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Bariatric Surgery and Substance Use Disorders, Eating Disorders, and Other Impulse Control Disorders

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Eating Disorders, Addictions and Substance Use Disorders
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Abstract

As the prevalence of obesity continues to increase worldwide, bariatric surgery is increasingly being utilized for the severely obese. The most commonly performed surgery is Roux-en-Y gastric bypass, which usually results in significant and sustained weight loss. However, increasingly, problems are being recognized after such procedures. One such problem is the development of alcohol use disorders, which may at least partially result from changes in the pharmacokinetics of alcohol after surgery. Eating problems can also develop, including binge eating or loss of control eating and, rarely, full-blown eating disorders. Other addictive disorders can occur as well, but have been much less studied. Clinicians need to be alert to the development of such problems and to institute proper evaluation and treatment if they occur.

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References

  • Adams, T. D., Gress R. E., Smith, S. C., Halverson, R. D., Simper, S. C., Rosamond, W. D., …, Hunt, S. C. (2007). Long-term mortality after gastric bypass surgery. New England Journal of Medicine, 357, 753–761.

    Google Scholar 

  • Beck, N. N., Mehlsen, M., & Stoving, R. K. (2012). Psychological characteristics and associations with weight outcomes two years after gastric bypass surgery: Postoperative eating disorder symptoms are associated with weight loss outcomes. Eating Behaviors, 13(4), 394–397.

    Article  PubMed  Google Scholar 

  • Berczik, K., Szabo, A., Griffiths, M. D., Kurimay, T., Kun, B., Urban, R., & Demetrovics, Z. (2012). Exercise addiction: Symptoms, diagnosis, epidemiology, and etiology. Substance Use & Misuse, 47(4), 403–417.

    Google Scholar 

  • Blum, K., Bailey, J., Gonzalez, A. M., Oscar-Berman, M., Liu, Y., Giordano, J., …, Gold, M. (2011). Neuro-genetics of reward deficiency syndrome (RDS) as the root cause of “addiction transfer”: A new phenomenon common after bariatric surgery. Journal of Genetic Syndromes and Gene Therapy, Retrieved from http://dx.doi.org/10.4172/2157-7412.S2-001

  • Bray, G. A. (2003). Risks of obesity. Endocrinology and Metabolism Clinics, 32(4), 787–804.

    Article  PubMed  Google Scholar 

  • Buffington, C. K. (2007). Alcohol use and health risks: Survey results. Bariatric Times, 4(2), 1–21.

    Google Scholar 

  • Byrne, T. K. (2001). Complications of surgery for obesity. Surgical Clinics of North America, 81(5), 1181–1193.

    Article  CAS  PubMed  Google Scholar 

  • Changchien, E. M., Woodard, G. A., Hernandez-Boussard, T., & Morton, J. M. (2012). Normal alcohol metabolism after gastric banding and sleeve gastrectomy: A case-cross-over trial. Journal of the American College of Surgeons, 215(4), 475–479.

    Article  PubMed  Google Scholar 

  • Coleman, E., Raymond, N., & McBean, A. (2003). Assessment and treatment of compulsive sexual behavior. Minnesota Medicine, 86(7), 42–47.

    PubMed  Google Scholar 

  • Colles, S. L., Dixon, J. B., & O’Brien, P. E. (2008). Grazing and loss of control related to eating: Two high-risk factors following bariatric surgery. Obesity, 16(3), 615–622.

    Article  PubMed  Google Scholar 

  • Davis, C. (2010). Attention-deficit/hyperactivity disorder: Associations with overeating and obesity. Current Psychiatry Reports, 12(5), 389–395.

    Article  PubMed  Google Scholar 

  • de Zwaan, M., Hilbert, A., Swan-Kremeier, L., Simonich, H., Lancaster, K., Howell, L. M., …, Mitchell, J. E. (2010). Comprehensive interview assessment of eating behavior 18-35 months after gastric bypass surgery for morbid obesity. Surgery for Obesity and Related Diseases, 6(1), 79–85.

    Google Scholar 

  • Dell’Osso, B., Altamura, C., Allen, A., Marazziti, D., & Hollander, E. (2006). Epidemiologic and clinical updates on impulse control disorders: A critical review. European Archives of Psychiatry and Clinical Neuroscience, 256(8), 464–475.

