Frequent Follow-Up Visits Reduce Weight Regain in Long-Term Management after Bariatric Surgery

Mauro Lombardo, Alfonso Bellia, Francesca Mattiuzzo, Arianna Franchi, Carola Ferri, Padua Elvira, Valeria Guglielmi, Monica D'Adamo, Annino Giuseppe, Paolo Gentileschi, Ferdinando Iellamo, Davide Lauro, Massimo Federici, Paolo Sbraccia

Research output: Contribution to journalArticle

Abstract

The objective of this retrospective study was to observe whether more frequent long-term medical follow-up visits than what occurs with the current typical follow-up schedule might prevent weight regain and nutritional deficiencies, and improve the resolution of comorbidities in bariatric patients. Materials and Methods: Clinical reports were examined of bariatric patients (n=71, 16 males, age 42±11.6 years, body mass index [BMI] 48.6±7.9kg/m2) who had a minimum of 36 months of post-surgery follow-up. All patients had a typical follow-up after surgery at 1, 3, and 6 months. The intervention group (IG) had follow-ups at 9, 12, 15, 18, 24, 30, and 36 months, while the control group (CG) at 12, 18, 24, and 36 months after surgery. Results: Roux-en-Y gastric bypass was performed in 18 patients, while 43 patients had sleeve gastrectomy and 10 subjects had adjustable gastric banding. After 3 years, the BMI difference for the IG was 16.8±6.1 kg/m2 [95% CI 14.8-18.9], and for the CG it was 11.9±7.8 kg/m2 [95% CI 9.3-14.4] (p=0.004). The % excess weight loss was 66.3±20.9% [95% CI 59.4-73.2] for the IG and 55.7±32.2% [95% CI 45.2-66.3] for the CG (p=0.04). IG subjects had a higher rate of complete remission of diabetes mellitus (77% vs. 56%) and hypertension (74% vs. 57%). There were no statistical differences for nutritional deficiencies between the groups. The use of dietary supplements was similar (66% IG, 73% CG). Conclusions: After 3 years, there does not appear to be any influence of the frequency of follow-up visits on the risk of nutritional deficiencies and the rate of dietary supplement use. Adding more follow-up visits to the guideline schedule may help reduce weight regain and improve comorbidities.

Original languageEnglish
Pages (from-to)119-125
Number of pages7
JournalBariatric Surgical Practice and Patient Care
Volume10
Issue number3
DOIs
Publication statusPublished - Sep 1 2015

ASJC Scopus subject areas

  • Surgery
  • Medical–Surgical
  • Nutrition and Dietetics

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    Lombardo, M., Bellia, A., Mattiuzzo, F., Franchi, A., Ferri, C., Elvira, P., Guglielmi, V., D'Adamo, M., Giuseppe, A., Gentileschi, P., Iellamo, F., Lauro, D., Federici, M., & Sbraccia, P. (2015). Frequent Follow-Up Visits Reduce Weight Regain in Long-Term Management after Bariatric Surgery. Bariatric Surgical Practice and Patient Care, 10(3), 119-125. https://doi.org/10.1089/bari.2015.0021