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Current Obesity Reports
Erschienen in:

28.07.2017 | Health Services and Programs (R Welbourn, Section Editor)

Evidence Base for Optimal Preoperative Preparation for Bariatric Surgery: Does Mandatory Weight Loss Make a Difference?

verfasst von: Julie J. Kim

Erschienen in: Current Obesity Reports | Ausgabe 3/2017

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Abstract

Purpose of Review

Preoperative weight loss regimens prior to bariatric surgery have been a routine and common practice for many centers, in the US and around the world. The mandated participation in such programs has largely been influenced by loco-regional payer requirements. The relationship between adherence to a mandatory weight loss regimen and achieved preoperative weight loss as well as the clinical impact of preoperative weight loss on bariatric outcomes remains uncertain.

Recent Findings

This review examines the available current literature, in the context of previous findings, regarding the impact of mandated preoperative weight loss regimens and mandatory weight loss on bariatric outcomes.

Summary

The reviewed studies do not provide sufficient evidence that mandatory participation in a preoperative weight loss regimen prior to bariatric surgery is associated with achieved weight loss or durable bariatric outcome benefit. Preoperative weight loss, when achieved, may confer a positive benefit on postoperative complications; however, this is not a consistent finding in the literature and requires further validation. The practice of mandating participation in a preoperative weight loss regimen or requiring mandatory weight loss prior to bariatric surgery is not supported by current literature and may serve as an obstacle to medically necessary and potentially life-saving treatment.
Literatur
1.
2.
Health implications of obesity. National Institutes of Health Consensus Development Conference Statement. Ann Intern Med. 1985;103(1):147–51.CrossRef
3.
Gastrointestinal surgery for severe obesity. Proceedings of a National Institutes of Health Consensus Development Conference. March 25–27, 1991, Bethesda, MD. [No authors listed] Am J Clin Nutr. 1992;55(2 Suppl):487S–619S.
4.
Hassan MK, Joshi AV, Madhavan SS, Amonkar MM. Obesity and health-related quality of life: a cross-sectional analysis of the US population. Int J Obes Relat Metab Disord. 2003;27(10):1227–32.CrossRefPubMed
5.
Jantaratnotai N, Mosikanon K, Lee Y, McIntyre RS. The interface of depression and obesity. Obes Res Clin Pract. 2017;11(1):1–10.CrossRefPubMed
6.
7.
Fildes A, Charlton J, Rudisill C, Littlejohns P, Prevost AT, Gulliford MC. Probability of an obese person attaining normal body weight: cohort study using electronic health records. Am J Public Health. 2015;105(9):e54–9.CrossRefPubMedPubMedCentral
8.
Wing RR, Phelan S. Long-term weight loss maintenance. Am J Clin Nutr. 2005;82(1 Suppl):222S–5S. Review PubMed
9.
Kim J, Eisenberg D, Azagury D, Rogers A, Campos GM. American Society for Metabolic and Bariatric Surgery position statement on long-term survival benefit after metabolic and bariatric surgery. Surg Obes Relat Dis. 2016a;12(3):453–9.CrossRefPubMed
10.
DeMaria EJ, El Chaar M, Rogers AM, Eisenberg D, Kallies KJ, Kothari SN, et al., American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. American Society for Metabolic and Bariatric Surgery position statement on accreditation of bariatric surgery centers endorsed by the Society of American Gastrointestinal and Endoscopic Surgeons. Surg Obes Relat Dis. 2016;12(5):946–54.
11.
Hutter MM, Schirmer BD, Jones DB, Ko CY, Cohen ME, Merkow RP, et al. First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass. Ann Surg. 2011;254(3):410–20. discussion 420-2
12.
Böckelman C, Hahl T, Victorzon M. Mortality following bariatric surgery compared to other common operations in Finland during a 5-year period (2009–2013). A Nationwide Registry Study. Obes Surg. 2017; doi:10.​1007/​s11695-017-2664-z.
