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Obesity Surgery

, Volume 19, Issue 2, pp 139–145 | Cite as

Preoperative Binge Eating Status and Gastric Bypass Surgery: A Long-Term Outcome Study

  • S. Alger-Mayer
  • C. Rosati
  • J. M. Polimeni
  • M. Malone
Research Article

Abstract

Background

The primary purpose of the study was to evaluate the effect of preoperative binge status on long-term weight loss outcomes.

Methods

IRB approval was obtained. This prospective study was initiated in 1997 at a large teaching hospital. Adult patients who participated in the study and attended post-surgery clinic visits for at least 12 months were included. Patients completed the gormally binge eating scale (BES), the beck depression inventory (BDI), and the SF-36 at baseline prior to surgery. All data are expressed as mean ± SD. Data were analyzed using a Student’s t test, pairwise correlation and regression analysis as appropriate.

Results

A total of 157 patients (135 women) aged 45 ± 10  years were recruited. Their preoperative BMI was 50.7 ± 8.0  kg/m2. Thirty-seven patients were classified as severe binge eaters (BES ≥ 27) prior to surgery. There was no significant difference in their weight loss compared to the rest of the group at any time point up to 6 years after surgery. Patients with significant depressive symptoms (BDI >13) had no significant difference in their weight loss outcomes compared to the rest of the group. Pre-surgery SF-36 scores did not predict differences in weight loss outcome.

Conclusion

Pre-surgical binge status, incidence of depressive symptoms and health related quality of life were not predictive of poor weight loss outcomes in patients up to 6 years after gastric bypass surgery, who were able to make lifestyle changes in preparation for surgery and who adhered to scheduled post surgery clinic visits.

Keywords

Bariatric surgery Binge eating Depression Quality of life Weight loss 

References

  1. 1.
    van Hout GCM, Verschure SKM, van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15:552–60.CrossRefPubMedGoogle Scholar
  2. 2.
    Wolfe BL, Terry ML. Expectations and outcomes with gastric bypass surgery. Obes Surg. 2006;16:1622–9.CrossRefPubMedGoogle Scholar
  3. 3.
    Wadden TA, Sarwer DB. Behavioral assessment of candidates for bariatric surgery: a patient oriented approach. Obesity. 2006;14:53s–62s.CrossRefPubMedGoogle Scholar
  4. 4.
    Malone M, Alger-Mayer S. Binge status and quality of life after gastric bypass surgery: a one-year study. Obes Res. 2004;12(3):473–81.CrossRefPubMedGoogle Scholar
  5. 5.
    Gormally J, Glack S, Daston S, Rardin D. The assessment of binge eating severity among obese persons. Addict Behav. 1982;7:47–55.CrossRefPubMedGoogle Scholar
  6. 6.
    Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psych. 1961;4:561–77.Google Scholar
  7. 7.
    Ware JE. SF 36 Health Survey, manual and Interpretation Guide. Medical Outcomes Trust. 1993.Google Scholar
  8. 8.
    Bocchieri-Ricciardi LE, Chen EY, Munoz D, et al. Pre-surgery binge eating status: effect on eating behavior and weight outcome after gastric bypass. Obes Surg. 2006;16:1198–204.CrossRefPubMedGoogle Scholar
  9. 9.
    White MA, Masheb RM, Rothschild B. The prognostic significance of regular binge eating in extremely obese gastric bypass patients: 12-month postoperative outcomes. J Clin Psych. 2006;67:1928–35.Google Scholar
  10. 10.
    Scholtz S, Bidlake L, Morgan J, et al. Long term outcomes following laparoscopic adjustable gastric banding: postoperative psychological sequelae predict outcome at 5-year follow up. Obes Surg. 2007;17:1220–5.PubMedCrossRefGoogle Scholar
  11. 11.
    Kinzl JF, Schrattenecker M, Traweger C, et al. Psychosocial predictors of weight loss after bariatric surgery. Obes Surg. 2006;16:1609–14.CrossRefPubMedGoogle Scholar
  12. 12.
    Gladis MM, Wadden TA, Foster GD, et al. A comparison of two approaches to the assessment of binge eating in obesity. Int J Eat Disord. 1998;23:17–26.CrossRefPubMedGoogle Scholar
  13. 13.
    Greeno CG, Marcus MD, Wing RR. Diagnosis of binge eating disorder: discrepancies between a questionnaire and clinical interview. Int J Eat Disord. 1995;17:153–60.CrossRefPubMedGoogle Scholar
  14. 14.
    Sherwood NE, Jeffrey RW, Wing RR. Binge status as a predictor of weight loss treatment outcome. Int J Obes. 1999;23:485–93.CrossRefGoogle Scholar
  15. 15.
    Sallett PC, Sallet JA, Dixon JB, et al. Eating behavior as a prognostic factor for weight loss after gastric bypass. Obes Surg. 2007;17(4):445–51.CrossRefGoogle Scholar
  16. 16.
    Wadden TA, Sarwer DB, Williams NN. Behavioral assessment and characteristics of patients seeking bariatric surgery. Obesity. 2006;14:51–2s.CrossRefPubMedGoogle Scholar
  17. 17.
    Alger-Mayer S, Polimeni J, Malone M. Pre operative weight loss as a predictor of long term success following Roux-en-Y gastric bypass. Obes Surg. 2008. doi:10.1007/s11695-008-9482-2.
  18. 18.
    Still C, Benotti P, Wood GC, et al. Preoperative weight loss as a predictor of success following gastric bypass surgery. Arch Surg. 2007;142(10):994–8.CrossRefPubMedGoogle Scholar
  19. 19.
    Munoz DJ, Chen E, Fischer S, et al. Consideration for the use of the Beck Depression Inventory in the assessment of weight-loss seeking patients. Obes Surg. 2007;17:1097–101.CrossRefPubMedGoogle Scholar
  20. 20.
    Fabricatore AN, Sarwer DB, Wadden TA, et al. Impression management or real change? Reports of depressive symptoms before and after the preoperative psychological evaluation for bariatric surgery. Obes Surg. 2007;17:1213–9.PubMedGoogle Scholar
  21. 21.
    Lanyon RI, Maxwell BM. Predictors of outcome after gastric bypass surgery. Obes Surg. 2007;17:321–8.CrossRefPubMedGoogle Scholar
  22. 22.
    Pontiroli AE, Fossati A, Vedani P, et al. Post surgery adherence to scheduled visits and compliance, more than personality disorders, predict outcome of bariatric restrictive surgery in morbidly obese patients. Obes Surg. 2007;17:1492–7.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • S. Alger-Mayer
    • 1
  • C. Rosati
    • 2
  • J. M. Polimeni
    • 3
  • M. Malone
    • 3
  1. 1.Department of Medicine, Division of Gastroenterology and NutritionAlbany Medical CollegeAlbanyUSA
  2. 2.Department of SurgeryAlbany Medical CollegeAlbanyUSA
  3. 3.Department of Pharmacy PracticeAlbany College of PharmacyAlbanyUSA

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