BACKGROUND: Bariatric surgery provides durable weight loss and decreases the incidence of co-morbid conditions for @entity1 with @entity28 . Most @entity1 benefit from resultant weight loss, but some are at risk for postoperative refractory @entity3147 , a serious but poorly understood complication. OBJECTIVE: To evaluate differences in bariatric surgery @entity1 who received a feeding tube postoperatively for @entity3147 compared with other indications. SETTING: Retrospective cohort study at an academic bariatric surgery center (1985-2015). METHODS: All bariatric surgery @entity1 that received a feeding tube postoperatively over a 30-year period were identified. Data abstraction from the medical record was performed to assess demographic characteristics, @entity7441 , tube indication, and resultant body mass index (BMI) changes. RESULTS: From a total of 3487 @entity1 who underwent bariatric surgery during the study period, 139 (3.9%) required placement of a feeding tube postoperatively. Refractory @entity3147 was the indication in 24 @entity1 , all after Roux-en-Y gastric bypass. There were no significant differences between these @entity1 and other bariatric surgery @entity1 in terms of mean age (40.6  9.9 versus 43.1  13.4 years, P = .4) and preoperative BMI (47.5  10.5 versus 51.0  9.6 kg/m(2), P = .1). The median time from surgery to tube placement for @entity3147 @entity1 was 4 years. Compared with other feeding tube indications, @entity3147 @entity1 had higher percent excess BMI lost after surgery (126.2  31.9 versus 52.5  44.3%, P<.0001). After tube placement, @entity3147 @entity1 had a significant increase in mean BMI compared with other indications (14.5  20.9 versus-13.0  14.0%, P< .001). CONCLUSION: @entity1 with refractory @entity3147 benefit from feeding tube placement, which results in a significant increase in BMI.

Benefit of feeding tube placement for refractory XXXX after bariatric surgery.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'people'] @entity3147 :: ('MESH:D044342', 'Disease') :: ['malnutrition'] @entity7441 :: ('MESH:D056987', 'Disease') :: ['operative details'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obesity']
@entity3147 :: (MESH:D044342,Disease) :: ['malnutrition']
