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Alcohol consumption after laparoscopic sleeve gastrectomy: 1-year results

  • Ilenia Coluzzi
  • Angelo Iossa
  • Elena Spinetti
  • Gianfranco SilecchiaEmail author
Original Article

Abstract

Introduction

Laparoscopic sleeve gastrectomy (SG) represents, at present, the most performed bariatric procedure worldwide with excellent long-term results on weight loss and comorbidities control. After the gastrectomy procedure, together with hormonal modification, several changes in taste and habits occur, including the potential modification in alcohol consumption. The aim of this prospective study was to determine the frequency and the amount of alcohol use before and after SG using a modified version of the Alcohol Use Disorder Identification Test (AUDIT) at 1-year follow-up and eventually to evaluate relationships between different ages and sexes.

Materials and methods

A total of 142 patients were prospectively enrolled and evaluated before and 1 year after SG with a modified AUDIT. The exclusion criteria were as follows: history of alcohol abuse, presence of psychopathology or cognitive impairments, diabetes mellitus type II decompensated, or previous gastrointestinal, liver, and pancreatic resective surgery. Subgroup analyses were performed between male and female and between under and over 40 years old.

Results

The median AUDIT score decreased from 2.70 (range 1–18) before surgery to 1.38 (range 1–7) after 1 year of SG, indicating a marked reduction in alcohol use. The most consumed alcoholic drink was beer (36.6%/n = 52) while after surgery the consumption of beer decreased considerably (21.1%/n = 30). The frequency of alcohol consumption also decreased: at baseline 45% of patients consumed alcoholic drinks “from 2 to 4 times per month”, whereas 26 and 39.4% consumed alcohol “never” and “less than once a month,” respectively. After surgery, nobody consumed more then six alcoholic drinks. No differences were found between the subgroups in terms of alcohol consumption and social behavior.

Conclusions

The alcohol preference is modified and decreased 1 year after SG and this could be related to the strict nutritional follow-up and to the hormonal changes. Studies with large samples and long-term follow-up are needed to confirm our data.

Level of evidence

IV.

Keywords

Alcohol Bariatric surgery Sleeve gastrectomy Behavior modifications 

Notes

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

Ethical approval was obtained by our Department of Medical Sciences and Biotechnologies of University of Rome “La Sapienza”—Polo Pontino.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

40519_2018_486_MOESM1_ESM.doc (294 kb)
Supplementary material 1 (DOC 294 KB)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ilenia Coluzzi
    • 1
  • Angelo Iossa
    • 1
  • Elena Spinetti
    • 1
  • Gianfranco Silecchia
    • 1
    Email author
  1. 1.Division of General Surgery and Bariatric Centre of Excellence, Department of Medical-Surgical Sciences and BiotechnologiesUniversity of Rome “La Sapienza”RomeItaly

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