Gastrointestinal symptoms and eating behavior among morbidly obese patients undergoing Roux-en-Y gastric bypass

Petereit, Rūta; Jonaitis, Laimas Virginijus; Kupčinskas, Limas; Maleckas, Almantas

doi:10.1016/j.medici.2014.06.009

Cited by 34 publications

(46 citation statements)

References 27 publications

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“…Two ‘good’‐rated studies found significant decreases in emotional eating between presurgery and 1 year , and from presurgery to 6 weeks, 1 year and 2 years, with RYGB patients reporting significantly more emotional eating than non‐obese reference subjects before but not after surgery . These positive results were supported by ‘fair’ studies that showed significant decreases in emotional eating at 1 year and 6 months and 1 year (no change from 6 to 12 months) , a significant change over time to 1 year (assessment at 3 days, 2 months and 1 year) , and significant changes over time in anxiety‐related, anger‐related and depression‐related emotional eating between presurgery and 6 months, with a decrease presurgery to 1–3 weeks and no change 1–3 weeks to 6 months .…”

Section: Resultsmentioning

confidence: 92%

Changes in problematic and disordered eating after gastric bypass, adjustable gastric banding and vertical sleeve gastrectomy: a systematic review of pre‐post studies

2016

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Despite differences in their mechanisms and outcomes, little is known about whether postsurgical changes in eating behaviours also differ by bariatric procedure. Following a systematic search, 23 studies on changes in binge eating disorder (BED) and related behaviours, bulimia nervosa and related behaviours, night eating syndrome, grazing and emotional eating after Roux-en-Y gastric bypass (RYGB), adjustable gastric banding (AGB) and vertical sleeve gastrectomy (VSG) were reviewed. Significant methodological problems and a dearth of literature regarding many behaviours and VSG were seen. Regarding BED and related behaviours, although later re-increases were noted, short to medium-term reductions after RYGB were common, and reported changes after AGB were inconsistent. Short to medium-term reductions in emotional eating, and from a few studies, short to long-term reductions in bulimic symptoms, were reported after RYGB. Reoccurrences and new occurrences of problem and disordered eating, especially BED and binge episodes, were apparent after RYGB and AGB. Further conclusions and comparisons could not be made because of limited or low-quality evidence. Long-term comparison studies of changes to problematic and disordered eating in RYGB, AGB and VSG patients are needed. It is currently unclear whether any bariatric procedure leads to long-term improvement of any problematic or disordered eating behaviours.

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Section: Resultsmentioning

confidence: 92%

Changes in problematic and disordered eating after gastric bypass, adjustable gastric banding and vertical sleeve gastrectomy: a systematic review of pre‐post studies

2016

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“…Overconsumption of energy-dense food postoperatively has also been associated with WR [14]. Eating behavior (including restrained, disinhibited, external, and emotional eating, and hunger perception) have shown to improve after GB [15, 16], and some studies suggest that preoperative scores may predict weight loss outcomes [12, 17]. Additionally, health-related QoL improves in most patients after bariatric surgery, but poor weight loss outcome, along with postoperative depression, can influence QoL negatively [18, 19].…”

Section: Introductionmentioning

confidence: 99%

Suboptimal Weight Loss and Weight Regain after Gastric Bypass Surgery—Postoperative Status of Energy Intake, Eating Behavior, Physical Activity, and Psychometrics

2016

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BackgroundSuboptimal weight loss (SWL) and weight regain (WR) after gastric bypass surgery (GB) remains poorly understood.ObjectivesThis study aims to compare GB patients experiencing SWL or significant WR (SigWR) with successful controls, regarding postoperative food intake, eating behavior, physical activity (PA), and psychometrics.MethodsForty-nine patients with >1 year post-surgery were classified as either experiencing SWL (excess body weight loss, EWL, <50%, n = 22) or SigWR (total weight regain ≥15%, n = 38), with respective control groups. Energy intake (EI) was measured with a Food Frequency Questionnaire, eating behavior using the Dutch Eating Behavior Questionnaire and the Three-Factor Eating Questionnaire, and PA using both SenseWear Armbands and the International Physical Activity Questionnaire. Eating disorders, depression, and quality of life (QoL) were measured using the Eating Disorder Examination Questionnaire, Beck Depression Inventory II, and Impact of Weight on Quality of Life, respectively.ResultsEI, macronutrient distribution, and meal frequency were similar among groups. However, disinhibited eating behavior score was higher, while most subcategories from IWQOL were significantly lower in both SWL and SigWR groups compared with their respective controls. PA was significantly lower in the SWL and SigWR groups compared with the respective controls. There were no differences between groups regarding depression.ConclusionsLower PA levels, disordered eating behavior and lower QoL are associated with unsuccessful weigh loss outcome after GB surgery. Longitudinal studies are needed to clarify the potential causal relationship between the previously described variables and SWL/SigWR after GB.

