Tags: Follow-up | Key | Gastric | Bypass | Success

Follow-up Key to Gastric Bypass Success

Tuesday, 19 June 2007 12:00 AM

NEW YORK -- Checkups at specialist clinics are a key component to the long-term success of obese patients who have had gastric bypass surgery, according to new research.

Gastric bypass, the most common type of bariatric surgery, reduces the size of the stomach which limits the amount of food a person can eat.

"Weight loss following gastric bypass varies from patient to patient," Dr. Jon C. Gould, of the University of Wisconsin in Madison, told a meeting of the American Society for Bariatric Surgery.

He added that long-term, follow-up care at a dedicated bariatric surgery clinic may impact the amount of weight that is lost.

The researchers, who studied 85 adults who had gastric bypass surgery, found that the results were best in those who attended follow-up appointments for at least three years after they had the surgery.

Patients who attended every scheduled post-surgery follow-up appointment for up to four years lost 74 per cent of their excess weight, while patients who kept every appointment for only one year lost 60 per cent of their excess weight.

"Our follow-up routine calls for visits at two weeks post-op, six weeks post-op, six months, and then annually after surgery indefinitely," Gould said in an interview.

"If we identify problems, we bring people in more often."

The follow-up visits include meeting with a dietitian and medical health professional and often a health psychologist.

The most common reason given for missing appointments after gastric bypass surgery was lack of coverage by the patients' insurance company.

"This study shows that the more you put into bariatric surgery, the more you get out of it," Gould said in a statement.

"Patients must continue to attend their bariatric medical appointments and insurers should provide coverage for these visits."

In 2006 an estimated 177,600 severely obese people in the United States had bariatric surgery, according the American Society for Bariatric Surgery estimates.

About 15 million or 1 in 50 adults in the United States are morbidly obesity, which increases the risk of diabetes, heart disease, sleep disturbances, asthma, cancer and joint problems.

© reuters 2007. All Rights Reserved.

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NEW YORK -- Checkups at specialist clinics are a key component to the long-term success of obese patients who have had gastric bypass surgery, according to new research. Gastric bypass, the most common type of bariatric surgery, reduces the size of the stomach which...
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2007-00-19
Tuesday, 19 June 2007 12:00 AM
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