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2025, Number 6

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Acta Med 2025; 23 (6)

Between surgery and forgetfulness: an analysis of follow-up in bariatric patients from the experience of a Mexican surgeon

Chagra MJO, Castillo SMF, Maldonado VMA, Castillo GFA
Full text How to cite this article 10.35366/121688

DOI

DOI: 10.35366/121688
URL: https://dx.doi.org/10.35366/121688

Language: Spanish
References: 12
Page: 499-502
PDF size: 210.01 Kb.


Key words:

obesity, bariatric surgery, postoperative follow-up, medical appointment.

ABSTRACT

Introduction: obesity has become one of the leading public health challenges worldwide. Bariatric surgery is the most effective treatment for weight loss. Post-surgical follow-up is crucial to ensure long-term results, resolution of comorbidities, and adequate quality of life. Various factors contributing to loss of follow-up have been described throughout the literature; however, the results have not been homogeneous. Material and methods: data were extracted from a database of patients who underwent bariatric surgery from January 2013 to December 2022 and were supplemented through an electronic survey. Results: a total of 246 patients met the inclusion criteria. Of these, 196 patients did not attend follow-up consultations. A survey was conducted to determine the reasons for the lack of follow-up, with 67 patients responding. Twenty-nine patients did not have follow-up one year after surgery, and 53 did not have follow-up in the last year (2023). Conclusion: it is crucial to develop and implement clear and consistent guidelines that define adequate follow-up and address the factors contributing to the loss of contact with patients to improve long-term outcomes and quality of life.


REFERENCES

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  2. Shamah-Levy T, Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA et al. Encuesta Nacional de Salud y Nutrición 2021 sobre Covid-19. Resultados nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública; 2022. Disponible en: https://ensanut.insp.mx/encuestas/ensanutcontinua2021/informes.php

  3. Arterburn DE, Telem DA, Kushner RF, Courcoulas AP. Benefits and risks of bariatric surgery in adults: a review. JAMA. 2020; 324 (9): 879-887.

  4. Schauer DP, Feigelson HS, Koebnick C, Caan B, Weinmann S, Leonard AC et al. Bariatric surgery and the risk of cancer in a large multisite cohort. Ann Surg. 2019; 269 (1): 95-101.

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  9. Colegio Mexicano de Cirugía para la Obesidad y Enfermedades Metabólicas. XXV Congreso Internacional de Cirugía para la Obesidad y Enfermedades Metabólicas. Ciudad de México: CMCOEM; 2023.

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  12. Luca P, Nicolas C, Marina V, Sarah B, Andrea L. Where are my patients? Lost and found in bariatric surgery. Obes Surg. 2021; 31 (5): 1979-1985.




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