Therapeutic Options for Recurrence of Weight and Obesity Related Complications After Metabolic and Bariatric Surgery: An IFSO Position Statement

Obes Surg. 2024 Nov;34(11):3944-3962. doi: 10.1007/s11695-024-07489-7. Epub 2024 Oct 14.

Abstract

Obesity is a chronic disease that may require multiple interventions and escalation of therapy throughout the years. Until recently, no universal definition existed for recurrent weight gain and insufficient weight loss. Standardization of reporting is key so outcomes can be compared and data can be pooled. The recent IFSO consensus provided standard terminology and definitions that will likely resolve this in the future, and publishers will need to enforce for authors to use these definitions. This current IFSO position statement provides guidance for the management of recurrent weight gain after bariatric surgery.

Keywords: Metabolic bariatric surgery; One anastomosis gastric bypass; Recurrent weight gain; Revision; Revisional bariatric surgery; Roux-en-Y gastric bypass; Suboptimal clinical response gastric bypass.

Publication types

  • Practice Guideline
  • Review

MeSH terms

  • Bariatric Surgery* / adverse effects
  • Consensus
  • Humans
  • Obesity / complications
  • Obesity / surgery
  • Obesity, Morbid / complications
  • Obesity, Morbid / surgery
  • Postoperative Complications / etiology
  • Postoperative Complications / therapy
  • Recurrence*
  • Societies, Medical / standards
  • Weight Gain*
  • Weight Loss*