Clinical predictors of weight regain after bariatric surgery


DOI: https://dx.doi.org/10.18565/therapy.2020.8.30-35

Volkova A.R., Fishman M.B., Semikova G.V, Somova V.M., Mozgunova V.S.

I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russia
Aim: to study the effect of the clinical characteristics of obese patients on the dynamics of body weight and the development of weight regain (WR) after bariatric surgery.
Material and methods. 122 patients with obesity II and III degree followed-up within 3 years after sleeve gastrectomy or gastric bypass. Clinical indicators (body mass index, waist and hips circumference, body weight dynamics) and the number of contacts with the physician were evaluated. The data obtained were compared with the value of WR.
Results. WR of less than 15% by the 3 year after bariatric surgery was associated with frequent contact with the physician (21,3±5,2 contacts per year). Clinically significant WR (more than 15%) by the 3 year after bariatric surgery was not associated with the initial body mass index, the waist and hips circumference.
Conclusion. The number of contacts with the attending physician is an important factor associated with low WR after bariatric surgery.
Keywords: weight regain, gastric bypass, sleeve gastrectomy, bariatric surgery, obesity
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About the Autors

Anna R. Volkova, MD, professor of the Department of intermediate level therapy with the course of endocrinology, cardiology and functional diagnostics with the Clinic of I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Leo Tolstoy Str. Tel.: +7 (921) 334-29-63. E-mail: volkovaa@mail.ru. ORCID: 0000-0002-5189-9365. eLibrary SPIN: 4007-1288
Mikhail B. Fishman, MD, professor of the Department of faculty surgery of I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Leo Tolstoy Str.
Galina V. Semikova, assistant of the Department of intermediate level therapy with the course of endocrinology, cardiology and functional diagnostics with the Clinic of I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Leo Tolstoy Str. Tel.: +7 (951) 640-39-48. E-mail: Semikovagv@yandex.ru. ORCID: 0000-0003-0791-4705. eLibrary SPIN: 4534-0974
Viktoria M. Somova, endocrinologist at the University Clinic of I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Leo Tolstoy Str.
Valentina S. Mozgunova, resident of the Department of intermediate level therapy with the course of endocrinology, cardiology and functional diagnostics with the Clinic of I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Leo Tolstoy Str. ORCID: 0000-0002-0841-3438


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