Saturday, May 22, 2021

Weight-Loss Surgery Works in IBD Patients ‎

Obese patients with inflammatory bowel disease (IBD) had weight loss and resolution of other obesity-related complications, similar to that of patients without IBD, after bariatric surgery, a small retrospective study showed.


Weight loss varied substantially by the type of bariatric procedure used, ranging from 26% of excess weight with adjustable banding to 95% with sleeve gastrectomy. The 17 patients in the study had a variety of obesity-related health problems, and all 17 had resolution or improvement in the conditions, including diabetes, hypertension, sleep apnea, hyperlipidemia, and gastroesophageal reflux disease (GERD).

"These patients have done really well," Daniel Gagné, MD, of West Penn Allegheny Health System in Pittsburgh, told MedPage Today. "With the exception of three Crohn's patients who had postoperative complications, the patients have had no problems."

Bariatric Surgery

Follow-up is pretty much the same as with other patients without IBD. They are on the same nutrition regimen. We follow them regularly and check their lab results, which are usually normal," he explained.

Weight Loss Surgery

Crohn's disease and ulcerative colitis has been considered a relative contraindication to bariatric surgery. Published case reports have offered conflicting information about the effect of bariatric surgery on these IBDs. Some have suggested the surgery exacerbates IBD symptoms, and others have provided evidence that surgery-induced weight loss reduces systemic inflammation, leading to better symptom control and reduced medication use.

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