Bariatric
surgery aims to provide long-term WEIGHT LOSS AND improvement in weight-related
comorbidities.
Unfortunately, some patients do not achieve predicted weight loss targets
and many regain a portion of their lost weight within 2–10 years postsurgery.
A review of the literature found that behavioral, dietary, psychological,
physical, and medical considerations can all play a role in suboptimal
long-term weight loss.
Recommendations
to optimize long-term weight loss include ensuring that the patient understands
how the procedure works, preoperative and postoperative education sessions,
tailored nutritional supplements, restraint with liquid kilojoules, pureed
foods, grazing and eating out of the home, an average of 60 minutes of physical
activity per day, and lifelong annual medical, psychological, and dietary
assessments.
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