Abstract
Purpose
The aim of this study was to evaluate the relationship between the weight status of sleeve gastrectomy patients during the first two postoperative years and the frequency of dietician interviews.
Materials and Methods
This was a retrospective cross-sectional study, and the subjects were patients who had surgery at a special obesity clinic, Bariatriklab, in Istanbul, Turkey, between February 01, 2014, and February 01, 2018.The mean age ± standard deviation of the participants was 38.8 ± 11.9 years. The mean body mass index (BMI) ± standard deviation was 44.2 ± 6.1 kg/m2 preoperatively. The preoperative (pre-op) and 12-, 18-, and 24-month postoperative (post-op) weights and the frequency of interviews with dieticians for 2 years after the operation were collected, and statistical analysis was performed using SPSS ver. 23.0.
Results
A total of 247 laparoscopic sleeve gastrectomy (LSG) patients, 161 women (65.2%) and 86 men (34.8%), were evaluated in this study. As the frequency of dietician interviews increased in the first year, the amount of excess weight loss (EWL) increased in the second year (p < 0.01). In addition, as the frequency of dietician interviews increased in the second year, the amount of EWL in the second year decreased (p < 0.01). The frequency of dietician counseling among participants who did not experience weight loss between 12 and 24 months was significantly higher than that among those who experienced weight loss (p < 0.05).
Conclusion
It should not be forgotten that bariatric surgery requires teamwork, and patients should be cared for with an interdisciplinary approach. Dieticians play an important role in changing nutritional habits and making them sustainable.
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References
LeBrun CM. Managing common nutrition problems after bariatric surgery. In: Still C, Sarwer D, Blankenship J, editors. The ASMBS textbook of bariatric surgery. New York: Springer; 2014. p. 119–27.
O’Brien PE, Hindle A, Brennan L, et al. Long-term outcomes after bariatric surgery: a systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-centre review of 20-year outcomes after adjustable gastric banding. Obes Surg. 2019;29(1):3–14.
Sorensen KW, Herrington H, Kushner RF. Nutrition and weight regain in the bariatric surgical patient. In: Kushner RF, Still CD, editors. Nutrition and Bariatric Surgery. US: CRC Press; 2014. p. 265–308.
Bond DS, King WC. The role of physical activity in optimizing bariatric surgery outcomes. In: Still C, Sarwer D, Blankenship J, editors. The ASMBS textbook of bariatric surgery. New York: Springer; 2014. p. 217–29.
Phillips CM. Metabolically healthy obesity: definitions, determinants and clinical implications. Rev Endocr Metab Disord. 2013;14(3):219–27.
Faria SL, de Oliveira KE, Lins RD, et al. Nutritional management of weight regain after bariatric surgery. Obes Surg. 2010;20(2):135–9.
Webb K, Kushner RF. Medical approach to a patient with postoperative weight regain. In: Still C, Sarwer DB, Blankenship J, editors. The ASBMS textbook of bariatric surgery. New York: Springer; 2014. p. 205–17.
Kushner RF, Neff LM. Bariatric surgery: a key role for registered dietitians. J Acad Nutr Diet. 2010;110(4):524–6.
Nijamkin MP, Campa A, Sosa J, et al. Comprehensive nutrition and lifestyle education improves weight loss and physical activity in Hispanic Americans following gastric bypass surgery: a randomized controlled trial. J Acad Nutr Diet. 2012;112(3):382–90.
Andromalos L, Crowley N, Brown J, et al. Nutrition care in bariatric surgery: an academy evidence analysis center systematic review. J Acad Nutr Diet. 2019;119(4):678–86.
Endevelt R, Ben-Assuli O, Klain E, et al. The role of dietician follow-up in the success of bariatric surgery. Surg Obes Relat Dis. 2013;9(6):963–8.
Al-Ozairi E, AlAwadhi MM, Al Kandari J, et al. Photo-assisted dietary method improves estimates of dietary intake among people with sleeve gastrectomy. Obes Surg. 2019;29(5):1602–6.
Madan AK, Tichansky DS, Taddeucci RJ. Postoperative laparoscopic bariatric surgery patients do not remember potential complications. Obes Surg. 2007;17(7):885–8.
Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obes Res. 2013;21(S1):S1–S27.
Kushner RF, Sorensen KW. Prevention of weight regain following bariatric surgery. Curr Obes Rep. 2015;4(2):198–206.
Lynch J, Belgaumkar A. Bariatric surgery is effective and safe in patients over 55: a systematic review and meta-analysis. Obes Surg. 2012;22(9):1507–16.
Celio AC, Pories WJ. A history of bariatric surgery: the maturation of a medical discipline. Surg Clin North Am. 2016;96(4):655–67.
Türkomp [Internet]. Turkısh food composition database. [cited 2020 May 18]. Avaliable from: http://www.turkomp.gov.tr/main.
van de Laar AW, van Rijswijk AS, Kakar H, et al. Sensitivity and specificity of 50% excess weight loss (50% EWL) and twelve other bariatric criteria for weight loss success. Obes Surg. 2018;28(8):2297–304.
Şimşek MA, Türer AC, Özveren O, et al. Short-term effects of sleeve gastrectomy on weight loss and diastolic function in obese patients. Turk Kardiyol Dern Ars. 2019;47(3):162–7. Turkish
Bohdjalian A, Langer FB, Shakeri-Leidenmühler S, et al. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg. 2010;20(5):535–40.
Karlsson J, Taft C, Ryden A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes. 2007;31(8):1248–61.
Felsenreich DM, Langer FB, Kefurt R, et al. Weight loss, weight regain, and conversions to Roux-en-Y gastric bypass: 10-year results of laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2016;12(9):1655–62.
Freire RH, Borges MC, Alvarez-Leite JI, et al. Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass. J Nut. 2012;28(1):53–8.
Sarwer DB, Dilks RJ, West-Smith L. Dietary intake and eating behavior after bariatric surgery: threats to weight loss maintenance and strategies for success. Surg Obes Relat Dis. 2011;7(5):644–51.
Sarwer DB, Moore RH, Spitzer JC, et al. A pilot study investigating the efficacy of postoperative dietary counseling to improve outcomes after bariatric surgery. Surg Obes Relat Dis. 2012;8(5):561–8.
Gradaschi R, Molinari V, Sukkar SG, et al. Effects of the postoepartive dietetic/behavioral counseling on the weight loss after bariatric surgery. Obes Surg. 2019;30(1):1–5.
Dagan SS, Keidar A, Raziel A, et al. Do bariatric patients follow dietary and lifestyle recommendations during the first postoperative year? Obes Surg. 2017;27(9):2258–71.
Ruiz-Tovar J, Bozhychko M, Del-Campo JM, et al. Changes in frequency intake of foods in patients undergoing sleeve gastrectomy and following a strict dietary control. Obes Surg. 2018;28(6):1659–64.
Moizé V, Andreu A, Flores L, et al. Long-term dietary intake and nutritional deficiencies following sleeve gastrectomy or Roux-En-Y gastric bypass in a mediterranean population. J Acad Nutr Diet. 2013;113(3):400–10.
Srivastava G, Buffington C. A specialized medical management program to address post-operative weight regain in bariatric patients. Obes Surg. 2018;28(8):2241–6.
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All procedures that involved human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
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Batar, N., Kermen, S., Sevdin, S. et al. Assessment of the Correlation Between Weight Status and the Frequency of Dietician Interviews in Sleeve Gastrectomy Patients. OBES SURG 31, 185–193 (2021). https://doi.org/10.1007/s11695-020-04863-z
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DOI: https://doi.org/10.1007/s11695-020-04863-z