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 POOR OUTCOME

ANCHOR LEAD: SURGEONS MAY BE ABLE TO PREDICT BEFOREHAND WHO WON’T BENEFIT FROM OBESITY SURGERY, ELIZABETH TRACEY REPORTS

Some variable number of people who undergo gastric bypass surgery eventually overcome it and become obese again.  How can such folks be identified up front, before surgery, and somehow be helped to avoid regaining weight?  Thomas Magnusen, director of bariatric surgery at Johns Hopkins, says research he conducted agrees with the latest study.

MAGNUSEN:  In our results we found that diabetes, like this article, was a predictor of poor weight loss, as well as the patient’s initial weight was also a predictor of poor weight loss, and male gender.  I think it is important that we look at those factors or those patients who don’t do well and try and figure out ways to help them do better, whether that’s more dietary counseling or selecting different operations for those patients that may help them lose more weight.                           :25

Magnusen says a more drastic operation that removes additional parts of the small intestine may prevent much weight regain, but that it compromises nutritional status in most people and should only be considered as an extreme measure.  I’m Elizabeth Tracey reporting.

 


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