Medical weight management before bariatric surgery: is it an evidence-based intervention or a rationing tool?

2016 ◽  
Vol 6 (6) ◽  
pp. 359-360 ◽  
Author(s):  
K. K. Mahawar ◽  
P. K. Small
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Evidence Based ◽  
Medical Weight Management

Motivations of Men with Severe Obesity Who Pursue Bariatric Surgery or Medical Weight Management

2018 ◽  
Vol 227 (4) ◽  
pp. e32-e33
Author(s):  
Sally A. Jolles ◽  
Esra Alagoz ◽  
Corrine I. Voils ◽  
Grace E. Shea ◽  
Natalie Liu ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Severe Obesity ◽  
Medical Weight Management

scholarly journals Motivations of Males with Severe Obesity, Who Pursue Medical Weight Management or Bariatric Surgery

2019 ◽  
Vol 29 (6) ◽  
pp. 730-740 ◽  
Author(s):  
Sally A. Jolles ◽  
Esra Alagoz ◽  
Natalie Liu ◽  
Corrine I. Voils ◽  
Grace Shea ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Severe Obesity ◽  
Medical Weight Management

Insurance-mandated medical weight management before bariatric surgery

2016 ◽  
Vol 12 (3) ◽  
pp. 496-499 ◽  
Author(s):  
Daniel Horwitz ◽  
John K. Saunders ◽  
Akuezunkpa Ude-Welcome ◽  
Manish Parikh
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Medical Weight Management

scholarly journals Tier 3 multidisciplinary medical weight management improves outcome of Roux-en-Y gastric bypass surgery

2015 ◽  
Vol 97 (3) ◽  
pp. 235-237 ◽  
Author(s):  
P Patel ◽  
A Hartland ◽  
A Hollis ◽  
R Ali ◽  
A Elshaw ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Weight Management ◽  
Gastric Bypass Surgery ◽  
Management Programme ◽  
Percentage Points ◽  
Weight Management Programme ◽  
Medical Weight Management ◽  
Tier 3

Introduction In 2013 the Department of Health specified eligibility for bariatric surgery funded by the National Health Service. This included a mandatory specification that patients first complete a Tier 3 medical weight management programme. The clinical effectiveness of this recommendation has not been evaluated previously. Our bariatric centre has provided a Tier 3 programme six months prior to bariatric surgery since 2009. The aim of our retrospective study was to compare weight loss in two cohorts: Roux-en-Y gastric bypass only (RYGB only cohort) versus Tier 3 weight management followed by RYGB (Tier 3 cohort). Methods A total of 110 patients were selected for the study: 66 in the RYGB only cohort and 44 in the Tier 3 cohort. Patients in both cohorts were matched for age, sex, preoperative body mass index and pre-existing co-morbidities. The principal variable was therefore whether they undertook the weight management programme prior to RYGB. Patients from both cohorts were followed up at 6 and 12 months to assess weight loss. Results The mean weight loss at 6 months for the Tier 3 cohort was 31% (range: 18–69%, standard deviation [SD]: 0.10 percentage points) compared with 23% (range: 4–93%, SD: 0.12 percentage points) for the RYGB only cohort (p=0.0002). The mean weight loss at 12 months for the Tier 3 cohort was 34% (range: 17–51%, SD: 0.09 percentage points) compared with 27% (range: 14–48%, SD: 0.87 percentage points) in the RYGB only cohort (p=0.0037). Conclusions Our study revealed that in our matched cohorts, patients receiving Tier 3 specialist medical weight management input prior to RYGB lost significantly more weight at 6 and 12 months than RYGB only patients. This confirms the clinical efficacy of such a weight management programme prior to gastric bypass surgery and supports its inclusion in eligibility criteria for bariatric surgery.

Adding a Medical Weight Management Program Enhances Bariatric Surgery Referrals

2017 ◽  
Vol 13 (10) ◽  
pp. S155
Author(s):  
Maureen Miletics ◽  
Maher El Chaar ◽  
Leonardo Claros ◽  
Sagar Mehta ◽  
Kate Boardman ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Management Program ◽  
Weight Management Program ◽  
Medical Weight Management

scholarly journals Preoperative Medical Weight Management in Bariatric Surgery: a Review and Reconsideration

2016 ◽  
Vol 27 (1) ◽  
pp. 208-214 ◽  
Author(s):  
Colleen Tewksbury ◽  
Noel N. Williams ◽  
Kristoffel R. Dumon ◽  
David B. Sarwer
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Medical Weight Management
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