Skip to main content

Advertisement

SpringerLink
Log in

Postoperative Follow-up After Bariatric Surgery: Effect on Weight Loss

  • Brief Communication
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

While adherence to long-term follow-up after bariatric surgery is a mandate for center of excellence certification, the effect of attrition on weight loss is not well understood. The aim of this study was to assess the effect of postoperative follow-up on 12-month weight loss using the Bariatric Outcomes Longitudinal Database (BOLD) dataset. Patients with complete follow-up (3, 6, and 12 months) were compared to patients who had one or more prior missed visits. There were 51,081 patients with 12-month follow-up data available. After controlling for baseline characteristics, complete follow-up was independently associated with excess weight loss ≥50 %, and total weight loss ≥30 %. Adherence to postoperative follow-up is independently associated with improved 12-month weight loss after bariatric surgery. Bariatric programs should strive to achieve complete follow-up for all patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Sjöström L, Narbro K, Sjöström CD, et al. Swedish Obese Subjects Study. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741–52.

    Article  PubMed  Google Scholar 

  2. Alexandrou A, Armeni E, Kouskouni E, et al. Cross-sectional long-term micronutrient deficiencies after sleeve gastrectomy versus Roux-en-Y gastric bypass: a pilot study. Surg Obes Relat Dis. 2014;10(2):262–8.

    Article  PubMed  Google Scholar 

  3. Sacks BC, Mattar SG, Qureshi FG, et al. Incidence of marginal ulcers and the use of absorbable anastomotic sutures in laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2006;2(1):11–6.

    Article  PubMed  Google Scholar 

  4. Becker DA, Balcer LJ, Galetta SL. The neurological complications of nutritional deficiency following bariatric surgery. J Obes. 2012;2012:608534.

    Article  PubMed  PubMed Central  Google Scholar 

  5. MBSAQIP: Resources for optimal care of the metabolic and bariatric surgery patient, 2014. American College of Surgeons, Chicago, IL. Available at https://www.facs.org/quality-programs/mbsaqip/standards. Accessed on 10/01/2015.

  6. Moroshko I, Brennan L, O’Brien P. Predictors of attrition in bariatric aftercare: a systematic review of the literature. Obes Surg. 2012;22(10):1640–7.

    Article  PubMed  Google Scholar 

  7. Puzziferri N, Roshek 3rd TB, Mayo HG, et al. Long-term follow-up after bariatric surgery: a systematic review. JAMA. 2014;312(9):934–42.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Courcoulas AP, Christian NJ, Belle SH, et al. Longitudinal Assessment of Bariatric Surgery (LABS) Consortium. Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. JAMA. 2013;310(22):2416–25.

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Shen R, Dugay G, Rajaram K, et al. Impact of patient follow-up on weight loss after bariatric surgery. Obes Surg. 2004;14(4):514–9.

    Article  PubMed  Google Scholar 

  10. Compher CW, Hanlon A, Kang Y, et al. Attendance at clinical visits predicts weight loss after gastric bypass surgery. Obes Surg. 2012;22(6):927–34.

    Article  PubMed  Google Scholar 

  11. Gould JC, Beverstein G, Reinhardt S, et al. Impact of routine and long-term follow-up on weight loss after laparoscopic gastric bypass. Surg Obes Relat Dis. 2007;3(6):627–30.

    Article  PubMed  Google Scholar 

  12. Livhits M, Mercado C, Yermilov I, et al. Behavioral factors associated with successful weight loss after gastric bypass. Am Surg. 2010;76(10):1139–42.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Brody School of Medicine at East Carolina University, 600 Moye Blvd, Greenville, NC, 27834, USA

    Konstantinos Spaniolas, Kevin R. Kasten, Adam Celio, Matthew B. Burruss & Walter J. Pories

Authors
  1. Konstantinos Spaniolas
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kevin R. Kasten
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Adam Celio
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Matthew B. Burruss
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Walter J. Pories
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Konstantinos Spaniolas.

Ethics declarations

Conflict of Interest Disclosure Statement

The authors have no conflict of interest to declare.

Ethical Approval

All procedures performed in studies involving 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. For this type of study, formal consent is not required.

Informed Consent

Does not apply.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Spaniolas, K., Kasten, K.R., Celio, A. et al. Postoperative Follow-up After Bariatric Surgery: Effect on Weight Loss. OBES SURG 26, 900–903 (2016). https://doi.org/10.1007/s11695-016-2059-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-016-2059-6

Keywords

Search

Navigation