9th Annual Association for Bariatric Endoscopy (ABE) Meeting | May 2024 ABEAM2024-Medical Management of Weight Regain after RYGB + Panel Discussion

Medical Management of Weight Regain after RYGB + Panel Discussion

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In a presentation by Dr. Dilhana Badurdeen at the ASGE/ABE Meeting in Washington DC on May 17th, 2024, a case study was discussed involving a 59-year-old female with hypothyroidism and type 2 diabetes. The patient underwent Laparoscopic Roux-en-Y gastric bypass in 2013, leading to a significant weight loss initially. However, she later reported occasional binge eating due to emotional stress and depression, resulting in weight regain and the return of type 2 diabetes. The patient's weight increased to 119kg with a BMI of 38.8 kg/m2, prompting a referral for treatment options. Further examination revealed specific measurements of the gastric pouch and gastrojejunal anastomosis diameter. Key questions raised included the next steps to optimize weight loss and the most suitable weight loss medication for the patient. This case highlights the challenges of long-term weight management post-bariatric surgery and the importance of addressing underlying emotional factors that may impact eating behaviors and overall health outcomes.

Asset Subtitle

Dilhana S. Badurdeen, MBBS, MD

Keywords

Dr. Dilhana Badurdeen

ASGE/ABE Meeting

Washington DC

May 17th, 2024

59-year-old female

Hypothyroidism

Type 2 diabetes

Laparoscopic Roux-en-Y gastric bypass

Weight management post-bariatric surgery

Emotional factors in weight regain