Binge eating does not increase bypass surgery risk
January 19, 2007
NEW YORK - Regular binge eating before surgery
does not increase the risk of poor outcomes in the first year
after gastric bypass surgery, in extremely obese
patients, according to a report in the Journal of Clinical
Psychiatry.
Whether or not individuals with binge eating
problems represent a surgical risk or have a poor prognosis
following surgery has been a topic of heated debate,"
Dr. Marney A. White told Reuters Health. "Our study found
that bariatric patients -- regardless of whether or not they
binge eat before surgery .
White from Yale University School of Medicine,
New Haven, Connecticut and colleagues compared weight loss,
depression, self-esteem, body dissatisfaction, and eating
disorder features before surgery and at 12 months after surgery
among 139 extremely obese
patients.
Although the binge-eating patients tended
to be more distressed before surgery than those who did not
binge, the binge eaters experienced greater reductions in
depression after surgery.
The Researchers note that Body mass index
declined over the 12 months after surgery to a similar extent
among regular binge-eaters.
Overall, the average body mass index (the
ratio of body weight to height) was 51.7 before surgery and
33.3 one year after surgery.
"Overall, pre-operative binge eating
does not appear to be a negative prognostic indicator for
surgery in the initial 12-month period following surgery.
"For the most part, binge eating remitted
following surgery," White added. "However, those
patients who reported preoperative binge eating did report
slightly elevated eating-related disturbances following surgery.
" White said. "In particular, we
are interested in the influence of binge eating in the context
of the weight loss
plateau and re-gain that occurs in the 2-10 year interval."
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