%0 Journal Article
%T Weight regain after gastric bypass: etiology and treatment options
%A Maleckas, Almantas
%A Gudaitytė, Rita
%A Petereit, Rūta
%A Venclauskas, Linas
%A Veličkienė, Džilda
%J Gland Surgery
%D 2016
%B 2016
%9 
%! Weight regain after gastric bypass: etiology and treatment options
%K 
%X Roux-en-Y gastric bypass (RYGB) is one of the most common operations performed for the patients with morbid obesity. Weight regain (WR) is a complication that may decrease efficiency of the surgical treatment and demand further interventions. Different factors including lifestyle, mental health, hormonal/metabolic and surgical plays role in WR after RYGB. Various treatment options have been proposed for WR. Conservative treatment is less effective than surgery. Endoscopic refashioning of gastric pouch/stoma fails to achieve sustainable weight loss. Surgical reduction of pouch has acceptable short-term results, but WR after 3 years is substantial. Banded gastric bypass achieves good short-term results, but long-term follow-up data are needed. Distalization of RYGB has a high risk of protein calorie malnutrition (PCM) and conversion to BP diversion (BPD)/duodenal switch (DS) is a technically demanding procedure. Both procedures achieve sustainable long-term weight loss. More studies are needed to explore long-term results of various surgical interventions for WR after RYGB.
%U https://gs.amegroups.org/article/view/12966
%V 5
%N 6
%P 617-624
%@ 2227-8575