Regaining weight post-WLS.....a question

As I struggle to control my appetite 3 years post WLS, I am extremely curious to find some good solid research which shows the % success of maintaining weight loss following traditional dieting and the various forms of WLS. To date, I've found ziltch but you've gotta think it's out there somewhere in cyberspace.

I've seen a lot of "facts" tossed around saying DS is better than RNY for long-term maintenance.... RNY is better than lap band and WLS in general is better than traditional dieting, etc. No concrete facts though just opinions seems to me.

Anyone have a good research study or two they've seen?

Thanks in advance.

Boner

The best long term study is the swedish study from the New England Journal of Med

http://content.nejm.org/cgi/content/full/351/26/2683

I have several long term DS studies on my profile, in addition there are a couple of RNY and lap band studies there too.

When it comes to long term studies the DS does rates high in terms of individuals retaining their weight loss. The hess study (10 years) and the Marceau (15 year) study show that DSers retain their weight loss of at least 70 percent out 10 to 15 years. Very distal RNYs also do extremely well. It appears that the more distal the surgery the better the long term results, while malabsorbtion doesn't give you a free ride, it does help to insulate you if you make some bad food choices.



Scott

At 3 years out where would you say that your appetite, hunger, etc are located right now as compared to where you were in the last year or two before surgery? Obviously your exercise regimen is mu*****reased now as opposed to then, whi*****reases the number of calories you can safely consume, but what about the consumption end?  I'm 10 months out and I'd say that I'm currently at about 70 - 75% of where I was at pre-op in terms of the intensity of the hunger. Mentally though, I'm way ahead of where I was back then in terms of being willing to battle the hunger pangs and not give in to them with unhealthy snack foods. Also, I'm mentally way ahead of where I was in terms of being willing to get up from the table still hungry and wait for the food I've eaten to satisfy me later. Although I'll admit that this is still a major struggle. I'd be interested to hear your thoughts on this as you are now where I hope to be soon.

I don't mean to start (contribute to?) a WLS war, Boneman ..  but one interesting study, IMHO, that was in the news recently was a follow-up study of band patients vs. traditional "diet & exercise" patients for two years ... The study found that both groups lost about the same amount of weight at the end of the first year (about 50-60 lbs. on average)  ..  However, by the end of the second year, the banders had kept the greater amount of the lost weight off, whereas the "traditionalists" had a higher % of regain ..        So, make of that stat what you will ..