Marcus MD, Wilson GT, et al. Binge eating among gastric bypass patients at long-term follow-up. Obes Surg. 2002;12:270–5.

    Article  PubMed  Google Scholar 

  17. Samaha FF, Iqbal N, Seshadri P, et al. A low-carbohydrate as compared with a low-fat diet in severe obesity. N Engl J Med. 2003;348:2074–81.

    Article  CAS  PubMed  Google Scholar 

  18. Foster GD, Wyatt HR, Hill JO, et al. A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med. 2003;348:2082–90.

    Article  CAS  PubMed  Google Scholar 

  19. Moize V, Geliebter A, Gluck ME, et al. Obese patients have inadequate protein intake related to protein intolerance up to 1 year following Roux-en-Y gastric bypass. Obes Surg. 2003;13:23–8.

    Article  PubMed  Google Scholar 

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Disclosure

There are no external sources of funds supporting this work. There is no financial interest by any of the authors.

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Authors and Affiliations

  1. Centro da Obesidade e Síndrome Metabólica, Hospital São Lucas da Pontifícia, Universidade Católica do Rio Grande do Sul, Av. Ipiranga 6690/302, CEP 90610-000, Porto Alegre, Rio Grande do Sul, Brazil

    Anália S. Barhouch, Marcelo Zardo, Alexandre V. Padoin, Fernanda G. Colossi, Daniela S. Casagrande, Raquel Chatkin & Cláudio Corá Mottin

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  1. Anália S. Barhouch
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  2. Marcelo Zardo
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  3. Alexandre V. Padoin
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  4. Fernanda G. Colossi
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  5. Daniela S. Casagrande
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  6. Raquel Chatkin
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  7. Cláudio Corá Mottin
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Correspondence to Cláudio Corá Mottin.

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Barhouch, A.S., Zardo, M., Padoin, A.V. et al. Excess Weight Loss Variation in Late Postoperative Period of Gastric Bypass. OBES SURG 20, 1479–1483 (2010). https://doi.org/10.1007/s11695-010-0202-3

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  • DOI: https://doi.org/10.1007/s11695-010-0202-3

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