    Article  PubMed Central  PubMed  Google Scholar 

  • DiLeone, R. H., Taylor, J. R., & Picciotto, M. R. (2012). The drive to eat: Comparisons and distinctions between mechanisms of food reward and drug addiction. Nature Neuroscience, 15(10), 1330–1335.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Elliot, K. (2003). Nutritional considerations after bariatric surgery. Critical Care Nursing Quarterly, 26(2), 133–138.

    Article  PubMed  Google Scholar 

  • Ertelt, T. W., Mitchell, J. E., Lancaster, K., Crosby, R. D., Steffen, K. J., & Marino, J. M. (2008). Alcohol abuse and dependence before and after bariatric surgery: A review of the literature and report of a new data set. Surgery for Obesity and Related Diseases, 4(5), 647–650.

    Article  PubMed  Google Scholar 

  • Favaro, A., Ferrara, S., & Santonastaso, P. (2007). Self-injurious behavior in a community sample of young women: Relationship with childhood abuse and other types of self-damaging behaviors. The Journal of Clinical Psychiatry, 68(1), 122–131.

    Article  PubMed  Google Scholar 

  • Flum, D. R., Belle, S. H., King, W. C., Wahed, A. S., Berk, P., Chapman, W., …, Wolfe, B. (2009). Perioperative safety in the longitudinal assessment of bariatric surgery. The New England Journal of Medicine, 361(5), 445–454.

    Google Scholar 

  • Fogger, S. A., & McGuinness, T. M. (2012). The relationship between addictions and bariatric surgery for nurses in recovery. Perspectives in Psychiatric Care, 48(1), 10–15.

    Article  PubMed  Google Scholar 

  • Grant, J. E., Mancebo, M. C., Pinto, A., Eisen, J. L., & Rasmussen, S. A. (2006). Impulse control disorders in adults with obsessive compulsive disorder. Journal of Psychiatric Research, 40(6), 494–501.

    Article  PubMed  Google Scholar 

  • Grant, J. E., & Odlaug, B. L. (2009). Update on pathological skin picking. Current Psychiatry Reports, 11(4), 283–288.

    Article  PubMed  Google Scholar 

  • Gruss, B., Mueller, A., Horbach, T., Martin, A., & de Zwaan, M. (2012). Attention-deficit/hyperactivity disorder in a prebariatric surgery sample. European Eating Disorders Review, 20(1), e103–e107.

    Article  PubMed  Google Scholar 

  • Guisado Macias, J. A., & Vaz Leal, F. J. (2003). Psychopathological differences between morbidly. Eating and Weight Disorders, 8(4), 315–318.

    Article  CAS  PubMed  Google Scholar 

  • Hagedorn, J. C., Encarnacion, B., Brat, G. A., & Morton, J. M. (2007). Does gastric bypass alter alcohol metabolism? Surgery for Obesity and Related Diseases, 3(5), 543–548.

    Article  PubMed  Google Scholar 

  • Hayes, S. L., Storch, E. A., & Berlanga, L. (2009). Skin picking behaviors: An examination of the prevalence and severity in a community sample. Journal of Anxiety Disorders, 23(3), 314–319.

    Article  PubMed  Google Scholar 

  • Hsu, L. K. G., Betancourt, S., & Sullivan, S. P. (1996). Eating disturbances before and after vertical banded gastroplasty: A pilot study. International Journal of Eating Disorders, 19(1), 23–34.

    Article  CAS  PubMed  Google Scholar 

  • Kalarchian, M. A., Marcus, M. D., Wilson, G. T., Labouvie, E. W., Brolin, R. E., & LaMarca, L. B. (2002). Binge eating among gastric bypass patients at long-term follow-up. Obesity Surgery, 12(2), 270–275.

    Article  PubMed  Google Scholar 

  • Karim, R., & Chaudhri, P. (2012). Behavioral addictions: An overview. Journal of Psychoactive Drugs, 44(1), 5–17.

    Article  PubMed  Google Scholar 

  • Keuthen, N. J., Koran, L. M., Aboujaoude, E., Large, M. D., & Serpe, R. T. (2010). The prevalence of pathologic skin picking in US adults. Comprehensive Psychiatry, 51(2), 183–186.

