Care of the Patient After Metabolic and Bariatric Surgery
Abstract
Weight loss surgery, also known as metabolic and bariatric surgery (MBS), is an effective weight loss treatment and is associated with reduced mortality and improvements in obesity-related health conditions and quality of life. Postsurgical anatomical and physiologic changes include decreased absorption of micronutrients and alterations in gut-brain hormonal regulation that affect many aspects of health. Patients require ongoing monitoring of their physical and mental health for lasting success. Internists, particularly primary care clinicians, are in an ideal position to monitor for nonserious complications in the short and long term, adjust management of chronic diseases accordingly, and monitor for mental health changes. This article reviews key issues that internists should be aware of for supporting patients' health in the short and long term after MBS.
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Expected 12-month weight loss is approximately 25% after laparoscopic sleeve gastrectomy and approximately 30% after Roux-en-Y gastric bypass, with sustained weight loss at 5 years.
“Expected 12-month weight loss is approximately 25% after LSG and approximately 30% after RYGB, with sustained weight loss at 5 years.”
From Obesity Management in Adults (2023) · cites this paper as [44]
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- Authors
- Bramante, C., Wise, E., & Chaudhry, Z.
- Affiliations
- University of Minnesota (US)
- Johns Hopkins University (US)
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 2022-05
- Volume
- 175
- Issue
- 5
- Pages
- ITC65-ITC80
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W4229452739
- Cited by
- 28
- References
- 84
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 6 · 2023: 7 · 2022: 4
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K23DK124654)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Keywords
- bariatric surgery, postoperative care, obesity, primary care, chronic disease management, mental health monitoring, long-term follow-up
- MeSH terms
- Humans, Obesity, Quality of Life, Weight Loss, Treatment Outcome, Bariatric Surgery
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