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Changes in Resting Energy Expenditure After Sleeve Gastrectomy: a Review of the Literature

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Abstract

Obesity is a rising medical condition; metabolic and bariatric surgery, mainly sleeve gastrectomy, offers a successful weight loss option which is maintainable. Weight loss is heavily dependent on energy expenditure. Resting energy expenditure (REE) after sleeve gastrectomy has been described in the literature with varying results. In this review, we review all published literature that described REE post sleeve gastrectomy in human. We found that REE goes down after sleeve gastrectomy as the weight loss occurs and REE when adjusted for weight (REE/kg) only goes up significantly in the 2 studies that included youths. REE/kg did not significantly change in studies including adults ages 30 and above. This study is the first that reviews and summarized REE findings post sleeve gastrectomy and more studies are needed especially targeting the pediatric and youth populations.

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Acknowledgements

We would like to acknowledge Stanford Lane Library Staff Connie Wong for help with the literature search.

We would like to thank the Stanford Quantitative Sciences Unit (QSU) for the statistical consultation (Maya Mathur).

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Authors and Affiliations

  1. Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Lucile Packard Children’s Hospital, Stanford University School of Medicine, 750 Welch Road Suite 116, Palo Alto, CA, 94304, USA

    Marwa Abu El Haija

  2. Children’s Hospital of Los Angeles, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, University of Southern California, Los Angeles, USA

    Rohit Kohli

Authors
  1. Marwa Abu El Haija
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  2. Rohit Kohli
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Contributions

MA summarized the literature search, personally reviewed all papers which resulted from search, consulted with statisticians at Stanford University, emailed authors from papers included to obtain missing data, and wrote the paper.

RK gave overall mentorship and review on performing literature search, inclusion/exclusion criteria on papers, and data extraction, and reviewed and edited the manuscript.

Corresponding author

Correspondence to Marwa Abu El Haija.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Key points

- This is a review of resting energy expenditure (REE) after sleeve gastrectomy (SG).

- REE goes down after SG as weight loss occurs.

- REE per kg (REE/kg) is a better estimate since REE is dependent on weight.

- REE/kg does not change significantly in studies involving adult participants.

- REE/kg shows significant increase after SG only in studies involving young adults.

Supplementary Information

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Supplementary file1 (DOCX 61 KB)

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Abu El Haija, M., Kohli, R. Changes in Resting Energy Expenditure After Sleeve Gastrectomy: a Review of the Literature. OBES SURG 32, 2484–2487 (2022). https://doi.org/10.1007/s11695-022-06092-y

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  • DOI: https://doi.org/10.1007/s11695-022-06092-y

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