scholarly journals Meta‐analysis of the influence of lifestyle changes for preoperative weight loss on surgical outcomes

2018 ◽  
Vol 106 (3) ◽  
pp. 181-189 ◽  
Author(s):  
M. Roman ◽  
A. Monaghan ◽  
G. F. Serraino ◽  
D. Miller ◽  
S. Pathak ◽  
...  
2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Deepak K. Kadeli ◽  
John P. Sczepaniak ◽  
Kavita Kumar ◽  
Christie Youssef ◽  
Arash Mahdavi ◽  
...  

Background. Many insurance companies require obese patients to lose weight prior to gastric bypass. From a previous study by the same authors, preoperative weight at surgery is strongly predictive of weight loss up to one year after surgery. This review aims to determine whether preoperative weight loss is also correlated with weight loss up to one year after surgery.Methods. Of the 186 results screened using PubMed, 12 studies were identified. A meta-analysis was performed to further classify studies (A class, B class, regression, and rejected).Results. Of all 12 studies, one met the criteria for A class, six were B class, four were regression, and one was rejected. Six studies supported our hypothesis, five were inconclusive, and no study refuted.Conclusions. Preoperative weight loss is additive to postsurgery weight loss as predicted from the weight at the time of surgery.


2018 ◽  
Vol 14 (11) ◽  
pp. S175
Author(s):  
Adel Zedan ◽  
Hatem Soltan ◽  
Mohammed Sabry ◽  
Rami R Mustafa ◽  
Mahmoud Hagag ◽  
...  

2020 ◽  
pp. 47-52
Author(s):  
Gustavo Peixoto Soares Miguel ◽  
Paulo Henrique Oliveira de Souza ◽  
Luize Giuri Palaoro ◽  
Caroline Gravel ◽  
Kassio Covre

2018 ◽  
Vol 29 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Kamthorn Yolsuriyanwong ◽  
Komdej Thanavachirasin ◽  
Kimberly Sasso ◽  
Lauren Zuro ◽  
Jessica Bartfield ◽  
...  

2018 ◽  
Vol 227 (4) ◽  
pp. e75
Author(s):  
Mario A. Masrur ◽  
Luis Fernando Gonzalez Ciccarelli ◽  
Roberto Bustos ◽  
Ronak A. Patel ◽  
Kirstie K. Danielson ◽  
...  

2017 ◽  
Vol 83 (10) ◽  
pp. 1112-1116 ◽  
Author(s):  
Beatrice J. Sun ◽  
David Valdez ◽  
Dao Duong ◽  
Ryan Gupta ◽  
Brian R. Smith

The safety and efficacy of preoperative weight loss before elective nonbariatric surgery is controversial. We evaluated the effect of planned surgical delay for a preoperative weight loss trial in hernia repairs. Four hundred and fourteen patients undergoing elective hernia repair between July 2008 and May 2012 at a Level 1B VA Medical Center were identified. Included patients were divided into two groups: those who underwent immediate hernia repair (nontrial) and those who underwent weight loss trial before hernia repair (TRIAL). Twenty-two patients were categorized in the TRIAL group, and 392 in nontrial. Time from surgical evaluation to operation was longer in the TRIAL vs nontrial group (226 days vs 113 days, P = 0.001). Outcome measures were similar between groups. Net change in body mass index (BMI) was -2.2 per cent in TRIAL vs -0.86 per cent in nontrial patients (P = 0.440). Of the TRIAL patients, ten obtained a poor result (<3% decreased BMI), nine a moderate result (3–10% decreased BMI), and three a good result (>10% decreased BMI). Weight loss trials in elective hernia patients appear to be safe, although they result in significant delay to surgery and confer no difference in postoperative outcomes. Thus, efficacy of preoperative weight loss trials may be limited.


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