These findings indicate strong associations between adiposity, inflammation and affectivity in obese subjects and show that surgery-induced weight loss is associated concomitantly with reduced inflammation and adipokines and with significant improvement in emotional status and eating behaviour. Inflammatory status appears to represent an important mediator of emotional distress and psychological characteristics of obese individuals.
La chirurgie de l'obésité a prouvé son efficacité en termes de perte de poids et d'amélioration des comorbidités associées. Les troubles du comportement alimentaire (TCA) graves associés à une pathologie psychiatrique sont classiquement une contre-indication à la chirurgie bariatrique. En dehors de ces situations, qu'en est-il des TCA présents avant la chirurgie de type binge eating, compulsions ou grignotages : comment évoluent-ils après chirurgie et peuvent-ils influencer les résultats de celle-ci ? En créant une restriction alimentaire et en altérant la physiologie digestive, la chirurgie est-elle susceptible de modifier le comportement et les habitudes alimentaires, d'aggraver ou de faire apparaî-tre des TCA ? Cet article a pour objectif de répondre à ces questions en synthétisant les données de la littérature.Abstract: Bariatric surgery has proven its effectiveness in treating overweight and improving associated comorbidities. It is not recommended in the case of eating disorders associated with psychiatric disorders. Apart from these situations, eating disorders, such as binge eating and craving, occur frequently in obese patients who are candidates for this kind surgery. How do these disorders evolve after surgery, and could they influence the outcome, in terms of weight loss? By restricting food intake and changing digestive physiology, is surgery likely to modify eating behaviour and dietary habits or worsen or reveal eating disorders? This article aims will answer these questions through a review of the literature.
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