Surgery-related gastrointestinal symptoms in a prospective study of bariatric surgery patients: 3-year follow-up

Kalarchian, Melissa A.; King, Wendy C.; Devlin, Michael J.; White, George L.; Marcus, Marsha D.; Garcı́a, Luis; Yanovski, Susan Z.; Mitchell, James E.

doi:10.1016/j.soard.2017.03.028

Cited by 20 publications

(7 citation statements)

References 29 publications

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“…These findings are in line with previous studies that found that purging episodes are not a common behavior among this population [2,19]. Most purging-type behaviors after bariatric surgery are related to physical discomfort due to the surgery [20,21]. However, cases of self-induced vomiting related to weight and shape concerns following surgery are rare, and prevalence data have been largely unavailable [7,22].…”

Section: Discussionsupporting

confidence: 90%

Comparison of Interview to Questionnaire for Assessment of Eating Disorders after Bariatric Surgery

Globus

Kissileff

Hamm

et al. 2021

JCM

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The Eating Disorder Examination Interview Bariatric Surgery Version (EDE-BSV) assesses eating pathology after bariatric surgery but requires significant training and time to administer. Consequently, we developed a questionnaire format called the Eating Disorders After Bariatric Surgery Questionnaire (EDABS-Q). This study evaluates the consistency of responsiveness between the two formats. After surgery, 30 patients completed the EDE-BSV and EDABS-Q in a restricted randomized design. Patient reported behavior for each item which was converted to a score following the Eating Disorder Examination-Questionnaire (EDE-Q) scoring scheme. Responses fell into three distributions: (1) dichotomous, (2) ordinal, or (3) unimodal. Distributions of items were not different between the two formats and order did not influence response. Tests of agreement (normal approximation of the binomial test) and association (χ2 analyses on binary data and spearman rank order correlations on ordinal items) were performed. Percent concordance was high across items (63–100%). Agreement was significant in 31 of 41 items (Bonferroni-P < 0.001). Association was significant in 10 of 21 in χ2–appropriate items (Bonferroni-P < 0.002), and the ordinal items had highly significant correlations between formats (Bonferroni-P < 0.0125). The EDABS-Q is an adequate substitute for the EDE-BSV and may be useful for research and clinical evaluation of eating pathology after bariatric surgery.

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Section: Discussionsupporting

confidence: 90%

Comparison of Interview to Questionnaire for Assessment of Eating Disorders after Bariatric Surgery

Globus

Kissileff

Hamm

et al. 2021

JCM

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“…Some studies report reduced abdominal symptoms post RYGB (50–53). In one series, improvements were found up to 5 years post surgery for various abdominal symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Another series found that abdominal pain scores as evaluated by the Gastrointestinal Symptom Rating Scale improved 1 year post surgery (52). One study found that symptoms like dysphagia and dumping decreased up to 3 years post surgery (53).…”

Section: Discussionmentioning

confidence: 99%

Abdominal Pain After Roux-En-Y Gastric Bypass for Morbid Obesity

Mala

Høgestøl

2018

Scand J Surg

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“…After surgery, while a BED diagnosis is unlikely due to the reduced gastric capacity, LOC eating exhibits a more persistent pattern with up to 50% of patients still being affected (Smith et al, 2019). Besides the high prevalence, LOC eating in postoperative patients is associated with poorer weight loss (King et al, 2019; White et al, 2010), more surgical complications such as vomiting (Kalarchian et al, 2017), and lower quality of life (Hilbert et al, 2022). Such clinical significance makes LOC eating a promising target for developing strategies to optimize bariatric surgery outcomes.…”

Section: Introductionmentioning

confidence: 99%

Experiences of loss of control eating in women after bariatric surgery: A qualitative study

Yeh

Kalarchian

et al. 2023

Intl J Eating Disorders

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Objective Loss of control (LOC) eating following bariatric surgery remains insufficiently understood, reflected in a lack of clear conceptualization, valid measurements, and effective treatments. This study explored patients' perspectives on LOC eating post‐bariatric surgery, focusing on the relevance of the Diagnostic and Statistical Manual of Mental Disorders‐5 (DSM‐5) indicators of impaired control, and patients' experiences before (precipitating factors), during (eating patterns, perpetuating factors), and after the episodes (strategies used to stop eating). Methods This was a qualitative study using descriptive phenomenology. Participants were adults who have undergone gastric bypass or sleeve gastrectomy and self‐reported recent LOC eating. Data were collected by semi‐structured interviews and analyzed using a combined inductive and deductive approach. Results Participants were all women (N = 15; age: 34.5 ± 9.2 years). Results suggested that (1) except for feeling disgusted, guilty, or depressed after eating, other DSM‐5 indicators did not seem to be highly relevant to this bariatric cohort; (2) LOC eating could occur across contexts, with food access, boredom, and food craving being consistent triggers; (3) the food amount consumed during a LOC episode was not necessarily considered excessive; (4) “mindlessness” and “satisfying hedonic, physiological, and mental needs” were the main perpetuating factors of LOC eating; and (5) self‐talk and distracting attention were the most adopted strategies to stop eating. Discussion Study findings have implications concerning the conceptualization, measurement, and intervention of LOC eating among bariatric patients. For example, results suggested the need for more data to determine the appropriate indicators of LOC eating and the inclusion of boredom as an intervention target in bariatric patients. Public Significance Loss of control (LOC) eating is characterized by a sense of being unable to stop while eating. LOC eating is prevalent in patients who have undergone weight loss surgery and is associated with worse surgical outcomes. This qualitative study that explored post‐bariatric surgery patients' experiences of LOC eating will inform efforts to better assess and intervene in this disordered eating behavior, thus ultimately optimizing patients' health following weight loss surgery.

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Surgery-related gastrointestinal symptoms in a prospective study of bariatric surgery patients: 3-year follow-up

Cited by 20 publications

References 29 publications

Comparison of Interview to Questionnaire for Assessment of Eating Disorders after Bariatric Surgery

Comparison of Interview to Questionnaire for Assessment of Eating Disorders after Bariatric Surgery

Abdominal Pain After Roux-En-Y Gastric Bypass for Morbid Obesity

Experiences of loss of control eating in women after bariatric surgery: A qualitative study

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