Combination anti‐obesity medications to effectively treat bariatric surgery weight regain at an academic obesity center

Autor: Gunther Wong, Erica M. Garner, Sahar Takkouche, Matthew D. Spann, Wayne J. English, Vance L. Albaugh, Gitanjali Srivastava
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Obesity Science & Practice, Vol 9, Iss 3, Pp 203-209 (2023)
Druh dokumentu: article
ISSN: 2055-2238
DOI: 10.1002/osp4.635
Popis: Abstract Background Combination anti‐obesity medications (AOMs) to treat postoperative bariatric surgery weight regain have limited data on their use in the clinical setting. Understanding the optimal treatment protocol in this cohort will maximize weight loss outcomes. Methods A retrospective review of bariatric surgery patients (N = 44) presenting with weight regain at a single academic multidisciplinary obesity center who were prescribed AOM(s) plus intensive lifestyle modification for 12 months. Results Age: 28–76 years old, 93% female, mean weight 110.2 ± 20.3 kg, BMI 39.7 ± 7.4 kg/m2, presenting 5.2 ± 1.6 years post‐bariatric surgery [27 (61.4%), 14 (31.8%), and 3 (6.8%) laparoscopic Roux‐en‐Y gastric bypass (RYGB), laparoscopic vertical sleeve gastrectomy (VSG), and open RYGB, respectively], with 15.1 ± 11.1 kg mean weight gain from nadir. Mean weight loss after medical intervention at 3‐, 6‐, and 12‐month time points was 4.4 ± 4.6 kg, 7.3 ± 7.0 kg, and 10.7 ± 9.2 kg, respectively. At 12 months, individuals prescribed 3 or more AOMs lost more weight than those prescribed one (−14.5 ± 9.0 kg vs. −4.9 ± 5.7 kg, p
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