Alcohol use disorder in patients after undergoing bariatric surgery

Abstract

Purpose: to evaluate the impact of bariatric surgery on the incidence of Alcohol Use Disorder (AUD) and depression during the postoperative period. Methods: A prospective study was conducted, evaluating 68 patients who underwent either sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB). The presence of AUD and depression was assessed both pre- and postoperatively. AUD assessment utilized the AUDIT-C score, while depression assessment employed the Beck Depression Inventory (BDI). Results: The average age of the sample was 42.81 ± 9.28 years, with 85.3% being female. The meanfollow-up duration was 16.54 ± 7.41 months. In the preoperative assessment, 92.6% of the sample fell into the low-risk category for AUD according to the AUDIT-C. No statistically significant difference was observed between the RYGB and SG groups. Postoperatively, 89.7% of the sample was classified as low risk for AUD, with no significant differences comparedto the preoperative assessment. Regardingdepression, there was no significant difference between the pre- and postoperative periods for all patients. However, a notable trend towards a reduction in "severe depression" was observed in the postoperative period for patients undergoing SG (pre: 14.0% vs. post: 7.0%, p=0.013). Conclusion: There is no significant difference in the presence of AUD and depression between pre- and postoperative assessments in patients who have undergone bariatric surgery.