Early Intervention for Morbidly Obese Patients After Roux-en-Y Gastric Bypass (RYGB) Surgery
Early Intervention for Morbidly Obese Patients After Roux-en-Y Gastric Bypass (RYGB) Surgery
Purpose and objective: To identify in the early post-operative period following laparoscopic
 Roux-en-Y gastric bypass patients likely to fail to progressively lose weight in expected
 fashion, and to institute intervention and assess for its efficacy.

 Study activities and population group: Patients identified to have "poor weight loss" (≤ 11%
 of excess weight loss) at 1 month will be randomized into a control versus study group.
 Intervention for subjects randomized to the IV arm will be by enrollment in the Back on Track
 program. This is a seven-week group education, counseling, nutrition, exercise, and
 journaling program of the Duke Weight Loss Surgery Center designed to help postoperative
 bariatric surgery patients who are failing to progressively lose weight resume an expected
 pattern of weight loss and improved overall outcome.

 Data analysis and risk/safety: Data will be collected and analyzed by the identified
 investigators. The goal of data analysis is to uncover any difference in the EWL of subjects
 who underwent intervention for falling in the lowest EWL quartile when compared with those
 who did not undergo intervention, and determine the statistical significance of any such
 difference. There are no physical risks associated with this study. There is, however, the
 potential risk of loss of confidentiality. Every effort will be made to keep your information
 confidential.
Inclusion Criteria:

 -  Age 18 years and older

 -  Patient is scheduled and consented for laparoscopic Roux-en-Y gastric bypass as part
 of their routine medical care

 Exclusion Criteria:

 -  Younger than Age 18 years

 -  Patient is disabled and unable to participate in an exercise program