Nutrition Care for Patients with Weight Regain after Bariatric Surgery

Achieving optimal weight outcomes for patients with obesity is important to the management of their chronic disease. All interventions present risks for weight regain. Bariatric surgery is the most efficacious treatment, producing greater weight losses that are sustained over more time compared to l...

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Main Authors: Carlene Johnson Stoklossa, Suneet Atwal
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/256145
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author Carlene Johnson Stoklossa
Suneet Atwal
author_facet Carlene Johnson Stoklossa
Suneet Atwal
author_sort Carlene Johnson Stoklossa
collection DOAJ
description Achieving optimal weight outcomes for patients with obesity is important to the management of their chronic disease. All interventions present risks for weight regain. Bariatric surgery is the most efficacious treatment, producing greater weight losses that are sustained over more time compared to lifestyle interventions. However, approximately 20–30% of patients do not achieve successful weight outcomes, and patients may experience a regain of 20–25% of their lost weight. This paper reviews several factors that influence weight regain after bariatric surgery, including type of surgery, food tolerance, energy requirements, drivers to eat, errors in estimating intake, adherence, food and beverage choices, and patient knowledge. A comprehensive multidisciplinary approach can provide the best care for patients with weight regain. Nutrition care by a registered dietitian is recommended for all bariatric surgery patients. Nutrition diagnoses and interventions are discussed. Regular monitoring of weight status and early intervention may help prevent significant weight regain.
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spelling doaj-art-1e0001af9be842f9abff5f6df985aa212025-08-20T02:01:40ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/256145256145Nutrition Care for Patients with Weight Regain after Bariatric SurgeryCarlene Johnson Stoklossa0Suneet Atwal1Nutriton Service, Alberta Health Services, Seventh Street Plaza, 10030-107 Street, Edmonton, AB, T5J 3E4, CanadaNutriton Service, Alberta Health Services, Seventh Street Plaza, 10030-107 Street, Edmonton, AB, T5J 3E4, CanadaAchieving optimal weight outcomes for patients with obesity is important to the management of their chronic disease. All interventions present risks for weight regain. Bariatric surgery is the most efficacious treatment, producing greater weight losses that are sustained over more time compared to lifestyle interventions. However, approximately 20–30% of patients do not achieve successful weight outcomes, and patients may experience a regain of 20–25% of their lost weight. This paper reviews several factors that influence weight regain after bariatric surgery, including type of surgery, food tolerance, energy requirements, drivers to eat, errors in estimating intake, adherence, food and beverage choices, and patient knowledge. A comprehensive multidisciplinary approach can provide the best care for patients with weight regain. Nutrition care by a registered dietitian is recommended for all bariatric surgery patients. Nutrition diagnoses and interventions are discussed. Regular monitoring of weight status and early intervention may help prevent significant weight regain.http://dx.doi.org/10.1155/2013/256145
spellingShingle Carlene Johnson Stoklossa
Suneet Atwal
Nutrition Care for Patients with Weight Regain after Bariatric Surgery
Gastroenterology Research and Practice
title Nutrition Care for Patients with Weight Regain after Bariatric Surgery
title_full Nutrition Care for Patients with Weight Regain after Bariatric Surgery
title_fullStr Nutrition Care for Patients with Weight Regain after Bariatric Surgery
title_full_unstemmed Nutrition Care for Patients with Weight Regain after Bariatric Surgery
title_short Nutrition Care for Patients with Weight Regain after Bariatric Surgery
title_sort nutrition care for patients with weight regain after bariatric surgery
url http://dx.doi.org/10.1155/2013/256145
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AT suneetatwal nutritioncareforpatientswithweightregainafterbariatricsurgery