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/m<sup>2</sup>) 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/m<sup>2</sup> [95% CI 14.8-18.9], and for the CG it was 11.9±7.8 kg/m<sup>2</sup> [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.

Lombardo, M., Bellia, A., Mattiuzzo, F., Franchi, A., Ferri, C., Elvira, P., et al. (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 [10.1089/bari.2015.0021].

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

LOMBARDO, MAURO;BELLIA, ALFONSO;D'ADAMO, MONICA;GENTILESCHI, PAOLO;IELLAMO, FERDINANDO;LAURO, DAVIDE;FEDERICI, MASSIMO;SBRACCIA, PAOLO
2015

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.
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/09 - Medicina Interna
Settore MED/49 - Scienze Tecniche Dietetiche Applicate
Settore MED/13 - Endocrinologia
Settore M-EDF/01 - Metodi e Didattiche delle Attivita' Motorie
Settore M-EDF/02 - Metodi e Didattiche delle Attivita' Sportive
eng
Surgery; Medical and Surgical Nursing; Nutrition and Dietetics
http://www.liebertpub.com/overview/bariatric-nursing-and-surgical-patient-care/172/
Lombardo, M., Bellia, A., Mattiuzzo, F., Franchi, A., Ferri, C., Elvira, P., et al. (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 [10.1089/bari.2015.0021].
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
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/162197
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