An assessment of patient behavioral requirements pre- and post-surgery at accredited weight loss surgical centers.


BACKGROUND:Without changes to diet and exercise behaviors, weight losses achieved through surgical procedures may be short lived. There is no data currently available on how accredited bariatric facilities are implementing best-practice guidelines related to behavioral and psychological care to help patients make long-lasting change. METHODS:One hundred twenty-three ACS-accredited facility websites were analyzed using document and content analyses to determine behavioral and psychological services. Categories of common facility practices were identified according to best-practice recommendations and website data was coded by category. Descriptive statistics were then generated to summarize the implementation of services. RESULTS:Behavioral and psychological services were more likely to be required prior to surgery than after surgery. In addition, there is great variance in the staff employed by facilities to assist patients, with more facilities employing dietary staff than exercise staff. Data patterns are reported across the categories of psychological assessment, pre- and post-surgical behavioral requirements, type of support groups, follow-up protocol, and staffing. CONCLUSIONS:Most facilities implement some type of dietary counseling or consultation; however, few include services related to helping patients improve physical activity patterns. Greater incorporation of behavioral and psychological services following surgery is recommended to prevent weight regain and to help patients adopt and maintain regular physical activity.


Obes Surg


Obesity surgery


Peacock JC,Zizzi SJ




Has Abstract


2011-12-01 00:00:00












  • Prediction of successful weight reduction after bariatric surgery by data mining technologies.

    abstract:BACKGROUND:Surgery is the only long-lasting effective treatment for morbid obesity. Prediction on successful weight loss after surgery by data mining technologies is lacking. We analyze the available information during the initial evaluation of patients referred to bariatric surgery by data mining methods for predictor...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Lee YC,Lee WJ,Lee TS,Lin YC,Wang W,Liew PL,Huang MT,Chien CW

    更新日期:2007-09-01 00:00:00

  • Establishing a Reproducible Murine Animal Model of Single Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy (SADl-S).

    abstract::Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) is a simplified biliopancreatic diversion. The objective of this study was to develop a reproducible animal model for SADI-S. We used three techniques for duodenal exclusion and duodenoileal anastomosis: (a) surgical clip and side-to-side anastomo...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Laura M,Mylene L,Christophe B,Boris H,Christophe M,Konstantinos A

    更新日期:2018-07-01 00:00:00

  • Reasons and outcomes of reoperative bariatric surgery for failed and complicated procedures (excluding adjustable gastric banding).

    abstract:BACKGROUND:The rise of bariatric surgery has lead to an increasing number of reoperations for failed bariatric procedures. The reasons and types of these operations are varied in nature and remain to be defined. METHODS:A retrospective review of a prospectively collected database was conducted to identify patients who...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Patel S,Szomstein S,Rosenthal RJ

    更新日期:2011-08-01 00:00:00

  • Biliopancreatic Diversion with a New Type of Gastrectomy.

    abstract::In an attempt to improve the results of biliopancreatic diversion in the treatment of morbid obesity, two aspects of the procedure performed at Laval Hospital were modified to reduce adverse physiological consequences. The distal gastrectomy was replaced by a parietal gastrectomy which preserves vagal continuity along...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Marceau P,Biron S,Bourque RA,Potvin M,Hould FS,Simard S

    更新日期:1993-02-01 00:00:00

  • Effect of Roux-en-Y Gastric Bypass for Patients with Type 2 Diabetes Mellitus and a BMI 

    abstract:BACKGROUND:Roux-en-Y gastric bypass (RYGB) is an effective treatment for morbidly obese patients to improve type 2 diabetes mellitus (T2DM). Recently, T2DM patients with a lower body mass index (BMI) have been receiving more attention, and these patients could benefit from RYGB. METHODS:Fifty-two patients with T2DM un...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Ji G,Li W,Li P,Tang H,Yu Z,Sun X,Li R,Zhu L,Zhu S

    更新日期:2020-07-01 00:00:00

  • Endobarrier as a Pre Bariatric Surgical Intervention in High-Risk Patients: a Feasibility Study.

    abstract:BACKGROUND:Obesity surgery mortality risk scoring system (OS-MRS) classifies patients into high, intermediate and low risk, based on age, body mass index, sex and other comorbidities such as hypertension and history of pulmonary embolism. High-risk patients not only have a higher mortality but are more likely to develo...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Younus H,Chakravartty S,Sarma DR,Patel AG

    更新日期:2018-10-01 00:00:00

  • Safety and Effectiveness of an Endoscopically Placed Duodenal-Jejunal Bypass Device (EndoBarrier®): Outcomes in 114 Patients.

