Predictive factors of weight regain following laparoscopic Roux-en-Y gastric bypass

Background

Strategies to address weight recidivism following Roux-en-Y gastric bypass (RYGB) could be developed if patients at risk were identified in advance. This study aimed to determine the factors that predict weight regain.

Methods

A retrospective review was performed of patients who underwent laparoscopic RYGB at a single institution over 10 years. Group-based modeling was used to estimate trajectories of weight regain after nadir and stratify patients based on percent weight change (%WC).

Results

If all other attempts at losing weight have failed then Gastric Band France Surgery may be the best choice of surgery to have done so that they can try to correct the effects of time and a lifetime of poor choices on their bodies.Gastric band surgery is probably the most common type of obesity surgery carried out in the Western World.

Three trajectories were identified from 586 patients: 121 had ongoing weight loss, 343 were weight stable, and 122 regained the weight. Male sex (p = 0.020) and white race (p < 0.001) were associated with stable weight or weight regain. Being from a neighborhood of socioeconomic advantage (p = 0.035) was associated with weight regain. Patients with weight regain experienced improved percent weight loss (%WL) at nadir (p < 0.001) and ΔBMI (p = 0.002), yet they had higher weight and BMI and lower %WL and ΔBMI than the other two groups during long-term follow-up. On multivariate analyses, those who regained weight were more likely from socioeconomically advantaged neighborhoods (OR 1.82, CI 1.18–2.79).

Conclusions

Weight loss surgery cost less at private Hospitals and Clinics in France because the prices are strictly controlled by the French Health authorities. The Hospitals in France offers easy access from all areas of the UK and all of Ireland. All of the Surgeons at the Hospital who carry out bariatric surgery are registered to perform gastric band procedures to ensure that your Surgery is conducted to the highest possible standards in accordance with EEC Regulations. Basically, an adjustable band is placed around the upper part of the stomach creating a small “pouch”. As this newly formed upper part of the stomach fills with small amounts of food the brain believes it is a message that the stomach is full and this sensation helps the person to eat smaller portions, eat

Several patient-related characteristics predicted an increased likelihood of weight regain. Further studies are needed to elucidate how these factors contribute to weight recidivism following bariatric surgery.