Problematic Alcohol Use and Associated Characteristics Following Bariatric Surgery

Smith, Kathryn E.; Engel, Scott G.; Steffen, Kristine J.; Garcı́a, Luis; Grothe, Karen; Koball, Afton M.; Mitchell, James E.

doi:10.1007/s11695-017-3008-8

Cited by 25 publications

(16 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Post-operative alcohol use has been identified as a predictor for weight regain [27]. Furthermore, psychiatric comorbidities, like prior depression, have been reported to be high among patients with hazardous alcohol consumption after gastric bypass surgery [35]. The present study population mentioned psychiatric comorbidities, as well as altered effects of alcohol, as drivers of increased alcohol use.…”

Section: Discussionmentioning

confidence: 63%

Patients’ Experiences of Weight Regain After Bariatric Surgery

et al. 2022

View full text Add to dashboard Cite

Purpose Bariatric surgery is a successful obesity treatment; however, an estimated 1/5 of patients have regained more than 15% of their body weight 5 years post-surgery. To increase the understanding of patients who experienced weight regain after bariatric surgery, we conducted a qualitative study. Materials and Methods We recruited 16 adult participants (4 men, 12 women) at an obesity clinic in Stockholm, Sweden, 2018 to 2019, and performed semi-structured individual interviews. The transcribed recorded interview data was analyzed with thematic analysis. Results Participants had undergone gastric bypass surgery on average 10 years prior to study and regained 36% (range 12 to 71%) of their weight from their nadir. Participants experienced challenges such as eating in social settings, loneliness, family difficulties, increases in appetite, and physical and mental health problems, which distracted them from weight management. Participants responded to weight regain with emotional distress, particularly with hopelessness, discouragement, shame, and frustration (theme: loss of control and focus). Nonetheless, participants experienced remaining benefits from the surgery, despite weight regain. Social support, self-care, and behavioral strategies were perceived as facilitators for weight management (theme: reducing the burden of weight management). Conclusions Weight regain after bariatric surgery was perceived to be an unexpected and difficult experience that induced hopelessness, discouragement, shame, and frustration. Results indicate that internal and external circumstances such as psychosocial factors, changes in appetite, and physical and mental health problems may contribute to loss of control over weight. Social support, self-care, and behavioral strategies might facilitate long-term post-surgical weight management. Graphical abstract

show abstract

Section: Discussionmentioning

confidence: 63%

Patients’ Experiences of Weight Regain After Bariatric Surgery

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Use of the data allowed the evaluation of changes in documented alcohol use from 2 years before to 8 years after the surgical procedure, building on past US prospective cohort studies. 7 , 13 , 14 , 15 , 16 , 17 , 38 , 39 Second, this study is the first, to our knowledge, to evaluate alcohol-related outcomes of bariatric surgical procedures in a predominantly male population.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10] To date, most research on alcohol-related risks after a bariatric surgical procedure has been limited to laboratory studies [11][12][13] and uncontrolled cohort studies. 7,[13][14][15][16] The only studies that included nonsurgical control patients suggested that Roux-en-Y gastric bypass (RYGB) was associated with increased alcohol use, unhealthy alcohol use, and alcohol use disorder. 15,17 However, these studies in Swedish populations did not include the most common bariatric surgical procedure performed in the US, laparoscopic sleeve gastrectomy (LSG).…”

Section: Introductionmentioning

confidence: 99%

Association of Bariatric Surgical Procedures With Changes in Unhealthy Alcohol Use Among US Veterans

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…Considering that one unit of alcohol will result in higher blood alcohol levels after RYGB, the relative weight on the response alternatives to these questions may be underestimated after surgery. Several studies have applied AUDIT on patients after bariatric surgery (2,7,8).…”

Section: Introductionmentioning

confidence: 99%

“…This applies to two of the questions in the AUDIT: “How many drinks containing alcohol do you have on a typical day when you are drinking?” and “How often do you have six or more drinks on one occasion?” Considering that one unit of alcohol will result in higher blood alcohol levels after RYGB, the relative weight on the response alternatives to these questions may be underestimated after surgery. Several studies have applied AUDIT on patients after bariatric surgery ( 2 , 7 , 8 ).…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study

et al. 2021

View full text Add to dashboard Cite

ObjectiveTo explore patients’ long-term experiences with drinking alcohol after Roux-n-Y gastric bypass (RYGB) for conceptualizing what may indicate problematic drinking behavior after bariatric surgery.Study DesignThree-center, observational study.Patients546 adult patients undergoing RYGB in the period 2003-2009 in Norway.Main Outcome MeasuresSelf-reported data on drinking behavior and experiences related to alcohol collected 10-15 years after surgery.ResultsOut of the 959 patients undergoing RYGB in the period, 29 were diseased and 546 participated in this follow-up study (58.7%). Focusing on suspicious changes in drinking behavior, 8.8% reported drinking more, 11.5% consumed alcohol at least twice a week, and 10.6% consumed at a minimum of 6 units of alcohol at a frequency of at least once monthly. The nature of hangovers had changed for about a third of the patients, with 21.6% reporting these to feel weaker or absent. Repeated alcoholic blackouts were reported by 11.9%. A subgroup of the patients were categorized as displaying presumed problematic drinking behavior(PPDB). Among the PPDB-men there was a significant association to having had a fall last year (6 (100.0%) PPDB-patients vs. 30 (29.7%) non-PPDB, p<.001). Among the PPDB-women, there was a significant association to having had alcohol problems prior to surgery (7 (70.0%) PPDB-patients vs. 67 (17.7%) non-PPDB, p<.001). Less significant associations to PPDB reported for explorative purposes were lack of patient education (men) (16 (26.2%) PPDB-patients vs. 8 (61.5%) non-PPDB, p=.014); more than 3 months persistent musculoskeletal pain (women) (45 (15.3%) PPDB-patients vs. 29 (24.6%) non-PPDB, p=.026); subjective problems with memory (women) (58 (20.7%) PPDB-patients vs. 10 (9.1%) non-PPDB, p=.006); and, receiving professional help for mental problems last 12 months (women) (29 (22.7%) PPDB-patients vs. 45 (14.7%) non-PPDB, p=.043).ConclusionA subset of patients display drinking behaviors that may be consistent with postsurgical alcohol problems. Screening instruments like AUDIT may not be sufficiently specific to capture several risk behaviors occurring after bariatric surgery.

show abstract

Problematic Alcohol Use and Associated Characteristics Following Bariatric Surgery

Abstract: Findings have implications for pre- and postoperative prevention and intervention efforts. Additional research is needed to further elucidate risk factors for problematic alcohol use following bariatric surgery.

Cited by 25 publications

References 22 publications

Patients’ Experiences of Weight Regain After Bariatric Surgery

Patients’ Experiences of Weight Regain After Bariatric Surgery

Association of Bariatric Surgical Procedures With Changes in Unhealthy Alcohol Use Among US Veterans

Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study

Contact Info

Product

Resources

About