    abstract:BACKGROUND:The duodenal-jejunal bypass liner (DJBL) is an endoscopically placed device designed to achieve weight loss and improve glycemic control in obese patients. Previous studies report promising results but typically included small patient numbers and short follow-up. This study aims to determine the safety and e...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Forner PM,Ramacciotti T,Farey JE,Lord RV

    更新日期:2017-12-01 00:00:00

  • Robotic Roux-en-Y Gastric Bypass, is it Safer than Laparoscopic Bypass?

    abstract:BACKGROUND:Along with the development of technology, robotic approach is being performed for laparoscopic Roux-en-Y gastric bypass (LRYGB). Some literatures reported same or better peri-operative outcomes with the robotic procedure. The aim of this study is to compare our experience in robot-assisted LRYGB (RA-LRYGB) w...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Moon RC,Gutierrez JC,Royall NA,Teixeira AF,Jawad MA

    更新日期:2016-05-01 00:00:00

  • Spectrum of endoscopic findings and therapy in patients with upper gastrointestinal symptoms after laparoscopic bariatric surgery.

    abstract:BACKGROUND:More should be known about the spectrum of endoscopic abnormalities and treatments in patients with upper gastrointestinal (UGI) symptoms after laparoscopic bariatric surgery. METHODS:Patients referred for endoscopic evaluation of UGI symptoms after laparoscopic bariatric surgery were studied. Clinical mani...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Yang CS,Lee WJ,Wang HH,Huang SP,Lin JT,Wu MS

    更新日期:2006-09-01 00:00:00

  • Revisional Surgery Following Laparoscopic Gastric Plication.

    abstract:BACKGROUND:The laparoscopic gastric plication (LGP) is a relative new bariatric procedure that has gained popularity over the last few years, but no real consensus exists and the evidence is unclear, especially in its real efficacy, safety, and durability. METHODS:Retrospective study analyzing the records patients sub...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Zerrweck C,Rodríguez JG,Aramburo E,Vizcarra R,Rodríguez JL,Solórzano A,Maydón HG,Sepúlveda EM

    更新日期:2017-01-01 00:00:00

  • Influence of intestinal microbiota on body weight gain: a narrative review of the literature.

    abstract::In recent decades, experimental and clinical studies have associated the development of obesity with the composition of the gut microbiota. Mechanisms potentially involved in the contribution of gut microbiota to body weight gain include changes in energy extraction from the diet and the modulation of lipid metabolism...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审


    authors: Cardinelli CS,Sala PC,Alves CC,Torrinhas RS,Waitzberg DL

    更新日期:2015-02-01 00:00:00

  • Oximetry alone versus portable polygraphy for sleep apnea screening before bariatric surgery.

    abstract:BACKGROUND:Screening for obstructive sleep apnea (OSA) is recommended as part of the preoperative assessment of obese patients scheduled for bariatric surgery. The objective of this study was to compare the sensitivity of oximetry alone versus portable polygraphy in the preoperative screening for OSA. METHODS:Polygrap...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Malbois M,Giusti V,Suter M,Pellaton C,Vodoz JF,Heinzer R

    更新日期:2010-03-01 00:00:00

  • Sleeve gastrectomy severe complications: is it always a reasonable surgical option?

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) is widely adopted but exposes serious complications. METHODS:A retrospective database analysis was done to study LSG staple line complications in a tertiary referral university center with surgical ICU experienced in treatment of morbid obesity and complications. Twenty...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,多中心研究


    authors: Moszkowicz D,Arienzo R,Khettab I,Rahmi G,Zinzindohoué F,Berger A,Chevallier JM

    更新日期:2013-05-01 00:00:00

  • Elastic Fibers Density: a New Parameter of Improvement of NAFLD in Bariatric Surgery Patients.

    abstract:PURPOSE:Obesity is a major risk factor for nonalcoholic fatty liver disease (NAFLD), affecting 25% of the worldwide population. Weight loss through bariatric surgery can improve much of the liver steatosis, inflammation, and fibrosis. However, it is not known whether there is reversal of the elastic fiber deposition pr...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Leite C,Starosta RT,Trindade EN,de Melo Monteiro E,Pereira PF,Trindade MRM,Álvares-da-Silva MR,Cerski CTS

    更新日期:2020-10-01 00:00:00

  • Discovery of Cushing's Syndrome After Bariatric Surgery: Multicenter Series of 16 Patients.

