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Gastroenterology Research and Practice
Volume 2013, Article ID 256145, 7 pages
http://dx.doi.org/10.1155/2013/256145
Review Article

Nutrition Care for Patients with Weight Regain after Bariatric Surgery

Nutriton Service, Alberta Health Services, Seventh Street Plaza, 10030-107 Street, Edmonton, AB, Canada T5J 3E4

Received 29 July 2013; Accepted 2 October 2013

Academic Editor: Christopher J. de Gara

Copyright © 2013 Carlene Johnson Stoklossa and Suneet Atwal. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Achieving optimal weight outcomes for patients with obesity is important to the management of their chronic disease. All interventions present risks for weight regain. Bariatric surgery is the most efficacious treatment, producing greater weight losses that are sustained over more time compared to lifestyle interventions. However, approximately 20–30% of patients do not achieve successful weight outcomes, and patients may experience a regain of 20–25% of their lost weight. This paper reviews several factors that influence weight regain after bariatric surgery, including type of surgery, food tolerance, energy requirements, drivers to eat, errors in estimating intake, adherence, food and beverage choices, and patient knowledge. A comprehensive multidisciplinary approach can provide the best care for patients with weight regain. Nutrition care by a registered dietitian is recommended for all bariatric surgery patients. Nutrition diagnoses and interventions are discussed. Regular monitoring of weight status and early intervention may help prevent significant weight regain.