Long-Term Follow-Up of Bariatric Patients

Chapter

Abstract

Our emerging recognition of the chronic and relapsing nature of the metabolic dysfunction that contributes to obesity, as well as the numerous life-threatening comorbidities related to excess weight, dictates the importance of long-term follow-up in obese populations. This tenet cannot be overstated in the success of bariatric surgery patients. While follow-up has frequently been relegated to primary care personnel in the past, recent investigations have shown the benefit of longitudinal monitoring by a multidisciplinary bariatric team. Such support is associated with greater improvements in sustained weight loss, prevention of vitamin deficiencies, and better maintenance of comorbidities. Establishing a successful long-term follow-up protocol is vital for bariatric practitioners in order to optimize patient outcomes. This should include but is not limited to a standard clinic visit schedule, periodic laboratory monitoring, ongoing dietary counseling, and bariatric support groups. In addition, specialty providers such as psychologists and physical therapists should be available to help guide patients successfully through the myriad changes that accompany extreme weight loss.

Keywords

Bariatric Follow-up Long- term Nutrition Weight Regain Laboratory Monitoring Office visits Support 

Abbreviations

BPD

Biliopancreatic diversion

DS

Duodenal switch

EWL

Excess weight loss

Hgb A1C

Hemoglobin A1C

PCP

Primary care provider

PRN

As needed

RYGB

Roux-en-y gastric bypass

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryOregon Health and Science UniversityPortlandUSA
  2. 2.Department of SurgerySwedish Medical CenterSeattleUSA

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