Postoperative Dumping Syndrome, Health-Related Quality of Life, Anxiety, Depression, and Eating Disturbances: Results of a Longitudinal Obesity Surgery Study.

Autor:	Müller A; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany., Efeler S; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany., Laskowski NM; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany.; University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia, Ruhr-University Bochum, Luebbecke, Germany., Pommnitz M; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany., Mall JW; Department of General, Visceral, Vascular, and Bariatric Surgery, Klinikum Nordstadt, Hanover, Germany., Meyer G; Department of General, Visceral, and Bariatric Surgery, AMC-WolfartKlinik, Graefeling, Germany., Wunder R; Department of General, Visceral, and Bariatric Surgery, DRK-Krankenhaus Clementinenhaus, Hanover, Germany., Köhler H; Department of General, Visceral, and Bariatric Surgery, Herzogin Elisabeth Hospital, Brunswick, Germany., Hüttl TP; Department of General, Visceral, and Bariatric Surgery, Dr. Lubos Kliniken Bogenhausen, Munich, Germany., de Zwaan M; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany.
Jazyk:	angličtina
Zdroj:	Obesity facts [Obes Facts] 2024; Vol. 17 (2), pp. 201-210. Date of Electronic Publication: 2024 Feb 06.
DOI:	10.1159/000536602
Abstrakt:	Introduction: Given the lack of research on the relationship of post-surgery dumping syndrome and eating disturbances, the purpose of the present longitudinal study was to investigate whether dumping after obesity surgery is associated with pre-/postoperative eating disorder symptoms or addiction-like eating beyond the type of surgery, gender, health-realted quality of life (HRQoL) and anxiety/depressive symptoms. Methods: The study included 220 patients (76% women) before (t0) and 6 months after (t1) obesity surgery (sleeve gastrectomy [n = 152], Roux-en-Y gastric bypass [n = 53], omega loop gastric bypass [n = 15]). The Sigstad Dumping Score was used to assess post-surgery dumping syndrome. Participants further answered the Eating Disorder Examination Questionnaire (EDE-Q), Yale Food Addiction Scale 2.0 (YFAS 2.0), Short-Form Health Survey (SF-12), and Hospital Anxiety and Depression Scale (HADS) at t0 and t1. Results: The point prevalence of symptoms suggestive of post-surgery dumping syndrome was 33%. Regression analyses indicate an association of dumping with surgical procedure (bypass), female gender, reduced HRQoL, more anxiety/depressive symptoms, and potentially with binge eating but not with eating disorder symptoms in general or with addiction-like eating. Conclusion: The current study failed to show a close relationship between the presence of self-reported dumping syndrome and eating disorder symptoms or addiction-like eating following obesity surgery. Further studies with longer follow-up periods should make use of clinical interviews to assess psychosocial variables and of objective measures to diagnose dumping in addition to standardized self-ratings. (© 2024 The Author(s). Published by S. Karger AG, Basel.)
Databáze:	MEDLINE
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