Saketh R Velapati1, Meera Shah1, Aravind R Kuchkuntla1, Barham Abu-Dayyeh2, Karen Grothe3, Ryan T Hurt1,2,4, Manpreet S Mundi5. 1. Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA. 2. Division of Gastroenterology, Mayo Clinic, Rochester, MN, USA. 3. Department of Psychiatry, Mayo Clinic, Rochester, MN, USA. 4. Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA. 5. Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA. Mundi.manpreet@mayo.edu.
Abstract
PURPOSE OF REVIEW: Obesity is a life-limiting disease that is associated with a number of co-morbidities. Bariatric surgery remains the most efficacious and durable weight loss method available to patients. However, a significant percentage of patients can regain weight resulting in frustration, depression, and return of obesity-related co-morbidities. The present review provides an overview of the most common therapeutic modalities available to combat weigh regain after weight loss surgery. RECENT FINDINGS: Given the high percentage of patients with weight regain after surgery, significant effort has been placed on developing treatment options in the last few years. Tremendous work has taken place in the realm of cognitive behavior therapy, appetite suppressants, and endoscopic procedures with the hope of reducing the need for revision surgery which can be associated with significant complications. Weight regain is unfortunately a common phenomenon associated with all weight loss modalities including bariatric surgery. We now have a number of treatment options that can reverse the weight loss trend.
PURPOSE OF REVIEW: Obesity is a life-limiting disease that is associated with a number of co-morbidities. Bariatric surgery remains the most efficacious and durable weight loss method available to patients. However, a significant percentage of patients can regain weight resulting in frustration, depression, and return of obesity-related co-morbidities. The present review provides an overview of the most common therapeutic modalities available to combat weigh regain after weight loss surgery. RECENT FINDINGS: Given the high percentage of patients with weight regain after surgery, significant effort has been placed on developing treatment options in the last few years. Tremendous work has taken place in the realm of cognitive behavior therapy, appetite suppressants, and endoscopic procedures with the hope of reducing the need for revision surgery which can be associated with significant complications. Weight regain is unfortunately a common phenomenon associated with all weight loss modalities including bariatric surgery. We now have a number of treatment options that can reverse the weight loss trend.
Authors: Lars Sjöström; Anna-Karin Lindroos; Markku Peltonen; Jarl Torgerson; Claude Bouchard; Björn Carlsson; Sven Dahlgren; Bo Larsson; Kristina Narbro; Carl David Sjöström; Marianne Sullivan; Hans Wedel Journal: N Engl J Med Date: 2004-12-23 Impact factor: 91.245
Authors: Frank L Greenway; Ken Fujioka; Raymond A Plodkowski; Sunder Mudaliar; Maria Guttadauria; Janelle Erickson; Dennis D Kim; Eduardo Dunayevich Journal: Lancet Date: 2010-07-29 Impact factor: 79.321
Authors: Eric A Finkelstein; Olga A Khavjou; Hope Thompson; Justin G Trogdon; Liping Pan; Bettylou Sherry; William Dietz Journal: Am J Prev Med Date: 2012-06 Impact factor: 5.043
Authors: James E Mitchell; Nicholas J Christian; David R Flum; Alfons Pomp; Walter J Pories; Bruce M Wolfe; Anita P Courcoulas; Steven H Belle Journal: JAMA Surg Date: 2016-08-01 Impact factor: 14.766
Authors: Jacqueline Odom; Kerstyn C Zalesin; Tamika L Washington; Wendy W Miller; Basil Hakmeh; Danielle L Zaremba; Mohamed Altattan; Mamtha Balasubramaniam; Deborah S Gibbs; Kevin R Krause; David L Chengelis; Barry A Franklin; Peter A McCullough Journal: Obes Surg Date: 2009-06-25 Impact factor: 4.129
Authors: Aravind Reddy Kuchkuntla; Meera Shah; Saketh Velapati; Victoria M Gershuni; Tamim Rajjo; Sanjeev Nanda; Ryan T Hurt; Manpreet S Mundi Journal: Curr Nutr Rep Date: 2019-12
Authors: Chika Vera Anekwe; Michael G Knight; Sujatha Seetharaman; Wesley P Dutton; Shradha M Chhabria; Fatima Cody Stanford Journal: Curr Treat Options Gastroenterol Date: 2021-07-16
Authors: Wasif Abidi; Eirini Nestoridi; Henry Feldman; Margaret Stefater; Clary Clish; Christopher C Thompson; Nicholas Stylopoulos Journal: Dig Dis Sci Date: 2019-08-05 Impact factor: 3.199
Authors: Mauro Lombardo; Arianna Franchi; Roberto Biolcati Rinaldi; Gianluca Rizzo; Monica D'Adamo; Valeria Guglielmi; Alfonso Bellia; Elvira Padua; Massimiliano Caprio; Paolo Sbraccia Journal: Int J Environ Res Public Health Date: 2021-04-25 Impact factor: 3.390