Obesity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male or female patients with obesity meeting the surgical indications of the "Guidelines for Surgical Treatment of Obesity and Metabolic Diseases in China (2024 Edition)"; 2. Aged 18-65 years; 3. Underwent Laparoscopic Sleeve Gastrectomy (LSG) at West China Hospital, Sichuan University; 4. Met the operational definition of "Weight Loss Plateau" during postoperative follow-up; 5. Voluntarily chose to use GLP-1 receptor agonists or continue routine follow-up after clinical evaluation and shared decision-making; 6. Capable of understanding and voluntarily signing the written informed consent form.
Exclusion criteria
Exclusion criteria: 1. Regular use of weight loss medications prior to surgery; 2. History of major abdominal surgery other than laparoscopic cholecystectomy; 3. Presence of absolute contraindications to bariatric surgery (e.g., severe cardiopulmonary insufficiency, anesthesia contraindications, unstable mental illness, drug addiction); 4. Severe postoperative complications (e.g., refractory severe gastroesophageal reflux); 5. Patients who underwent revisional bariatric surgery or used non-GLP-1RA adjuvant therapies; 6. Clear contraindications to GLP-1 receptor agonists (e.g., personal or family history of medullary thyroid carcinoma, MEN2, history of pancreatitis, pregnancy or lactation); 7. History of stroke, unstable angina, acute coronary syndrome, or NYHA class III-IV heart failure within the past 12 months; 8. Incomplete follow-up data or lost to follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of Total Weight Loss (%TWL);Percentage of weight loss after adjuvant therapy;Percentage of Excess Weight Loss (%EWL); | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of clinically significant weight loss;Blood biochemical and hormonal profiles;Quality of Life Score (SF-36); | — |
Countries
China
Contacts
West China Hospital of Sichuan University