    abstract:PURPOSE:The aim of this study is to demonstrate the importance of considering Cushing's syndrome (CS) as a potential etiology for weight gain and metabolic complications in patients undergoing bariatric surgery (BS). DESIGN AND METHODS:This is a retrospective chart review case series of patients (n = 16) with CS from ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Javorsky BR,Carroll TB,Tritos NA,Salvatori R,Heaney AP,Fleseriu M,Biller BM,Findling JW

    更新日期:2015-12-01 00:00:00

  • Laparoscopic Roux-en-Y gastric bypass: transoral or transgastric anvil placement?

    abstract:BACKGROUND:Laparoscopic techniques have been used to perform the Roux-en-Y gastric bypass (RYGBP). The gastrojejunostomy may be constructed using an end-to-end anastomosis (EEA) stapler. Most reports describe passing the EEA anvil transorally using an esophagogastroscope and a pull-wire technique. METHOD:We describe p...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Scott DJ,Provost DA,Jones DB

    更新日期:2000-08-01 00:00:00

  • Robot-Assisted Revisional Surgery of Gastric Greater Curvature Plication to Roux-en-Y Gastric Bypass.

    abstract::Laparoscopic gastric greater curvature plication (LGGCP) has been presented as an alternative to laparoscopic sleeve gastrectomy (LSG) for reversible reduction of stomach capacity without gastric reduction or stapling. We present a case of a 51-year-old Hispanic female with a BMI of 41.91 kg/m2, who underwent (LGGCP) ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Aguiluz Cornejo G,Jelen N,Gangemi A

    更新日期:2019-04-01 00:00:00

  • Effect of Body Mass Index, Metabolic Health and Adipose Tissue Inflammation on the Severity of Non-alcoholic Fatty Liver Disease in Bariatric Surgical Patients: a Prospective Study.

    abstract:BACKGROUND:Non-alcoholic fatty liver disease (NAFLD), driven by the obesity epidemic, has become the most common form of liver disease. Despite this, there is controversy regarding the prevalence and severity of NAFLD in obesity. Obesity-related factors, such as increasing adiposity, metabolic disease and inflammation,...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Ooi GJ,Burton PR,Bayliss J,Raajendiran A,Earnest A,Laurie C,Kemp WW,McLean CA,Roberts SK,Watt MJ,Brown WA

    更新日期:2019-01-01 00:00:00

  • Ursodeoxycholic Acid in the Prevention of Gallstone Formation After Bariatric Surgery: an Updated Systematic Review and Meta-analysis.

    abstract::We aim to review the available literature on obese patients treated with ursodeoxycholic acid (UDCA) in order to prevent gallstone formation after bariatric surgery. A systematic literature search was performed in PubMed, Cochrane library, and Scopus databases, in accordance with the PRISMA guidelines. Eight studies m...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,评审


    authors: Magouliotis DE,Tasiopoulou VS,Svokos AA,Svokos KA,Chatedaki C,Sioka E,Zacharoulis D

    更新日期:2017-11-01 00:00:00

  • Clinical effectiveness of exenatide in diabetic patients waiting for bariatric surgery.

    abstract:BACKGROUND:Bariatric surgery constitutes the most effective treatment for severely obese type 2 diabetic patients. Exenatide is a glucagon-like peptide 1 receptor agonist that can improve glycemic control and cause weight loss in patients with type 2 diabetes. Clinical experience with exenatide in obese patients with t...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章


    authors: Iglesias P,Civantos S,Vega B,Pavón I,Guijarro G,Monereo S

    更新日期:2015-03-01 00:00:00

  • Effects and Mechanisms of Vagal Nerve Stimulation on Body Weight in Diet-Induced Obese Rats.

    abstract:BACKGROUND:Vagal nerve stimulation (VNS) has recently been indicated as a novel method for treating obesity. However, the optimal stimulation parameters were unknown and mechanisms were poorly understood. The aim of this study was to investigate the effects of VNS on food intake and body weight in diet-induced obesity ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Dai F,Yin J,Chen JDZ

    更新日期:2020-03-01 00:00:00

  • Plicated Sleeve Gastrectomy with Combined Mesocolon and Greater Omentum Fixation After T-Shaped Omentoplasty: How to Do it?

    abstract:INTRODUCTION:This technique aims to evaluate fixation of the sleeved distal part of the stomach to the root of the transverse mesocolon and greater omentum after its shortening in a T-shaped design. METHODS:Sleeve gastrectomy is done in a standard five-port technique. Then, we fix the distal end of the staple line usi...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Abdallah E,Fikry M,Rady O,Elfeki H

