Skip to main content
SpringerLink
Log in

Evaluation of Preoperative Weight Loss

  • Chapter
  • First Online:
Book cover The ASMBS Textbook of Bariatric Surgery

  • 2508 Accesses

Abstract

Obesity has become an epidemic, leading to increased interest in bariatric surgery as a treatment option. Many bariatric patients have had multiple failed attempts at weight loss and are looking for longer-lasting results. Although there is consensus for many surgical procedures, optimal preoperative management is more debated. Preoperative weight loss (PWL) has been proposed as a screening tool for predicting success in surgical candidates. It has also been mandated by many surgeons and insurers. This chapter will discuss the strategy of PWL and review the available evidence for and against PWL.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Cassie S, Menezes C, Birch DW, Shi X, Karmali S. Effect of preoperative weight loss in bariatric surgical patients: a systematic review. Surg Obes Relat Dis. 2011;7(6):760–7.

    Article  PubMed  Google Scholar 

  2. Ray EC, Nickels MW, Sayeed S, Sax HC. Predicting success after gastric bypass: the role of psychosocial and behavioral factors. Surgery. 2003;134(4):555–63; discussion 563–4.

    Article  PubMed  Google Scholar 

  3. Livhits M, Mercado C, Yermilov I, Parikh JA, Dutson E, Mehran A, et al. Does weight loss immediately before bariatric surgery improve surgical outcomes: a systematic review. Surg Obes Relat Dis. 2009;5(6):713–21.

    Article  PubMed  Google Scholar 

  4. Alami RS, Morton JM, Schuster R, Lie J, Sanchez BR, Peters A, et al. Is there a benefit to preoperative weight loss in gastric bypass patients? A prospective randomized trial. Surg Obes Relat Dis. 2007;3(2):141–5; discussion 145–6.

    Article  PubMed  Google Scholar 

  5. Harnisch MC, Portenier DD, Pryor AD, Prince-Petersen R, Grant JP, DeMaria EJ. Preoperative weight gain does not predict failure of weight loss or co-morbidity resolution of laparoscopic roux-en-y gastric bypass for morbid obesity. Surg Obes Relat Dis. 2008;4(3):445–50.

    Article  PubMed  Google Scholar 

  6. Colles SL, Dixon JB, Marks P, Strauss BJ, O’Brien PE. Preoperative weight loss with a very-low-energy diet: quantitation of changes in liver and abdominal fat by serial imaging. Am J Clin Nutr. 2006;84(2):304–11.

    PubMed  CAS  Google Scholar 

  7. Collins J, McCloskey C, Titchner R, Goodpaster B, Hoffman M, Hauser D, et al. Preoperative weight loss in high-risk superobese bariatric patients: a computed tomography-based analysis. Surg Obes Relat Dis. 2011;7(4):480–5.

    Article  PubMed  Google Scholar 

  8. Fris RJ. Preoperative low energy diet diminishes liver size. Obes Surg. 2004;14(9):1165–70.

    Article  PubMed  Google Scholar 

  9. Matzko ME, Argyropoulos G, Wood GC, Chu X, McCarter RJ, Still CD, et al. Association of ghrelin receptor promoter polymorphisms with weight loss following Roux-en-Y gastric bypass surgery. Obes Surg. 2012;22(5):783–90.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Liou AP, Paziuk M, Luevano Jr JM, Machineni S, Turnbaugh PJ, Kaplan LM. Conserved shifts in the gut microbiota due to gastric bypass reduce host weight and adiposity. Sci Transl Med. 2013;5(178):178ra41.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Angelakis E, Armougom F, Million M, Raoult D. The relationship between gut microbiota and weight gain in humans. Future Microbiol. 2012;7(1):91–109.

    Article  PubMed  Google Scholar 

  12. Frazier TH, DiBaise JK, McClain CJ. Gut microbiota, intestinal permeability, obesity-induced inflammation, and liver injury. JPEN J Parenter Enteral Nutr. 2011;35(5 Suppl):14S–20.

    Article  PubMed  CAS  Google Scholar 

  13. Sarwer DB, Wadden TA, Moore RH, Baker AW, Gibbons LM, Raper SE, et al. Preoperative eating behavior, postoperative dietary adherence and weight loss after gastric bypass surgery. Surg Obes Relat Dis. 2008;4(5):640–6.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Brethauer S. ASMBS position statement on preoperative supervised weight loss requirements. Surg Obes Relat Dis. 2011;7(3):257–60.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of General Surgery, Department of Surgery, NY and NJ Surgical Associates, 30 30-16 Astoria Drive, Queens, NY, USA

    Hussna Wakily MD

  2. Division of General Surgery, Department of Surgery, Stony Brook University Hospital, HSC 18-040, New York, NY, 11790, USA

    Aurora Pryor MD

Authors
  1. Hussna Wakily MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Aurora Pryor MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Aurora Pryor MD .

Editor information

Editors and Affiliations

  1. Division of Gastrointestinal Surgery, Department of Surgery, University of California, Irvine Medical Center, Orange, California, USA

    Ninh T. Nguyen

  2. Scottsdale Bariatric Center, Scottsdale, Arizona, USA

    Robin P. Blackstone

  3. Section of Bariatric and Minimally Invasive (BMI) Surgery, Stanford School of Medicine, Stanford, California, USA

    John M. Morton

  4. Bariatric Surgery, Hamilton Medical Center, Dalton, Georgia, USA

    Jaime Ponce

  5. Professor of Surgery and Chairman Department of General Surgery Director, The Bariatric and Metabolic Institute Cleveland Clinic, Weston, Florida, USA

    Raul J. Rosenthal

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Wakily, H., Pryor, A. (2015). Evaluation of Preoperative Weight Loss. In: Nguyen, N., Blackstone, R., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1206-3_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1206-3_10

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1205-6

  • Online ISBN: 978-1-4939-1206-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation