Effect of preoperative eating patterns and preoperative weight loss on the short- and mid-term weight loss results of sleeve gastrectomy.

Abstract Introduction Weight loss depends directly on the adhesion to the postoperative diet in patients undergoing a sleeve gastrectomy. The aim of this study is to evaluate the effect of different preoperative feeding patterns and the adhesion to a preoperative diet on short and mid-term postoperative weight loss. Materials and methods A prospective study of all morbidly obese patients undergoing a laparoscopic sleeve gastrectomy as a bariatric procedure between 2008 and 2012 was performed. Preoperative feeding patterns and weight loss, preoperatively and postoperatively at 12 and 24 months, were evaluated. Results A total of 50 patients were included, with a mean preoperative BMI of 51.2 + 7.9 kg/m 2 . All the patients presented a feeding pattern of big eaters, 44% of snackers, 40% of sweet eaters and 48% reported regular ingestion of “light” soft drinks. Mean preoperative excess weight loss (EWL) was 13.4% (range 10–31.4%). At 12 months mean EWL was 83.7% and at 24 months 82.4%. Pre and postoperative EWL showed a direct correlation at 12 and 24 months. Mean EWL was significantly lower in snackers, sweet eaters and those drinking “light” soft drinks regularly. Conclusion Preoperative weight loss correlates directly with postoperative weight loss at 1 and 2 years. Snackers, sweet eaters and “light” soft drink consumers, associated with a big eater pattern, achieve a significantly lower postoperative weight loss.