Patient perceptions regarding alcohol use after bariatric surgery

Miller-Matero, Lisa R; Hecht, Leah M; Barnett, Nancy P.; Moore, Roland S.; Jackson, Kristina M.; McCarthy, Denis M.; Martens, Kellie; Hamann, Aaron; Felton, Julia W.; Carlin, Arthur M.; Braciszewski, Jordan M.

doi:10.1007/s00464-023-09868-0

Cited by 3 publications

(12 citation statements)

References 40 publications

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“…46 However, consistent with indicators of FAD, patients cite the "extra buzz" from drinking as a reason to continue their usage since alcohol impacts them faster after consuming significantly smaller quantities postsurgery versus pre-surgery. 18 Qualitative research also suggests that most patients believe lifelong abstinence from alcohol post-surgery is unrealistic because social gatherings often center around food and alcohol consumption. 18 Following their weight loss, patients who have undergone bariatric surgery may experience increased self-esteem and increased socialization, which may provide more opportunities to drink socially.…”

Section: Preliminary Evidence Of Fad Among People Who Have Undergone ...mentioning

confidence: 99%

“…Although qualitative research suggests that most patients are aware of recommendations to abstain from alcohol use following surgery due to their increased risk for developing AUD, the majority of patients still drink post‐surgery 17 . Furthermore, given their concerns regarding the effects of drinking on their weight or possible physical discomfort individuals may feel after consuming certain types of alcoholic beverages, one study found that some patients may elect to consume alcoholic beverages that might be lower in calories or carbohydrates, or uncarbonated alcoholic beverages such as hard liquor versus beer 18 . Since hard liquor is associated with increased intoxication and negative consequences among non‐clinical populations, 19–21 this type of consumption is particularly concerning among people who have undergone bariatric surgery, given the metabolic propensity toward experiencing high blood alcohol concentration levels relative to the quantities of alcohol consumed.…”

Section: Alcohol Use Following Bariatric Surgerymentioning

confidence: 99%

“…For instance, qualitative research has shown that patients may turn to drinking because they are unable to eat as much or eat the same foods post‐surgery (e.g., “I drank because I couldn't eat”) 46 . However, consistent with indicators of FAD, patients cite the “extra buzz” from drinking as a reason to continue their usage since alcohol impacts them faster after consuming significantly smaller quantities post‐surgery versus pre‐surgery 18 …”

Section: Preliminary Evidence Of Fad Among People Who Have Undergone ...mentioning

confidence: 99%

Section: Preliminary Evidence Of Fad Among People Who Have Undergone ...mentioning

confidence: 99%

“…Qualitative research also suggests that most patients believe lifelong abstinence from alcohol post‐surgery is unrealistic because social gatherings often center around food and alcohol consumption 18 . Following their weight loss, patients who have undergone bariatric surgery may experience increased self‐esteem and increased socialization, which may provide more opportunities to drink socially 18 . Consequently, similar to those with FAD, the desire to attend social drinking contexts while minimizing caloric intake may further contribute to maladaptive food and alcohol‐related bingeing and purging patterns among people who have undergone bariatric surgery 47 .…”

Section: Preliminary Evidence Of Fad Among People Who Have Undergone ...mentioning

confidence: 99%

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Food and alcohol disturbance among people who have undergone bariatric surgery

White,

Steers,

Bernardi

et al. 2024

Obesity Science & Practice

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There have been numerous investigations of aberrant eating and substance abuse among patients who have undergone bariatric surgery, which affects the metabolism and the pharmacokinetics of alcohol. However, there is a dearth of literature considering the complex interplay between changes in post‐surgery food and alcohol consumption. Furthermore, despite the increasing recognition of issues surrounding replacing food consumption with alcohol consumption (Food and Alcohol Disturbance [FAD]), most emerging research has focused on young adult populations. This perspective reviews and synthesizes the small but growing body of research on the interplay between food and alcohol consumption, particularly FAD, and considers its application to bariatric surgery in general. There are unique considerations for patients who have undergone bariatric surgery. Patients experience altered gastric anatomy, which affects food and alcohol metabolism, and are advised to abstain from drinking alcohol after surgery. After reviewing the available literature, this perspective highlights future directions for research and practice in bariatric surgery.