13.
Gallagher SF, Banasiak M, Gonzalvo JP, et al. The impact of bariatric surgery on the Veterans Administration healthcare system: a cost analysis. Obes Surg. 2003;13:245–8.CrossRefPubMed
14.
Sampalis JS, Liberman M, Auger S, Christou NV. The impact of weight reduction surgery on health-care costs in morbidly obese patients. Obes Surg. 2004;14:939–47.CrossRefPubMed
15.
Cremieux P-Y, Buchwald H, Shikora S, Ghosh A, Yang HE, Buess-ing M, et al. A study on the economic impact of bariatric surgery. Am J Manag Care. 2008;14:589–96.PubMed
16.
Perryman MR, Gleghorn V. Obesity-related costs and the economic impact of laparoscopic adjustable gastric banding procedures: benefits in the Texas Employees Retirement System. J Med Econ. 2010;13(2):339–50.CrossRefPubMed
17.
Klein S, Ghosh A, Cremieux PY, Eapen S, McGavock TJ. Economic impact of the clinical benefits of bariatric surgery in diabetes patients with BMI ≥ 35 kg/m2. Obesity (Silver Spring). 2011;19(3):581–7.CrossRef
18.
NIH Conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med. 1991;115(12):956–61. Review
19.
Gibbons LM, Sarwer DB, Crerand CE, et al. Previous weight loss experiences of bariatric surgery candidates: how much have patients dieted prior to surgery? Surg Obes Relat Dis. 2006;2:159–64.CrossRefPubMed
20.
Jantz EJ, Larson CJ, Mathiason MA, Kallies KJ, Kothari SN. Number of weight loss attempts and maximum weight loss before Roux-en-Y laparoscopic gastric bypass surgery are not predictive of postoperative weight loss. Surg Obes Relat Dis. 2009;5:208–11.CrossRefPubMed
21.
Buchwald H, Consensus Conference Panel. Consensus conference statement bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. Surg Obes Relat Dis. 2005;1(3):371–81.CrossRefPubMed
22.
23.
Ponce J, Nguyen NT, Hutter M, Sudan R, Morton JM. American Society for Metabolic and Bariatric Surgery estimation of bariatric surgery procedures in the United States, 2011–2014. Surg Obes Relat Dis. 2015;11(6):1199–200.CrossRefPubMed
24.
Funk LM, Jolles SA, Voils CI. Obesity as a disease: has the AMA resolution had an impact on how physicians view obesity? Surg Obes Relat Dis. 2016;12(7):1431–5.CrossRefPubMed
25.
Kyle TK, Dhurandhar EJ, Allison DB. Regarding obesity as a disease: evolving policies and their implications. Endocrinol Metab Clin N Am. 2016;45(3):511–20.CrossRef
26.
Martin LF, Tan TL, Holmes PA, Becker DA, Horn J, Bixler EO. Can morbidly obese patients safely lose weight preoperatively? Am J Surg. 1995;169(2):245–53.CrossRefPubMed
27.
van de Weijgert EJ, Ruseler CH, Elte JW. Long-term follow-up after gastric surgery for morbid obesity: preoperative weight loss improves the long-term control of morbid obesity after vertical banded gastroplasty. Obes Surg. 1999;9(5):426–32.CrossRefPubMed
28.
Brethauer S. ASMBS position statement on preoperative supervised weight loss requirements. Surg Obes Relat Dis. 2011;7(3):257–60.CrossRefPubMed
29.
Pories WJ, MacDonald KG Jr, Morgan EJ, Sinha MK, Dohm GL, Swanson MS, et al. Surgical treatment of obesity and its effect on diabetes: 10-y follow-up. Am J Clin Nutr. 1992;55(2 Suppl):582S–5S.
30.
Hayes MT, Hunt LA, Foo J, Tychinskaya Y, Stubbs RS. A model for predicting the resolution of type 2 diabetes in severely obese subjects following Roux-en Y gastric bypass surgery. Obes Surg. 2011;21(7):910–6.CrossRefPubMed
31.
Jurowich C, Thalheimer A, Hartmann D, Bender G, Seyfried F, Germer CT, et al. Improvement of type 2 diabetes mellitus (T2DM) after bariatric surgery—who fails in the early postoperative course? Obes Surg. 2012;22(10):1521–6.
32.
Jamal MK, DeMaria EJ, Johnson JM, et al. Insurance-mandated preoperative dietary counseling does not improve outcome and increases dropout rates in patients considering gastric bypass surgery for morbid obesity. Surg Obes Relat Dis. 2006;2:122–7.CrossRefPubMed
33.
Kuwada TS, Richardson S, Chaar ME, et al. Insurance-mandated medical programs before bariatric surgery: do good things come to those who wait? Surg Obes Relat Dis. 2010;7:526–30.CrossRefPubMed
