Weight Regain and Insufficient Weight Loss After Bariatric Surgery: Definitions, Prevalence, Mechanisms, Predictors, Prevention and Management Strategies, and Knowledge Gaps-a Scoping Review

被引:247
作者
El Ansari, Walid [1 ,2 ,3 ,4 ]
Elhag, Wahiba [5 ]
机构
[1] Hamad Gen Hosp, Dept Surg, Doha 3050, Qatar
[2] Qatar Univ, Coll Med, Doha, Qatar
[3] Univ Skovde, Sch Hlth, Skovde, Sweden
[4] Univ Skovde, Sch Educ, Skovde, Sweden
[5] Hamad Gen Hosp, Dept Bariatr Surg Bariatr Med, Doha 3050, Qatar
关键词
Weight regain; Insufficient weight loss; Bariatric surgery; Definitions; Mechanisms; Predictors; Prevention; Management;
D O I
10.1007/s11695-020-05160-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
Some patients experience weight regain (WR) or insufficient weight loss (IWL) after bariatric surgery (BS). We undertook a scoping review of WR and IWL after BS. We searched electronic databases for studies addressing the definitions, prevalence, mechanisms, clinical significance, preoperative predictors, and preventive and treatment approaches including behavioral, pharmacological, and surgical management strategies of WR and IWL. Many definitions exist for WR, less so for IWL, resulting in inconsistencies in the reported prevalence of these two conditions. Mechanisms and preoperative predictors contributing to WR are complex and multifactorial. A range of the current knowledge gaps are identified and questions that need to be addressed are outlined. Therefore, there is an urgent need to address these knowledge gaps for a better evidence base that would guide patient counseling, selection, and lead to improved outcomes.
引用
收藏
页码:1755 / 1766
页数:12
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