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Obesity Surgery

, Volume 19, Issue 12, pp 1685–1690 | Cite as

Effect of Mood and Eating Disorders on the Short-Term Outcome of Laparoscopic Roux-en-Y Gastric Bypass

  • Amy A. Gorin
  • Ioannis Raftopoulos
Research Article

Abstract

Background

We examined whether patients with a history of mood and eating disorders (MED) had less weight loss and poorer treatment compliance after laparoscopic Roux-en-Y gastric bypass (LRYGBP) than patients with a history of either mood (MD) or eating disorders (ED), or no history of mood or eating disorders (ND).

Methods

Consecutive LRYGBP patients (n = 196; 43.6 ± 10.9 years; BMI 47.2 ± 7.4 kg/m2; 83.2% female, 91.8% Caucasian) underwent a preoperative psychological evaluation. At 6 months post-surgery, body mass index (BMI), % excess weight loss (%EWL), hospital readmissions, and adherence to behavioral recommendations were assessed.

Results

Of the patients, 10.2% had MED, 36.7% had ED only, 24.0% had MD only, and 29.1% of patients had ND. MED patients fared worse than all other groups in dietary violations (p = 0.03), exercise habits (p = 0.05), and readmission rates (p = 0.06) but there were no group differences in either BMI change or %EWL.

Conclusions

MED patients are at-risk for poor treatment compliance following LRYGBP; however, they achieve similar weight losses 6 months postoperatively.

Keywords

Mood disorders Eating disorders Outcome Gastric bypass Morbid obesity 

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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  1. 1.Bariatric Center at Saint Francis Hospital and Medical CenterHartfordUSA
  2. 2.Department of Psychology, Center for Health, Intervention, and PreventionUniversity of ConnecticutStorrsUSA
  3. 3.Department of SurgerySaint Francis Hospital and Medical CenterHartfordUSA

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