    Article  PubMed  Google Scholar 

  • King, W. C., Chen, J., Mitchell, J. E., Kalarchian, M. A., Steffen, K. J., Engel, S. G., …, Yanovski, S. Z. (2012). Prevalence of alcohol use disorders before and after bariatric surgery. Journal of the American Medical Association, 307(23), 2516–2525.

    Google Scholar 

  • Klockhoff, H., Naslund, I., & Jones, A. W. (2002). Faster absorption of ethanol and higher peak concentration in women after gastric bypass surgery. British Journal of Clinical Pharmacology, 54(6), 587–591.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Koch, T. R., & Finelli, F. C. (2010). Postoperative metabolic and nutritional complications of bariatric surgery. Gastroenterology Clinics of North America, 39(1), 109–124.

    Article  PubMed  Google Scholar 

  • Koran, L. M., Faber, R. J., Aboujaoude, E., Large, M. D., & Serpe, R. T. (2006). Estimated prevalence of compulsive buying behavior in the United States. The American Journal of Psychiatry, 163(10), 1806–1812.

    Article  PubMed  Google Scholar 

  • Kuzma, J. M., & Black, D. W. (2008). Epidemiology, prevalence, and natural history of compulsive sexual behavior. Psychiatric Clinics of North America, 31(4), 603–611.

    Article  PubMed  Google Scholar 

  • Larsen, J. K., Geenen, R., van Ramshorst, B., Brand, N., Hox, J. J., Stroebe, W., & van Doornen, L. J. P. (2006). Binge eating and exercise behavior after surgery for severe obesity: A structural equation model. International Journal of Eating Disorders, 39(5), 369–375.

    Google Scholar 

  • Latifi, R., Kellum, J. M., De Maria, E. J., & Sugerman, H. J. (2002). Surgical treatment of obesity. In T. A. Wadden & A. J. Stunkard (Eds.), Handbook of obesity treatment (pp. 339–356). New York: The Guilford Press.

    Google Scholar 

  • Lent, M. R., & Swencionis, C. (2012). Addictive personality and maladaptive eating behaviors in adults seeking bariatric surgery. Eating Behaviors, 13(1), 67–70.

    Article  PubMed  Google Scholar 

  • Maluenda, F., Csendes, A., De Aretxabala, X., Poniachik, J., Salvo, K., Delgado, I., & Rodriguez, P. (2010). Alcohol absorption modification after a laparoscopic sleeve gastrectomy due to obesity. Obesity Surgery, 20(6), 744–748.

    Google Scholar 

  • Meyer, C., Taranis, L., Goodwin, H., & Haycraft, E. (2011). Compulsive exercise and eating disorders. European Eating Disorders Review, 19(3), 174–189.

    Article  PubMed  Google Scholar 

  • Mitchell, J. E., Lancaster, K. L., Burgard, M. A., Howell, M., Krahn, D. D., Crosby, R. D., …, Gosnell, B. A. (2001). Long-term follow-up of patient’s status after gastric bypass. Obesity Surgery, 11(4), 464–468.

    Google Scholar 

  • Mobbs, O., Crepin, C., Thiery, C., Golay, A., & Van der Linden, M. (2010). Obesity and the four facets of impulsivity. Patient Education and Counseling, 79(3), 372–377.

    Article  PubMed  Google Scholar 

  • Moorehead, M., & Alexander, C. (2007). Transfer of addiction and considerations for preventive measures in bariatric surgery. Bariatric Times, 4(1), 22–24.

    Google Scholar 

  • Mueller, A., Mitchell, J. E., Black, D. W., Crosby, R. D., Berg, K., & de Zwaan, M. (2010). Latent profile analysis and comorbidity in a sample of individuals with compulsive buying disorder. Psychiatry Research, 178(2), 348–353.

    Article  PubMed  Google Scholar 

  • Müller, A., Claes, L., Mitchell, J. E., Fischer, J., Horbach, T., & de Zwaan, M. (2012). Binge eating and temperament in morbidly obese prebariatric surgery patients. European Eating Disorders Review, 20(1), e91–e95.

    Article  PubMed  Google Scholar 

  • Müller, A., Rein, K., Kollei, I., Jacobi, A., Rotter, A., Schutz, P., …, de Zwaan, M. (2011). Impulse control disorders in psychiatric inpatients. Psychiatry Research, 188(3), 434–438.

