The Effect of Preoperative Weight Loss before Gastric Bypass: A Systematic Review

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...

Full description

Bibliographic Details
Main Authors: Deepak K. Kadeli, John P. Sczepaniak, Kavita Kumar, Christie Youssef, Arash Mahdavi, Milton Owens
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2012/867540
Description
Summary: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.
ISSN:2090-0708
2090-0716