34.
Al Harakeh AB, Burkhamer KJ, Kallies KJ, Mathiason MA, Kothari SN. Natural history and metabolic consequences of morbid obesity for patients denied coverage for bariatric surgery. Surg Obes Relat Dis. 2010;6(6):591–6.CrossRefPubMed
35.
• Kim JJ, Rogers AM, Ballem N, Schirmer B, American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS updated position statement on insurance mandated preoperative weight loss requirements. Surg Obes Relat Dis. 2016b;12(5):955–9. Most recent updated position statement regarding mandated preoperative weight loss CrossRefPubMed
36.
Klein S, Burke LE, Bray GA, Blair S, Allison DB, Pi-Sunyer X, et al., American Heart Association Council on Nutrition, Physical Activity, and Metabolism. Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation. 2004;110(18):2952–67.
37.
Turk MW, Yang K, Hravnak M, Sereika SM, Ewing LJ, Burke LE. Randomized clinical trials of weight-loss maintenance: a review. J Cardiovasc Nurs. 2009;24(1):58–80.CrossRefPubMedPubMedCentral
38.
Bergh I, Kvalem IL, Risstad H, Cameron LD, Sniehotta FF. Predictors of preoperative weight loss in morbidly obese adults waiting for bariatric surgery: a prospective cohort study. Obes Surg. 2015;25(9):1610–7.CrossRefPubMed
39.
Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, et al. Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 2007;107(10):1755–67.
40.
Kalarchian MA, Marcus MD, Courcoulas AP, Cheng Y, Levine MD. Preoperative lifestyle intervention in bariatric surgery: a randomized clinical trial. Surg Obes Relat Dis. 2015;12:180–7.CrossRefPubMedPubMedCentral
41.
Horowitz D, Saunders J, Ude-Welcome A, Parikh M. Insurance-mandated medical weight management before bariatric surgery. Surg Obes Relat Dis. 2015;12:496–9.CrossRef
42.
Colles SL, Dixon JB, Marks P, Strauss BJ, O’Brien PE. Preoperative weight loss with a very-low-energy diet: quantitation of changes in liver and abdominal fat by serial imaging. Am J Clin Nutr. 2006;84(2):304–11.PubMed
43.
van Wissen J, Bakker N, Doodeman HJ, Jansma EP, Bonjer HJ, Houdijk AP. Preoperative methods to reduce liver volume in bariatric surgery: a systematic review. Obes Surg. 2016;26(2):251–6.CrossRefPubMed
44.
Livhits M, Mercado C, Yermilov I, Parikh JA, Dutson E, Mehran A, et al. Does weight loss immediately before bariatric surgery improve outcomes: a systematic review. Surg Obes Relat Dis. 2009;5(6):713–21.
45.
Alami RS, Morton JM, Schuster R, Lie J, Sanchez BR, Peters A, et al. Is there a benefit to preoperative weight loss in gastric bypass patients? A prospective randomized trial. Surg Obes Relat Dis. 2007;3(2):141–5. discussion 145-6
46.
Harnisch MC, Portenier DD, Pryor AD, Prince-Petersen R, Grant JP, DeMaria EJ. Preoperative weight gain does not predict failure of weight loss or co-morbidity resolution of laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Obes Relat Dis. 2008;4(3):445–50.CrossRefPubMed
47.
Huerta S, Dredar S, Hayden E, Siddiqui AA, Anthony T, Asolati M, et al. Preoperative weight loss decreases the operative time of gastric bypass at a Veterans Administration hospital. Obes Surg. 2008;18(5):508–12.
48.
Cassie S, Menezes C, Birch DW, Shi X, Karmali S. Effect of preoperative weight loss in bariatric surgical patients: a systematic review. Surg Obes Relat Dis. 2011;7(6):760–7. discussion 767CrossRefPubMed
49.
Van Nieuwenhove Y, Dambrauskas Z, Campillo-Soto A, van Dielen F, Wiezer R, Janssen I, et al. Preoperative very low-calorie diet and operative outcome after laparoscopic gastric bypass: a randomized multicenter study. Arch Surg. 2011;146(11):1300–5.
50.
Liu RC, Sabnis AA, Forsyth C, Chand B. The effects of acute preoperative weight loss on laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2005;15(10):1396–402.CrossRefPubMed
51.
Edholm D, Kullberg J, Haenni A, Karlsson FA, Ahlström A, Hedberg J, et al. Preoperative 4-week low-calorie diet reduces liver volume and intrahepatic fat, and facilitates laparoscopic gastric bypass in morbidly obese. Obes Surg. 2011;21(3):345–50.
