Portion Control Eating—a Determinant of Bariatric Outcomes

Introduction Bariatric surgery leads to significant weight loss but the results vary. Application of dietary principles like portion-controlled eating leads to greater weight loss and fewer complications. Aims To evaluate the improvement in weight loss outcomes by incorporating portion-controlled ea...

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Published inObesity surgery Vol. 28; no. 12; pp. 3738 - 3743
Main Authors Goel, Ramen, Goel, Madhu, Nasta, Amrit Manik, Vyas, Sharmila, Dharia, Shefali, Hamrapurkar, Shireen
Format Journal Article
LanguageEnglish
Published New York Springer US 01.12.2018
Springer Nature B.V
Subjects
Eating behavior
Gastrointestinal surgery
Laparoscopy
Medicine
Medicine & Public Health
Original Contributions
Surgery
Roux-en-Y gastric bypass
Nutrition
Bariatric surgery
Weight loss
Portion control
Behavior modification
Sleeve gastrectomy
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Summary:Introduction Bariatric surgery leads to significant weight loss but the results vary. Application of dietary principles like portion-controlled eating leads to greater weight loss and fewer complications. Aims To evaluate the improvement in weight loss outcomes by incorporating portion-controlled eating behavior in postbariatric patients. Methods All patients who underwent bariatric surgery from January 2012 to December 2013 were included in the study. Portion-controlled eating behavior was incorporated in the post-bariatric nutritional protocol. Their demographic, preoperative, and postoperative data were prospectively maintained on Microsoft Office Excel and analyzed statistically. Results Three hundred and seventy-two (89.6%) underwent laparoscopic sleeve gastrectomy (LSG), while 43 (10.4%) underwent laparoscopic Roux-en-Y gastric bypass (RYGB). In the LSG group, lowest (nadir) BMI was 28.99 ± 5.6 kg/m 2 and % Excess weight loss (EWL) was 87.3 ± 27.2%, achieved between 1 and 2 years. In the RYGB group, lowest (nadir) BMI was 27.5 ± 12.09 kg/m and % EWL was 94.32 ± 33.12%. Surgical failure (less than 50% EWL) were 10 (3.27%) in the LSG group and 1 (3%) in the RYGB group. There were no leaks reported in our study. Conclusion Our study highlights the importance of postoperative nutritional interventions like portion-controlled eating for successful bariatric outcome.
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ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-018-3436-0