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“…The incidence of diarrhea in a preoperative bariatric population is around 8%[20], being twice as high as in lean people. A possible reason for this might be a higher intake of poorly absorbed sugars[21].…”

Section: Bowel Habit Changes After Bariatric Surgerymentioning

confidence: 99%

“…Up to 75% of patients suffer from alterations of bowel habits and faecal transit time after RYGB[20]. Diarrhea is a common symptom after RYGB[6,20,24], and usual after BPD[14,25].…”

Section: Bowel Habit Changes After Bariatric Surgerymentioning

confidence: 99%

“…Up to 75% of patients suffer from alterations of bowel habits and faecal transit time after RYGB[20]. Diarrhea is a common symptom after RYGB[6,20,24], and usual after BPD[14,25]. Length of the common channel, i.e ., the amount of absorptive surface, seems to play a role, given the higher frequency of diarrhea in long limb/distal RYGB patients than after short limb/proximal RYGB procedures[26], in BPD compared to RYGB[25], and in BPD patients with shorter common channels[27].…”

Section: Bowel Habit Changes After Bariatric Surgerymentioning

confidence: 99%

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Diarrhea after bariatric procedures: Diagnosis and therapy

Borbély¹,

Osterwalder²,

Kröll³

et al. 2017

WJG

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Diarrhea after bariatric procedures, mainly those with malabsorptive elements including Roux-Y Gastric Bypass and Biliopancreatic Diversion, is common and an essential determinant of quality of life and micro- and macronutrient deficiencies. Bariatric surgery is the only sustainably successful method to address morbid obesity and its comorbidities, particularly gaining more and more importance in the specific treatment of diabetic patients. Approximately half a million procedures are annually performed around the world, with numbers expected to rise drastically in the near future. A multitude of factors exert their influence on bowel habits; preoperative comorbidities and procedure-related aspects are intertwined with postoperative nutritional habits. Diagnosis may be challenging owing to the characteristics of post-bariatric surgery anatomy with hindered accessibility of excluded segments of the small bowel and restriction at the gastric level. Conventional testing measures, if available, generally yield low accuracy and are usually not validated in this specific population. Limited trials of empiric treatment are a practical alternative and oftentimes an indispensable part of the diagnostic process. This review provides an overview of causes for chronic post-bariatric surgery diarrhea and details the particularities of its diagnosis and treatment in this specific patient population. Topics of current interest such as the impact of gut microbiota and the influence of bile acids on morbid obesity and especially their role in diarrhea are highlighted in order to provide a better understanding of the specific problems and chances of future treatment in post-bariatric surgery patients.

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Gastrointestinal symptoms and eating behavior among morbidly obese patients undergoing Roux-en-Y gastric bypass

Abstract: In morbidly obese patients endoscopic findings correlate well with gastrointestinal complain. RYGB significantly improves gastrointestinal complains and eating behavior one year postoperatively.

Cited by 34 publications

References 27 publications

Changes in problematic and disordered eating after gastric bypass, adjustable gastric banding and vertical sleeve gastrectomy: a systematic review of pre‐post studies

Changes in problematic and disordered eating after gastric bypass, adjustable gastric banding and vertical sleeve gastrectomy: a systematic review of pre‐post studies

Suboptimal Weight Loss and Weight Regain after Gastric Bypass Surgery—Postoperative Status of Energy Intake, Eating Behavior, Physical Activity, and Psychometrics

Diarrhea after bariatric procedures: Diagnosis and therapy

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