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Predictors of early withdrawal from follow-up visits after laparoscopic sleeve gastrectomy in a Japanese institution

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Abstract

Purpose

Postoperative weight loss is related to postoperative adherence to follow-up after bariatric/metabolic surgery, but many patients stop attending follow-up visits early. The aim of this study was to clarify predictors of early withdrawal from follow-up after laparoscopic sleeve gastrectomy (LSG) in a Japanese institution.

Methods

One hundred and fifty-three patients who underwent LSG were retrospectively included in this study. Multivariate analysis was performed to evaluate independent predictors of withdrawal from follow-up visits within 12 months after LSG among significant or nearly significant factors in the univariate analyses. The discrimination power of significant factors was estimated using area under the receiver operating characteristic curve (AUC).

Results

Within 12 months after LSG, 25 of the 153 patients withdrew from follow-up visits. The multivariate analysis showed that age was the only significant predictor of withdrawal. The AUC for age was 0.685, and the cut-off value was < 40 years. The younger patients (< 40 years old) had a significantly higher rate of withdrawal compared with the older patients (≥ 40 years) (27.0% vs. 8.9%).

Conclusion

Older Japanese patients (≥ 40 years old) may be better candidates for LSG. We consider it significant to continue to emphasize the importance of follow-up visits in younger patients after LSG.

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References

  1. Angrisani L, Santonicola A, Iovino P, Vitiello A, Higa K, Himpens J, et al. IFSO Worldwide Survey 2016: primary, endoluminal, and revisional procedures. Obes Surg. 2018;28:3783–94.

    Article  Google Scholar 

  2. Ohta M, Kasama K, Sasaki A, Naitoh T, Seki Y, Inamine S, et al. Current status laparoscopic bariatric/metabolic surgery in Japan: the sixth nationwide survey by the Japan Consortium of Obesity and Metabolic Surgery. Asian J Endosc Surg. 2021;14:170–7.

  3. Ohta M, Seki Y, Wong SK, Wang C, Huang CK, Aly A, et al. Bariatric/metabolic surgery in the Asia-Pacific region: APMBSS 2018 survey. Obes Surg. 2019;29:534–41.

    Article  Google Scholar 

  4. Oshiro T, Kasama K, Nabekura T, Sato Y, Kitahara T, Matsunaga R, et al. Current status and issues associated with bariatric and metabolic surgeries in Japan. Obes Surg. 2021;31:343–9.

  5. Pontiroli AE, Fossati A, Vedani P, Fiorilli M, Folli F, Paganelli M, et al. Post-surgery adherence to scheduled visits and compliance, more than personality disorders, predict outcome of bariatric restrictive surgery in morbidly obese patients. Obes Surg. 2007;17:1492–7.

    Article  Google Scholar 

  6. Lossa A, Coluzzi I, Giannetta IB, Silecchia G. Weight loss and eating pattern 7 years after sleeve gastrectomy: experience of a bariatric center of excellence. Obes Surg. 2020;30:3747–52.

    Article  Google Scholar 

  7. Lara MD, Baker MT, Larson CJ, Mathiason MA, Lambert PJ, Kothari SN. Travel distance, age, and sex as factors in follow-up visit compliance in the post-gastric bypass population. Surg Obes Relat Dis. 2005;1:17–21.

    Article  Google Scholar 

  8. Sivagnanam P, Rhodes M. The importance of follow-up and distance from centre in weight loss after laparoscopic adjustable gastric banding. Surg Endosc. 2010;24:2432–8.

    Article  Google Scholar 

  9. DeNino WF, Osler T, Evans EG, Forgione PM. Travel distance as factor in follow-up visit compliance in postlaparoscopic adjustable gastric banding population. Surg Obes Relat Dis. 2010;6:597–600.

    Article  Google Scholar 

  10. McVay MA, Friedman KE, Applegate KL, Portenier DD. Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients. Surg Obes Relat Dis. 2013;9:956–62.

    Article  Google Scholar 

  11. Larjani S, Spivak I, Guo MH, Aliarzadeh B, Wang W, Robinson S, et al. Preoperative predictors of adherence to multidisciplinary follow-up care postbariatric surgery. Surg Obes Relat Dis. 2016;12:350–6.

    Article  Google Scholar 

  12. Goldenshluger A, Elazary R, Cohen MJ, Goldshluger M, Ben-Porat T, Nowotni J, et al. Predictors for adherence to multidisciplinary follow-up care. Obes Surg. 2018;28:3054–61.

    Article  Google Scholar 

  13. Wheeler E, Prettyman A, Lenhard MJ, Tran K. Adherence to outpatient program postoperative appointments after bariatric surgery. Surg Obes Relat Dis. 2008;4:515–20.

    Article  Google Scholar 

  14. Examination Committee of Criteria for ‘Obesity Disease’ in Japan, Japan Society for the Study of Obesity. New criteria for ‘Obesity Disease’ in Japan. Circ J. 2002;66:987–92.

