Cited by 117Bariatric Surgery and OutcomesBody Contouring and SurgeryMinimally Invasive Surgical Techniques

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What Is Weight Loss After Bariatric Surgery Expressed in Percentage Total Weight Loss (%TWL)? A Systematic Review

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van Rijswijk, Anne-Sophie, van Olst, Nienke, Schats, Winnie, van der Peet, Donald L., van de Laar, Arnold W.·2021·Obesity Surgery

DOI 10.1007/s11695-021-05394-x

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Abstract

Percentage total weight loss (%TWL) might be better than percentage excess weight loss to express weight loss in bariatric surgery. In this systematic review, performed according to the PRISMA statement, results of laparoscopic sleeve gastrectomy (LSG) and Roux-en-Y gastric bypass (LRYGB) are assessed in %TWL. A total of 13,426 studies were screened and 49 included, reporting data of 24,760 patients. The results show that, despite limiting data, LRYGB is favorable over LSG in terms of weight loss in short-term follow-up. Although recent guidelines recommend to use %TWL when reporting outcome in bariatric surgery, this study shows that there is still insufficient quality data in %TWL, especially on LSG. The use of %TWL as the primary outcome measure in bariatric surgery should be encouraged.

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Authors: van Rijswijk, A.-S., van Olst, N., Schats, W., van der Peet, D. L., & van de Laar, A. W.
Affiliations: The Netherlands Cancer Institute (NL)
Corresponding author: Schats, Winnie
ORCID: van Rijswijk, Anne-Sophie
Schats, Winnie
Venue: Obesity Surgery
Publisher: Springer Science and Business Media LLC
Published: 2021-05-17
Volume: 31
Issue: 8
Pages: 3833-3847
ISSN: 0960-8923 (ISSN-L)
1708-0428
DOI: 10.1007/s11695-021-05394-x
OpenAlex: W3161975691
Cited by: 117
References: 81
Citations by year: 2026: 20 · 2025: 32 · 2024: 26 · 2023: 23 · 2022: 14 · 2021: 2
FWCI: 3.91
Type: journal article
Language: en
Open access: green
pure.amsterdamumc.nl
Licence: other-oa
www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Obesity Surgery (publishedVersion)
PubMed (publishedVersion)
Pure Amsterdam UMC (submittedVersion, other-oa)
Data Archiving and Networked Services (DANS) (submittedVersion)
Topics: Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
Keywords: bariatric surgery outcomes
MeSH terms: Gastrectomy, Humans, Obesity, Morbid, Laparoscopy, Retrospective Studies, Gastric Bypass, Weight Loss, Treatment Outcome, Bariatric Surgery

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What Is Weight Loss After Bariatric Surgery Expressed in Percentage Total Weight Loss (%TWL)? A Systematic Review

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