Liraglutide 3.0 mg for the management of insufficient weight loss or excessive weight regain post-bariatric surgery.
Sean WhartonJennifer L KukMagdalena LuszczynskiElham KamranRebecca A G ChristensenPublished in: Clinical obesity (2019)
To assess the effectiveness of liraglutide 3.0 mg in post-bariatric surgery patients, and to determine whether this would differ based on the type of bariatric surgery. One hundred seventeen post-bariatric surgery patients from the Wharton Medical Clinic were analysed. Changes in weight while taking liraglutide 3.0 mg were examined for all patients, and by three types of bariatric surgery-Roux-en-Y gastric bypass, gastric banding and gastric sleeve. Patients primarily underwent Roux-en-Y gastric bypass (n = 53, 45.3%) or gastric banding (n = 50, 42.7%). Over 7.6 ± 7.1 months taking liraglutide 3.0 mg, patients lost a statistically significant amount of weight (-6.3 ± 7.7 kg, P < .05) regardless of the type of surgery they had (P > .05). This decrease in weight remained significant after 1-year of taking liraglutide 3.0 mg (P < .05). Nausea was the most prevalent side effect, reported by 29.1% patients. While options for excess weight management in post-bariatric surgery patients are limited, results of this study suggest that post-bariatric surgery patients can lose a significant amount of weight while taking liraglutide 3.0 mg regardless of the type of surgery they had. Further, similar to non-surgical populations, post-bariatric surgery patients taking liraglutide 3.0 mg may experience gastrointestinal side effects such as nausea and can continue to lose weight up to 1 year.
Keyphrases
- weight loss
- bariatric surgery
- end stage renal disease
- roux en y gastric bypass
- ejection fraction
- chronic kidney disease
- prognostic factors
- obese patients
- healthcare
- primary care
- systematic review
- body mass index
- physical activity
- type diabetes
- randomized controlled trial
- patient reported outcomes
- insulin resistance
- minimally invasive
- patient reported