    Article  Google Scholar 

  15. Brethauer SA, Kim J, el Chaar M, Papasavas P, Eisenberg D, Rogers A, et al. Standardized outcomes reporting in metabolic and bariatric surgery. Surg Obes Relat Dis. 2015;11:489–506.

    Article  Google Scholar 

  16. Yahiro T, Hara T, Matsumoto T, Ikebe E, Fife-Koshinomi N, Xu Z, et al. Long-term potable effects of alkalescent mineral water on intestinal microbiota shift and physical conditioning. Evid Based Complement Altern Med. 2019;2019:2710587.

    Article  Google Scholar 

  17. Ohta M, Kai S, Iwashita Y, Endo Y, Hirashita T, Eguchi E, et al. Initial experience in laparoscopic sleeve gastrectomy for Japanese morbid obesity. Asian J Endosc Surg. 2009;2:68–72.

    Article  Google Scholar 

  18. Endo Y, Ohta M, Tada K, Nakanuma H, Saga K, Masuda T, et al. Improvement of non-alcoholic fatty liver disease after laparoscopic sleeve gastrectomy in Japanese obese patients. Ann Gastroenterol Surg. 2019;3:285–90.

    Article  Google Scholar 

  19. Fujimoto K, Sakata T, Etou H, Fukunaga K, Ookuma K, Terada K, et al. Charting of daily weight pattern reinforces maintenance of weight reduction in moderately obese patients. Am J Med Sci. 1992;303:145–50.

    Article  CAS  Google Scholar 

  20. Uy MC, Talingdan-Te MC, Espinosa WZ, Daez MLO, Ong JP. Ursodeoxycholic acid in the prevention of gallstone formation after bariatric surgery: a meta-analysis. Obes Surg. 2008;18:1532–8.

    Article  Google Scholar 

  21. Obeidat F, Shanti H. Early weight loss as a predictor of 2-year weight loss and resolution of comorbidities after sleeve gastrectomy. Obes Surg. 2016;26:1173–7.

    Article  Google Scholar 

  22. Naitoh T, Kasama K, Seki Y, Ohta M, Oshiro T, Sasaki A, et al. Efficacy of sleeve gastrectomy with duodenal-jejunal bypass for the treatment of obese severe diabetes patients in Japan: a retrospective multicenter study. Obes Surg. 2018;28:497–505.

    Article  Google Scholar 

  23. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–13.

    Article  Google Scholar 

  24. Shen SC, Wang W, Tam KW, Chen HA, Lin YK, Wang SY, et al. Validating risk prediction models of diabetes remission after sleeve gastrectomy. Obes Surg. 2019;29:221–9.

    Article  Google Scholar 

  25. Aoki K, Tamaki I, Nakao K, Ueno S, Kamijo T, Setoguchi H, et al. Approximate Bayesian computation analysis of EST-associated microsatellites indicates that the broadleaved evergreen tree Castanopsis sieboldii survived the Last Glacial Maximum in multiple refugia in Japan. Heredity. 2019;122:326–40.

  26. Kato-Unoki Y, Umemura K, Tashiro K. Fingerprinting of hatchery haplotypes and acquisition of genetic information by whole-mitogenome sequencing of masu salmon, Oncorhynchus masou masou, in the Kase River system, Japan. PLoS ONE. 2020;15:e0240823.

    Article  CAS  Google Scholar 

  27. Kasama K, Tagaya N, Kanahira E, Umezawa A, Kurosaki T, Oshiro T, et al. Has laparoscopic bariatric surgery been accepted in Japan? The experience of a single surgeon. Obes Surg. 2008;18:1473–8.

    Article  Google Scholar 

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Funding

This study has received no financial support.

Author information

Authors and Affiliations

  1. Global Oita Medical Advanced Research Center for Health, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5593, Japan

    Masayuki Ohta

  2. Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan

    Masayuki Ohta, Yuichi Endo, Atsuro Fujinaga, Takahide Kawasaki, Kiminori Watanabe, Takashi Matsuda, Hiroaki Nakanuma, Masahiro Kawamura, Teijiro Hirashita & Masafumi Inomata

  3. Department of Endocrinology, Metabolism, Rheumatology and Nephrology, Oita University Faculty of Medicine, Oita, Japan

    Takayuki Masaki

Authors
  1. Masayuki Ohta
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  2. Yuichi Endo
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  3. Atsuro Fujinaga
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  4. Takahide Kawasaki
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Corresponding author

Correspondence to Masayuki Ohta.

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Conflict of interest

Masayuki Ohta and other co-authors have no conflict of interest.

Ethical approval

All data collection and analyses were performed in accordance with the ethical standards of the 1964 Declaration of Helsinki, and the study was approved by the Ethics Committee of Oita University Faculty of Medicine (#2007).

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Ohta, M., Endo, Y., Fujinaga, A. et al. Predictors of early withdrawal from follow-up visits after laparoscopic sleeve gastrectomy in a Japanese institution. Surg Today 52, 46–51 (2022). https://doi.org/10.1007/s00595-021-02318-1

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  • DOI: https://doi.org/10.1007/s00595-021-02318-1

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