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Weight Recidivism After Bariatric Surgery: Evaluation and Implications

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The SAGES Manual of Bariatric Surgery

Abstract

Bariatric surgery is the most effective treatment for morbid obesity. A minority of patients will suffer from inadequate weight loss or weight regain. The reasons for this are multifactorial, including anatomic, physiologic, behavioral, and psychosocial factors. A thorough assessment begins with a history and physical examination in order to identify any contributors to poor weight loss outcomes. Common reasons for weight recidivism include maladaptive eating habits, psychosocial stressors, and decreased energy expenditure and physical activity. Anatomic and surgical factors, such as infrequent band adjustments or large pouch size, play a role as well. Management includes in-depth counseling regarding nutrition and behavior modification and, depending on the patient, may include revision or conversion surgery.

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Authors and Affiliations

  1. GSA-Administration- Faculty and Staff, University of Michigan, Ann Arbor, MI, USA

    Nabeel R. Obeid (Assistant Professor of Surgery)

  2. Stony Brook University Hospital, Stony Brook Medicine, Department of Surgery, Stony Brook University School of Medicine, Stony Brook, NY, USA

    Maria S. Altieri & Aurora D. Pryor

Authors
  1. Nabeel R. Obeid
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  2. Maria S. Altieri
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  3. Aurora D. Pryor
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Correspondence to Nabeel R. Obeid .

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Editors and Affiliations

  1. Foregut and Bariatric Surgeon, Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic, Portland, Oregon, USA

    Kevin M. Reavis

  2. Long Island Jewish Forest Hills Hospital, Department of Surgery, Hofstra-Northwell School of Medicine, Forest Hills, New York, USA

    Allison M. Barrett

  3. Institute Chief, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

    Matthew D. Kroh

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Obeid, N.R., Altieri, M.S., Pryor, A.D. (2018). Weight Recidivism After Bariatric Surgery: Evaluation and Implications. In: Reavis, K., Barrett, A., Kroh, M. (eds) The SAGES Manual of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-71282-6_35

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