Weight regain may occur with all
three of the most common procedures (Roux-en-Y gastric bypass, sleeve
gastrectomy and gastric banding), and it depends on nutritional, psychological
and surgeryrelated factors.
There are very few studies
directly investigating the clinical factors determining weight regain. Poor
outcome after the first surgery may happen as follow-up studies underline
stressing the importance of psychiatric
or psychological factors in inducing it. The persistence of body shape
concern and uneasiness after weight loss determining the inability to recognize
one-self as an individual with own desire and capacity, is considered a risk
factor for weight regain.
Psychotherapy is the most useful
instrument to reconstruct body image and achieve weight maintenance.This study
describes a clinical experience of body group therapy after bariatric surgery
showing that psychotherapeutic treatment is necessary to reinforce the patient
identity in order to prevent weight regain.
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