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Section: Preliminary Evidence Of Fad Among People Who Have Undergone ...mentioning

confidence: 99%

Section: Alcohol Use Following Bariatric Surgerymentioning

confidence: 99%

Section: Preliminary Evidence Of Fad Among People Who Have Undergone ...mentioning

confidence: 99%

Section: Preliminary Evidence Of Fad Among People Who Have Undergone ...mentioning

confidence: 99%

Section: Preliminary Evidence Of Fad Among People Who Have Undergone ...mentioning

confidence: 99%

See 3 more Smart Citations

Food and alcohol disturbance among people who have undergone bariatric surgery

White,

Steers,

Bernardi

et al. 2024

Obesity Science & Practice

View full text Add to dashboard Cite

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‘We're outside the norm again because of the thing that allowed us to be inside the norm’: An interpretative phenomenological analysis of the experience of developing an alcohol use disorder after bariatric surgery

Er,

Flahault,

Etienne

2023

Clinical Obesity

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SummaryStudies indicate that bariatric surgery is associated with an increased risk of alcohol use disorder (AUD). It is considered some patients develop the disorder after surgery, without having antecedents of preoperative alcohol problems. This qualitative study aimed to explore the experiences of people who developed AUD postoperatively and understand how they make sense of the onset of this disorder. A semi‐directed interview was carried out with eight adults who had undergone bariatric surgery and developed AUD de novo postoperatively. Data were analysed using interpretative phenomenological analysis. Four superordinate themes emerged: (1) ‘losing control over drinking and self after surgery’; (2) ‘feelings of guilt, shame and loss contrasted with perceptions of still being lucky’; (3) ‘trying to make sense of the onset of AUD’; and (4) ‘retrospective evaluation of bariatric surgery and preoperative information’. These themes indicated loss of control was a central aspect of participant's experiences of postoperative alcohol consumption. AUD was associated with negative emotions and cognitions, but several participants still considered themselves lucky. All tried to make sense of this disorder's onset; many felt they would not have developed AUD if they had not undergone surgery. The onset of AUD influenced their current perceptions and feelings about surgery and the preoperative information regarding AUD risks. Taken together, these results provide insight into the subjective experience of suffering from new‐onset AUD post‐surgery. However, more studies are necessary to gain a better understanding of the physical and psychological implications of postoperative AUD.

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Cross addiction in patients who underwent bariatric surgery: a systematic review

Garcia,

Conegundes,

Martins

et al. 2023

Debates em Psiquiatria

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Introduction: Bariatric surgery is the most effective intervention for severe obesity. The transfer of addiction after bariatric surgery involves the potential development of new addictive behaviors in individuals who have undergone the procedure. This phenomenon, also referred to as cross addiction, has gained attention in scientific literature. Understanding these occurrences is crucial for informing clinical practices and health policies concerning bariatric surgery and post-operative care. Objective: To analyze the relationship between remission of food dependence and the emergence of addictions after bariatric surgery through the produced scientific evidence. Method: Systematic review conducted in Biblioteca Virtual em Saúde (BVS), PubMed and Scopus, using the keywords “Cross Addiction”, “Bariatric Surgery” and similar terms collected from the Medical Subject Headings (MeSH). The inclusion criteria were experimental and observational studies published between 2012 and 2022 in English, Portuguese or Spanish that discuss about cross addiction in patients that have undergone bariatric surgery. Studies that did not fulfill the inclusion criteria and duplicate articles were excluded. Two independent researchers selected the articles. Results: Most studies evidenced a positive relationship between cross-addiction and bariatric surgery. Patients reported significant increment in substance use and cross addiction. Still, some studies observed no relationship between previous food addiction and postoperatively substance abuse or other disorders. Limitations of the reviewed studies include variability of samples, diversity in the measurement of cross-dependence, focus on alcohol, and limited consensus on psychological and psychiatric criteria for the surgery. Conclusion: The theory of addiction transfer has not been fully validated and remains a point of discussion. Further research, methodological standardization, and defined protocols are imperative to improve our understanding of this phenomenon.

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Patient perceptions regarding alcohol use after bariatric surgery

Cited by 3 publications

References 40 publications

Food and alcohol disturbance among people who have undergone bariatric surgery

Food and alcohol disturbance among people who have undergone bariatric surgery

‘We're outside the norm again because of the thing that allowed us to be inside the norm’: An interpretative phenomenological analysis of the experience of developing an alcohol use disorder after bariatric surgery

Cross addiction in patients who underwent bariatric surgery: a systematic review

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