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Long-Term Follow-Up of Bariatric Patients

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The SAGES Manual of Bariatric Surgery

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.

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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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Author information

Authors and Affiliations

  1. Department of Surgery, Oregon Health and Science University, Portland, OR, USA

    Kelly R. Haisley

  2. Department of Surgery, Swedish Medical Center, Seattle, WA, USA

    Samer G. Mattar

Authors
  1. Kelly R. Haisley
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  2. Samer G. Mattar
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Corresponding author

Correspondence to Samer G. Mattar .

Editor information

Editors and Affiliations

  1. Foregut and Bariatric Surgeon, Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic, Portland, Oregon, USA

    Kevin M. Reavis

  2. Long Island Jewish Forest Hills Hospital, Department of Surgery, Hofstra-Northwell School of Medicine, Forest Hills, New York, USA

    Allison M. Barrett

  3. Institute Chief, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

    Matthew D. Kroh

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Haisley, K.R., Mattar, S.G. (2018). Long-Term Follow-Up of Bariatric Patients. In: Reavis, K., Barrett, A., Kroh, M. (eds) The SAGES Manual of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-71282-6_19

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  • DOI: https://doi.org/10.1007/978-3-319-71282-6_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71281-9

  • Online ISBN: 978-3-319-71282-6

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