Scholarlink

Background <p>Weight recurrence (WR), partial response, and nonresponse following metabolic and bariatric surgery (MBS) remain poorly defined. This lack of standardization hinders timely diagnosis, clinical management, and outcomes research. Moreover, no consensus guidelines currently exist to guide providers in treating these conditions.</p> Objectives <p>To evaluate current practices in managing WR, partial response, and nonresponse after MBS; to propose standardized definitions; and to offer evidence-informed clinical recommendations for their identification and treatment.</p> Methods <p>A systematic literature review was conducted using terms related to WR, partial response, and nonresponse following primary MBS. The review focused on management strategies, clinical guidelines, and algorithms addressing these conditions.</p> Results <p>A total of 119 articles published between 2020 and 2023 were included. Of these, 52% were retrospective, 31% prospective or observational, and 7.6% randomized controlled trials. Nearly half (45%) did not define WR or distinguish partial and nonresponse. Among studies that defined WR, definitions varied widely. Clinical management strategies were heterogeneous, and only 2.5% proposed structured treatment algorithms.</p> Conclusion <p>We propose standardized definitions for WR, partial response, and nonresponse after MBS, along with tailored management algorithms. These recommendations aim to support a unified clinical approach and facilitate research in this complex and evolving area of bariatric care.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Proposed Definitions and Clinical Recommendations for the Management of Weight Recurrence, Partial Response, and Nonresponse Following Metabolic and Bariatric Surgery

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月1日

查看全文
  • Saniea F. Majid,
  • Shushmita Ahmed,
  • Sue Benson-Davies,
  • David Voellinger,
  • Matthew Davis,
  • Saad Ajmal,
  • Franchell Richard Hamilton,
  • Mohamed Ali,
  • Stephen Archer

摘要

Background

Weight recurrence (WR), partial response, and nonresponse following metabolic and bariatric surgery (MBS) remain poorly defined. This lack of standardization hinders timely diagnosis, clinical management, and outcomes research. Moreover, no consensus guidelines currently exist to guide providers in treating these conditions.

Objectives

To evaluate current practices in managing WR, partial response, and nonresponse after MBS; to propose standardized definitions; and to offer evidence-informed clinical recommendations for their identification and treatment.

Methods

A systematic literature review was conducted using terms related to WR, partial response, and nonresponse following primary MBS. The review focused on management strategies, clinical guidelines, and algorithms addressing these conditions.

Results

A total of 119 articles published between 2020 and 2023 were included. Of these, 52% were retrospective, 31% prospective or observational, and 7.6% randomized controlled trials. Nearly half (45%) did not define WR or distinguish partial and nonresponse. Among studies that defined WR, definitions varied widely. Clinical management strategies were heterogeneous, and only 2.5% proposed structured treatment algorithms.

Conclusion

We propose standardized definitions for WR, partial response, and nonresponse after MBS, along with tailored management algorithms. These recommendations aim to support a unified clinical approach and facilitate research in this complex and evolving area of bariatric care.