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Chirurgia 2022 October;35(5):266-9

DOI: 10.23736/S0394-9508.22.05371-2


language: English

Adherence to nutritional follow-up after laparoscopic sleeve gastrectomy: a single center experience in the Umbria region in Italy

Claudia RANUCCI 1, Stefano MINISTRINI 2, Roberto PIPPI 3 , Marcello BONI 4, Antonella MONNI 5, Giulia DELLA BINA 5, Natascia CAPITINI 5, Sandra CAPORICCI 5, Carmine G. FANELLI 3, Graziana LUPATTELLI 6

1 Dietetic Service, AUSL Umbria 1, Perugia, Italy; 2 Unit of Internal Medicine, Angiology and Atherosclerosis, Department of Medicine and Surgery, University of Perugia, Perugia, Italy; 3 Department of Medicine and Surgery, Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.Mo.), University of Perugia, Perugia, Italy; 4 Unit of General Surgery, “San Giovanni Battista” Hospital, AUSL Umbria2, Foligno, Perugia, Italy; 5 Dietetic Service, “San Giovanni Battista” Hospital, AUSL Umbria2, Foligno, Perugia, Italy; 6 Unit of Internal Medicine, Department of Medicine and Surgery, “Santa Maria della Misericordia” Hospital, University of Perugia, Perugia, Italy

BACKGROUND: Postoperative follow-up is important for persons with obesity undergoing bariatric surgery, to manage comorbidities and possible complications, to maximize weight loss and to reduce weight regain, through a multidisciplinary counselling. Unfortunately, patients with obesity frequently drop-out follow-up programs.
METHODS: This single-center survey investigates adherence to nutritional follow-up program and the possible causes of drop-out in 281 obese patients treated with laparoscopic sleeve gastrectomy at the “San Giovanni Battista” Hospital in Foligno (Umbria, Italy).
RESULTS: Only 31.3% had completed the one-year follow-up. Patients reported that they did not feel the need for a professional help to lose additional weight, while a large proportion of patients complained practical difficulties in attending the scheduled visits.
CONCLUSIONS: Periodical surveys among the patients dropping the follow-up programs of obesity center should be encouraged, to improve the patients’ adherence and quality results.

KEY WORDS: Gastrectomy; Counseling; Aftercare; Obesity, morbid; Treatment adherence and compliance

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