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Inadequate Weight Loss after Gastric Bypass and Sleeve Gastrectomy

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Bariatric Surgery Complications and Emergencies

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Abstract

Despite a multidisciplinary approach and an emphasis on long-term follow-up, 5–15 % of patients are found to have inadequate weight loss (IWL) after Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). The etiology is multifactorial and involves anatomic, behavioral, and socioeconomic components. Weight regain after SG can be effectively treated with conversion to RYGB or duodenal switch. Selected patients with weight regain after RYGB may benefit from pouch revision or limb lengthening procedures. The decision to modify the existing anatomy must be made after a careful evaluation of possible causes. The following chapter aims to provide strategies to evaluate and treat IWL based on current available evidence.

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Authors and Affiliations

  1. Department of General Surgery, Cleveland Clinic, 9500 Euclid Avenue, M61, Cleveland, OH, 44195, USA

    Mihir M. Shah MD & Stacy A. Brethauer MD

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  2. Stacy A. Brethauer MD
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Correspondence to Stacy A. Brethauer MD .

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  1. Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA

    Daniel M. Herron

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Shah, M.M., Brethauer, S.A. (2016). Inadequate Weight Loss after Gastric Bypass and Sleeve Gastrectomy. In: Herron, D. (eds) Bariatric Surgery Complications and Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-319-27114-9_19

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  • DOI: https://doi.org/10.1007/978-3-319-27114-9_19

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