echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Active Ingredient News > Endocrine System > What happens 10 years after bariatric surgery?

    What happens 10 years after bariatric surgery?

    • Last Update: 2021-08-09
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com
    *For medical professionals to read for reference, what is the long-term effect of bariatric surgery? Bariatric Surgery (MBS) is the ultimate weapon in the treatment of obesity.
    Surgery can achieve amazing weight loss effects in a short period of time.
    What is the long-term effect of surgical treatment? Can the patient's weight be maintained? What are the problems or complications? What impact does surgery have on patients' lives? Recently, a Swedish researcher conducted a questionnaire on 18 patients ten years after weight loss surgery[1].
    How have they been in these years? The original article was published in Surgery for Obesity and Related Diseases.
    The study interviewed 18 Swedish patients, 11 of which were women
    .

    The average age of the patients was 48 ± 6 years, and their preoperative body mass index (BMI) was 50-60 kg/m2, and 10 of them underwent laparoscopic Roux-en-Y gastric bypass (RYGB), 8 The patient underwent laparoscopic duodenal switch biliary-pancreatic shunt (BPD/DS)
    .

    The results showed that after 10 years of metabolic surgery, the patient’s BMI was 40.
    2 ± 7.
    4 kg/m2, and the median weight loss was 32.
    4% (range 4.
    8% to 47.
    0%) compared with the pre-surgery weight.
    Most of the patients’ weight was controlled at one level.
    In a relatively stable range, a small number (n=5) rebounded and could not be controlled
    .

    Even though it is 10 years after the operation, the operation still affects the appetite of most patients, and half of the patients have persistent dumping syndrome during the 10 years after the operation
    .

    (Eg, gastrointestinal symptoms are abdominal discomfort, belching, nausea and even vomiting, diarrhea; neurological symptoms as heart palpitations, dizziness, fever, weakness and so on
    .
    )
    But the surprise is that the patient is in the interview The problems and complications of metabolic surgery are rarely mentioned
    .

    Instead, their description revolves around two themes: the sustained effects after surgery and the challenges that still face
    .

    Theme 1: Sustained Effects After Surgery Patients talked about the changes in their lives from several aspects and attributed these changes to bariatric surgery
    .

     Better weight regulation Patients call weight control and dieting before surgery an "endless struggle
    .
    "
    Although the weight of patients after surgery fluctuates over time, many people have a lower weight "set point" (n = 9).
    Although the postoperative weight does not reach normal weight, the weight fluctuates It never exceeds a certain range
    .

    That is to say, these patients have not only gained effective weight loss after MBS, but during the past ten years, their weight has remained at least at the postoperative level without rebounding, and the weight of some patients has continued to decline
    .

    Table 1 Relevant data of patients interviewed for healthier eating behaviors After surgery, the eating patterns of all patients (n = 18) changed in several ways: they would eat less; they would also choose healthier foods; The meal time will become longer; there will be new taste preferences
    .

     Most patients described their diet before the operation as "out of control" (n = 12), they would eat too much food because they could not feel full before the operation; some patients (n = 3) used diet To deal with emotions and stress, although the stress can be relieved in the short term, the long-term result is even worse
    .

    Most patients said that even ten years after surgery, their diet is still regulated by the body
    .

    Although sometimes they have a strong desire to eat, physical limitations make them feel full quickly and prevent them from eating a lot of food
    .

    There are also some patients who have dumping syndromes repeatedly, especially when they eat too fast or eat foods with too much sugar (n = 9)
    .

    However, they feel that although this feeling can make people uncomfortable, the signals that the body can send to regulate their diet are helpful to them
    .

    More than half of the patients (n = 10) also found that their sensitivity to alcohol increased, their alcohol consumption decreased, and they were unable to consume more alcohol
    .

        Therefore, in the postoperative years, most patients have developed corresponding strategies to cope with the body's response to diet and drinking (n = 16)
    .

    For example, to plan ahead, choose the right food and beverages, food and other fixed period of time
    .

    From a psychological level, it also makes them feel that they have a brighter future.
    All patients think that bariatric surgery is very effective (n = 18)
    .

    The BMI of these patients before surgery was basically twice the normal value, because of the limitations brought about by obesity, so that they could not "live a full and quality life
    .
    "
    They often suffer from verbal and behavioral discrimination by others because of excessive obesity; they also cannot buy suitable clothes for themselves in the mall; they also restrict their behavior and activities because of their overweight.
    .
    .
    These patients think that they are in All sorts of experience before the operation, at that time they seemed unable to see their future
    .

    They dare not imagine that if they had not undergone surgery, they might be seriously ill or even dead (n = 10)
    .

    Theme 2: Facing Challenges and Continued Struggling Although MBS is described by patients as "positive changes in life" in many ways, patients also face many challenges in their new lives
    .

     Struggling with weight After surgery, some people continue to struggle with weight (n = 5)
    .

    For these patients, no matter how large or small their weight gain is, it will cause them panic
    .

    Many patients struggling with physical exercise are very aware that they should exercise regularly to maintain their current weight, but for some people they cannot do it.
    These patients will blame themselves for not taking full advantage of this opportunity to manage their weight (n = 7)
    .