    更新日期:2020-03-01 00:00:00

  • The Effect of a Muscle Weight-Bearing and Aerobic Exercise Program on the Body Composition, Muscular Strength, Biochemical Markers, and Bone Mass of Obese Patients Who Have Undergone Gastric Bypass Surgery.

    abstract:BACKGROUND:The effect of an exercise program on the body composition, muscular strength (MS), biochemical markers, and bone mineral density (BMD) of individuals undergoing gastric bypass is unclear. We assessed lean mass (LM), MS, bone remodeling markers, and BMD before and after supervised weight-bearing and aerobic e...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Campanha-Versiani L,Pereira DAG,Ribeiro-Samora GA,Ramos AV,de Sander Diniz MFH,De Marco LA,Soares MMS

    更新日期:2017-08-01 00:00:00

  • Bariatric Surgery Coverage: a Comprehensive Budget Impact Analysis from a Payer Perspective.

    abstract:OBJECTIVE:The objective of this study was to estimate a payer's budget impact of bariatric surgery coverage under (1) unrestricted, (2) budget-restricted ($500,000/year), and (3) quantity-restricted (100/year) medical benefit plan scenarios versus non-coverage in general and type 2 diabetes mellitus (T2DM) populations ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Palli SR,Rizzo JA,Heidrich N

    更新日期:2018-06-01 00:00:00

  • Endoscopic findings of asymptomatic patients one year after Roux-en-Y gastric bypass for treatment of obesity.

    abstract:BACKGROUND:In the late post-operative period, the necessity of performing an upper gastrointestinal endoscopy (GIE) to check for complications is controversial. Some authors suggest it should be routine for all patients, others selectively, but not all patients with endoscopic abnormalities are symptomatic and some abn...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Spinosa SR,Valezi AC

    更新日期:2013-09-01 00:00:00

  • Bariatric surgery outcomes in a European Centre of Excellence (CoE).

    abstract::Bariatric Surgery Centres of Excellence have been promoted by the International Federation for the Surgery of Obesity and Metabolic Disorders European Chapter to improve outcomes and security of patients. A retrospective analysis of our prospective database has been performed. Between May 2001 and September 2012, we o...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Fort JM,Vilallonga R,Lecube A,Gonzalez O,Caubet E,Mesa J,Armengol M

    更新日期:2013-08-01 00:00:00

  • Management of obesity with the new intragastric balloon.

    abstract:BACKGROUND:The introduction of an endoscopically-placed Bariatric Intragastric Balloon (BIB) provided the opportunity to reexamine weight reduction methods and also study potential weight loss without resorting to surgical intervention. METHODS:10 severely obese patients with mean age 33 years and mean body mass index...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Hodson RM,Zacharoulis D,Goutzamani E,Slee P,Wood S,Wedgwood KR

    更新日期:2001-06-01 00:00:00

  • Prevention of vitamin and mineral deficiencies after bariatric surgery: evidence and algorithms.

    abstract::Bariatric surgery is widely accepted as first-choice treatment of morbid obesity and has also shown promising results in the treatment of diabetes and the metabolic syndrome. The number of operations each year is increasing, as well as, consequently, the urgent need for a coordinated nutritional approach, as micronutr...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审


    authors: Schweitzer DH,Posthuma EF

    更新日期:2008-11-01 00:00:00

  • The effect of laparoscopic Roux-en-Y gastric bypass on fibromyalgia.

    abstract:BACKGROUND:Fibromyalgia is a chronic debilitating disorder affecting 3-5% of the US population. Treatment of this disorder is a challenge. The incidental finding of improvement of fibromyalgia following laparoscopic Roux-en-Y gastric bypass stimulated us to study this phenomenon. METHODS:A retrospective chart review o...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Saber AA,Boros MJ,Mancl T,Elgamal MH,Song S,Wisadrattanapong T

    更新日期:2008-06-01 00:00:00

  • Impact on obesity-related illnesses and quality of life following intragastric balloon.

    abstract:BACKGROUND:The impact of intragastric balloon (IGB) on obesity-related illnesses and quality of life (QOL) has not been previously investigated. METHOD:One hundred and nineteen consecutive obese patients (86 females; mean age 37.8; mean body weight (BW) 103.7 +/- 24.1 kg; mean BMI 38.4 +/- 8.0 kg/m(2)) who underwent I...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Mui WL,Ng EK,Tsung BY,Lam CH,Yung MY

    更新日期:2010-08-01 00:00:00