Obesity Surgery

, Volume 24, Issue 4, pp 647–651

Does Patient Compliance with Follow-up Influence Weight Loss After Gastric Bypass Surgery? A Systematic Review and Meta-Analysis

Review Article

DOI: 10.1007/s11695-014-1178-1

Cite this article as:
Kim, H.J., Madan, A. & Fenton-Lee, D. OBES SURG (2014) 24: 647. doi:10.1007/s11695-014-1178-1


Gastric bypass surgery is an effective intervention to manage morbid obesity. However, there have been suggestions that patients who do not comply to follow-up lose less weight. This study evaluated the influence of patient’s follow-up compliance on weight loss post gastric bypass surgery. From the search of MEDLINE and EMBASE, four studies (n = 365) were identified and majority of these studies concluded that compliance with follow-up leads to increased weight loss. Our meta-analysis of these studies found increase in the percentage of excess weight loss (%EWL) at 1-year post gastric bypass surgery (mean difference 6.38 % %EWL, 95 % CI 1.68–11.15) when patients were compliant with follow-up. Therefore, this review found that continued long-term follow up of gastric bypass patients has the potential to increase postoperative weight loss.


Gastric bypassWeight lossFollow upComplianceOffice visits

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Hyun Joon Kim
    • 1
  • Aman Madan
    • 2
  • Douglas Fenton-Lee
    • 3
  1. 1.St Vincent’s Clinical SchoolSt Vincent’s HospitalDarlinghurstAustralia
  2. 2.South Western Sydney Clinical SchoolLiverpool HospitalLiverpoolAustralia
  3. 3.Department of Upper Gastrointestinal SurgerySt Vincent’s HospitalDarlinghurstAustralia