    Seek professional support and understanding from relatives and friends.
    Most patients are satisfied with the support provided by healthcare professionals.
    Participating in this study can enable them to get more follow-ups (n = 12)
    .

    However, some patients indicated that more psychosocial follow-up (n = 5) or more dietary recommendations (n ​​= 3) are still needed
    .

     In addition to healthcare professionals, many patients also talked about the importance of getting support from family and friends
    .

       Inherited to the next generation Some patients became parents before surgery or during follow-up (n = 11), and many patients felt distressed by seeing their children struggling with weight like they used to
    .

     After bariatric surgery, there is still a lot to do.
    .
    .
    MBS is currently an effective method for treating severe obesity and complex obesity
    .

    Data for more than 10 years shows that regardless of the surgical method, MBS will cause continuous weight loss, control of appetite has always existed, and also reduced complications and mortality caused by obesity [1], health-related quality of life (HRQoL) The score of) has also been improved in the long-term [3-5]
    .

    However, there are different opinions on the impact of MBS on mental health: some studies claim that after MBS, the mental health (ie depression) of these patients has been continuously improved for up to 10 years [6]; but some studies have pointed out that, The psychological condition of these patients only returned to the baseline level or even worsened [7,8]
    .

    Faced with the problems of weight management and psychological stress that these patients have after surgery, they need correct dietary guidance and psychological support.
    Therefore, it is necessary to provide high-quality long-term follow-up to patients after MBS.

    .

     References: [1]Kajsa Järvholm, Torsten Olbers, My Engström.
    Patients' views of long-term results of bariatric surgery for super-obesity: sustained effects, but continuing struggles.
    Surgery for Obesity and Related Diseases, 2021; DOI: 10.
    1016 /j.
    soard.
    2021.
    02.
    024[2]TD Adams, LE Davidson, SE Litwin, et al.
    Weight and metabolic outcomes 12 years after gastric bypass N Engl J Med, 377 (2017), pp.
    1143-1155[3] S.
    Driscoll, DM Gregory, JM Fardy, LK Twells, Long-term health-related quality of life in bariatric surgery patients: a systematic review and meta-analysis, Obesity (Silver Spring), 24 (1) (2016), pp .
    60-70[4]JR Andersen, A.
    Aasprang, TI Karlsen, GK Natvig, V.
    Vage, RL Kolotkin, Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies, Surg Obes Relat Dis, 11 (2) (2015), pp.
    466-473[5]N.
    Lindekilde, BP Gladstone, M.
    Lübeck, et al.
    The impact of bariatric surgery on quality of life: a systematic review and meta-analysis, Obes Rev, 16 (8) (2015), pp.
    639-651[6]J .
    Karlsson, C.
    Taft, A.
    Ryden, L.
    Sjostrom, M.
    Sullivan, Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study, Int J Obes (Lond) , 31 (8) (2007), pp.
    1248-1261[7]S.
    Herpertz, A.
    Muller, R.
    Burgmer, RD Crosby, M.
    de Zwaan, T.
    Legenbauer, Health-related quality of life and psychological functioning 9 years after restrictive surgical treatment for obesity, Surg Obes Relat Dis, 11 (6) (2015), pp.
    1361-1370[8]MA Kalarchian, WC King, MJ Devlin, et al.
    Mental disorders and weight change in a prospective study of bariatric surgery patients: 7 years of follow-up, Surg Obes Relat Dis, 15 (5) (2019),pp.
    739-748[9]KD Coulman, F.
    MacKichan, JM Blazeby, JL Donovan, A.
    Owen-Smith,Patients' experiences of life after bariatric surgery and follow-up care: a qualitative study,BMJ Open, 10 ( 2) (2020), p.
    e035013[10]IR Knutsen, L.
    Terragni, C.
    Foss,Empowerment and bariatric surgery: negotiations of credibility and control,Qual Health Res, 23 (1) (2012), pp.
    66- 77[11]E.
    Nilsson-Condori, S.
    Järvholm, A.
    Thurin-Kjellberg, J.
    Hedenbro, B.
    Friberg,A new beginning: young women's experiences and sexual function 18 months after bariatric surgery,Sex Med, 8 (4 ) (2020), pp.
    730-739Empowerment and bariatric surgery: negotiations of credibility and control,Qual Health Res, 23 (1) (2012), pp.
    66-77[11]E.
    Nilsson-Condori, S.
    Järvholm, A.
    Thurin-Kjellberg, J.
    Hedenbro , B.
    Friberg,A new beginning: young women's experiences and sexual function 18 months after bariatric surgery,Sex Med, 8 (4) (2020), pp.
    730-739Empowerment and bariatric surgery: negotiations of credibility and control,Qual Health Res, 23 (1) (2012), pp.
    66-77[11]E.
    Nilsson-Condori, S.
    Järvholm, A.
    Thurin-Kjellberg, J.
    Hedenbro , B.
    Friberg,A new beginning: young women's experiences and sexual function 18 months after bariatric surgery,Sex Med, 8 (4) (2020), pp.
    730-739 
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.