Weight Regain After Bariatric Surgery: Prevalence, Etiology, and Treatment (original) (raw)

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.

Summary

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.

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Author information

Authors and Affiliations

  1. Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA
    Saketh R. Velapati, Meera Shah, Aravind R. Kuchkuntla, Ryan T. Hurt & Manpreet S. Mundi
  2. Division of Gastroenterology, Mayo Clinic, Rochester, MN, USA
    Barham Abu-dayyeh & Ryan T. Hurt
  3. Department of Psychiatry, Mayo Clinic, Rochester, MN, USA
    Karen Grothe
  4. Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA
    Ryan T. Hurt

Authors

  1. Saketh R. Velapati
  2. Meera Shah
  3. Aravind R. Kuchkuntla
  4. Barham Abu-dayyeh
  5. Karen Grothe
  6. Ryan T. Hurt
  7. Manpreet S. Mundi

Contributions

Manpreet Mundi and Ryan Hurt formulated an outline of the manuscript. Saketh Velapati created the first draft. Manpreet Mundi, Meera Shah, Aravind Kuchkuntla, Karen Grothe, Barham Abu-Dayyeh, and Ryan Hurt critically revised the manuscript. All authors agree to be responsible for its content.

Corresponding author

Correspondence toManpreet S. Mundi.

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Conflict of Interest

Saketh R. Velapati declares that he has no conflict of interest.

Meera Shah declares that she has no conflict of interest.

Aravind R. Kuchkuntla declares that he has no conflict of interest.

Barham Abu-dayyeh has received research support from Apollo Endosurgery.

Karen Grothe declares that she has no conflict of interest.

Ryan T. Hurt has served as a consultant for Nestlé.

Manpreet S. Mundi declares that he has no conflict of interest.

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Gastroenterology, Critical Care, and Lifestyle Medicine

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Velapati, S.R., Shah, M., Kuchkuntla, A.R. et al. Weight Regain After Bariatric Surgery: Prevalence, Etiology, and Treatment.Curr Nutr Rep 7, 329–334 (2018). https://doi.org/10.1007/s13668-018-0243-0

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