    Google Scholar 

  • Odlaug, B. L., & Grant, J. E. (2010). Pathologic skin picking. The American Journal of Drug and Alcohol Abuse, 36(5), 296–303.

    Article  PubMed  Google Scholar 

  • Ostlund, M. (2011). Risk of alcohol problems after bariatric surgery. Abstract presented at Digestive Disease Week, Chicago, IL.

    Google Scholar 

  • Pekkarinen, T., Koskela, K., Huikuri, K., & Mustajoki, P. (1994). Long-term results of gastroplasty for morbid obesity: Binge-eating as a predictor of poor outcome. Obesity Surgery, 4(3), 248–255.

    Article  PubMed  Google Scholar 

  • Rowston, W. M., McCluskey, S. E., Gazet, J. C., Lacey, J. H., Franks, G., & Lynch, D. (1992). Eating behaviour, physical symptoms and psychological factors associated with weight reduction following the scopinaro operation as modified by gazet. Obesity Surgery, 2(4), 355–360.

    Article  PubMed  Google Scholar 

  • Schmidt, F., Korber, S., de Zwaan, M., & Müller, A. (2012). Impulse control disorders in obese patients. European Eating Disorders Review, 20(3), e144–e147.

    Article  PubMed  Google Scholar 

  • Shah, D. K., & Ginsburg, E. S. (2010). Bariatric surgery and fertility. Current Opinion in Obstetrics and Gynecology, 22(3), 248–254.

    Article  PubMed  Google Scholar 

  • Sogg, S., Hatoum, I. J., & Turbett, S. (2011). Roux-en-y gastric bypass is associated with substantial risk of new-onset problem drinking behavior. Annual meeting of the obesity society, Orlando, FL.

    Google Scholar 

  • Spencer, J. (2006, July 18). The new science of addiction: Alcoholism in people who had weight-loss surgery offers clues to roots of dependency. The Wall Street Journal. Retrieved from http://brookwoodclinic.com/user/WSJ addiction after surgery.pdf

    Google Scholar 

  • Suzuki, J., Haimovici, F., & Chang, G. (2012). Alcohol use disorders after bariatric surgery. Obesity Surgery, 22(2), 201–207.

    Article  PubMed  Google Scholar 

  • van Hout, G. C. M., van Oudheusden, I., & van Heck, G. L. (2004). Psychological profile of the morbidly obese. Obesity Surgery, 14(5), 579–588.

    Article  PubMed  Google Scholar 

  • Volkow, N. D., Wang, G. H., Tomasi, D., & Baler, R. D. (2013). Obesity and addiction: Neurobiological overlaps. Obesity Surgery, 14(1), 2–18.

    Article  CAS  Google Scholar 

  • Welch, G., Wesolowski, C., Zagarins, S., Kuhn, J., Romanelli, J., Garb, J., & Allen, N. (2011). Evaluation of clinical outcomes for gastric bypass surgery: Results from a comprehensive follow-up study. Obesity Surgery, 21(1), 18–28.

    Google Scholar 

  • White, M. A., Kalarchian, M. A., Masheb, R. M., Marcus, M. D., & Grilo, C. M. (2010). Loss of control over eating predicts outcomes in bariatric surgery: A prospective 24-month follow-up study. Journal of Clinical Psychiatry, 71(2), 175–184.

    Article  PubMed Central  PubMed  Google Scholar 

  • Woodard, G. A., Downey, J., Hernandez-Boussard, T., & Morton, J. M. (2011). Impaired alcohol metabolism after gastric bypass surgery: A case-crossover trial. Journal of the American College of Surgeons, 212(2), 209–214.

    Article  PubMed  Google Scholar 

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Acknowledgment

Supported in part by UO1 DK 66471 and RO1 DK 84979 from the National Institutes of Health.

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Mitchell, J.E., Müller, A., Meany, G., Sondag, C. (2014). Bariatric Surgery and Substance Use Disorders, Eating Disorders, and Other Impulse Control Disorders. In: Brewerton, T., Baker Dennis, A. (eds) Eating Disorders, Addictions and Substance Use Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45378-6_9

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  • DOI: https://doi.org/10.1007/978-3-642-45378-6_9

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