Abstract：
BACKGROUND:Bariatric patients may not always obtain long-term care by their primary surgeon. Our aim was to evaluate weight loss outcomes in patients who had surgery elsewhere. METHODS:We conducted a retrospective analysis. Postreferral management included nonsurgical, revision, or conversion. Primary outcomes were percent excess weight loss (%EWL) overall, according to original operation, and based on postreferral management. RESULTS:Between 2001 and 2013, there were 569 patients. Mean follow-up was 3.1 years. Management was 42% nonsurgical, 41% revision, and 17% conversion. Overall, mean %EWL was 45.3%. Based on original surgery type, %EWL was 41.2% for adjustable gastric banding vs 58.3% for Roux-en-Y gastric bypass (P ≤ .0001). Management affected %EWL (41.2% nonsurgical vs 45.3% revision vs 55.1% conversion, P ≤ .0001). CONCLUSIONS:Patients referred after bariatric surgery can achieve satisfactory weight loss. This differs based on surgery type and management strategy.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Obeid NR,Malick W,Baxter A,Molina B,Schwack BF,Kurian MS,Ren-Fielding CJ,Fielding GAdoi
10.1016/j.amjsurg.2015.04.025subject
Has Abstractpub_date
2016-07-01 00:00:00pages
69-75issue
1eissn
0002-9610issn
1879-1883pii
S0002-9610(15)00408-0journal_volume
212pub_type
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journal_title：American journal of surgery
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