52.
Benotti PN, Still CD, Wood GC, Akmal Y, King H, El Arousy H, et al. Preoperative weight loss before bariatric surgery. Arch Surg. 2009;144(12):1150–5.
53.
Riess KP, Baker MT, Lambert PJ, Mathiason MA, Kothari SN. Effect of preoperative weight loss on laparoscopic gastric bypass outcomes. Surg Obes Relat Dis. 2008;4(6):704–8.CrossRefPubMed
54.
Giordano S, Victorzon M. The impact of preoperative weight loss before laparoscopic gastric bypass. Obes Surg. 2014;24(5):669–74.CrossRefPubMed
55.
Alvarado R, Alami RS, Hsu G, Safadi BY, Sanchez BR, Morton JM, et al. The impact of preoperative weight loss in patients undergoing laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2005;15(9):1282–6.
56.
Cayci HM, Erdogdu UE, Karaman K, Budak E, Taymur İ, Buyukuysal C. Does weight gain during the operation wait time have an impact on weight loss after laparoscopic sleeve gastrectomy? Obes Surg. 2017;27(2):338–42.CrossRefPubMed
57.
• Anderin C, Gustafsson UO, Heijbel N, Thorell A. Weight loss before bariatric surgery and postoperative complications: data from the Scandinavian Obesity Registry (SOReg). Ann Surg. 2015;261(5):909–13. Large-scale prospective cohort study that included more than 9, 500 patients with mid-term follow-up up to 2 years. Although it is not a randomized study, represents the largest sample size of any published study on the impact of preoperative weight loss and bariatric outcomes CrossRefPubMed
58.
Solomon H, Liu GY, Alami R, Morton J, Curet MJ. Benefits to patients choosing preoperative weight loss in gastric bypass surgery: new results of a randomized trial. J Am Coll Surg. 2009;208(2):241–5.CrossRefPubMed
59.
Parikh M, Dasari M, McMacken M, Ren C, Fielding G, Ogedegbe G. Does a preoperative medically supervised weight loss program improve bariatric surgery outcomes? A pilot randomized study. Surg Endosc. 2012;26(3):853–61. doi:10.​1007/​s00464-011-1966-9. Epub 2011 Oct 20CrossRefPubMed
60.
Goodpaster BH, Delany JP, Otto AD, Kuller L, Vockley J, South-Paul JE, et al. Effects of diet and physical activity interventions on weight loss and cardiometabolic risk factors in severely obese adults: a randomized trial. JAMA. 2010;304(16):1795–802.
61.
Unick JL, Beavers D, Jakicic JM, Kitabchi AE, Knowler WC, Wadden TA, et al., Look AHEAD Research Group. Effectiveness of lifestyle interventions for individuals with severe obesity and type 2 diabetes: results from the Look AHEAD trial. Diabetes Care. 2011;34(10):2152–7.
62.
• Gerber P, Anderin C, Thorell A. Weight loss prior to bariatric surgery: an updated review of the literature. Scand J Surg. 2015;104(1):33–9. Most recent review, including data from 3 previously published systematic reviews CrossRefPubMed
63.
• Ochner CN, Dambkowski CL, Yeomans BL, Teixeira J, Xavier Pi-Sunyer F. Pre-bariatric surgery weight loss requirements and the effect of preoperative weight loss on postoperative outcome. Int J Obes (Lond). 2012;36(11):1380–7. Systematic review and meta-analysis of published literature from 1991–2011 with review of 29 articles CrossRef
64.
Sherman WE, Lane AE, Mangieri CW, Choi YU, Faler BJ. Does preoperative weight change predict postoperative weight loss after laparoscopic sleeve gastrectomy? Bariatr Surg Pract Patient Care. 2015;10(3):126–9.CrossRefPubMedPubMedCentral
65.
Khorgami Z, Shoar S, Andalib A, Aminian A, Brethauer SA, Schauer PR. Trends in utilization of bariatric surgery, 2010–2014: sleeve gastrectomy dominates. Surg Obes Relat Dis. 2017;13:774–8.
Metadaten
Titel
Evidence Base for Optimal Preoperative Preparation for Bariatric Surgery: Does Mandatory Weight Loss Make a Difference?
verfasst von
Julie J. Kim
Publikationsdatum
28.07.2017
Verlag
Springer US
Erschienen in
Current Obesity Reports / Ausgabe 3/2017
Elektronische ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-017-0269-4

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