TY  - JOUR
AU  - Maleckas, Almantas
AU  - Gudaitytė, Rita
AU  - Petereit, Rūta
AU  - Venclauskas, Linas
AU  - Veličkienė, Džilda
PY  - 2016
TI  - Weight regain after gastric bypass: etiology and treatment options
JF  - Gland Surgery; Vol 5, No 6 (December 28, 2016): Gland Surgery (New Techniques and Technologies for the Treatment of Surgical Endocrine Diseases Part II)
Y2  - 2016
KW  - 
N2  - Roux-en-Y gastric bypass (RYGB) is one of the most common operations performed for the patients with morbid obesity. Weight regain (WR) is a complication that may decrease efficiency of the surgical treatment and demand further interventions. Different factors including lifestyle, mental health, hormonal/metabolic and surgical plays role in WR after RYGB. Various treatment options have been proposed for WR. Conservative treatment is less effective than surgery. Endoscopic refashioning of gastric pouch/stoma fails to achieve sustainable weight loss. Surgical reduction of pouch has acceptable short-term results, but WR after 3 years is substantial. Banded gastric bypass achieves good short-term results, but long-term follow-up data are needed. Distalization of RYGB has a high risk of protein calorie malnutrition (PCM) and conversion to BP diversion (BPD)/duodenal switch (DS) is a technically demanding procedure. Both procedures achieve sustainable long-term weight loss. More studies are needed to explore long-term results of various surgical interventions for WR after RYGB.
UR  - https://gs.amegroups.org/article/view/12966