Binge Eating and its Relationship to Outcome after Laparoscopic Adjustable Gastric Banding

Utrecht University, Utrecht, Utrecht, Netherlands
Obesity Surgery (Impact Factor: 3.75). 10/2004; 14(8):1111-7. DOI: 10.1381/0960892041975587
Source: PubMed


The aim of this cross-sectional study was to examine short and long-term eating behavior after laparoscopic adjustable gastric banding (LAGB) and the relationship of binge eating with weight and quality of life outcome.
250 patients (221 female, 29 male, mean age 39.6 years, age range 22-61) filled out questionnaires to evaluate quality of life and eating behavior: 93 patients before LAGB, 48 with a follow-up duration of 8 through 24 months, and 109 patients 25 through 68 months after LAGB.
Compared with patients before surgery, patients after surgery, in both follow-up groups, reported less binge eating, fat intake, external eating, and more restrained eating and eating self-efficacy. After surgery, about one-third of the patients showed binge eating problems, which were associated with a worse postoperative outcome.
Our results suggest that eating behavior improves both short- and long-term after surgery for severe obesity. Although LAGB could be a long-term solution to part of preoperatively eating disordered patients, the identification and treatment of postoperative binge eating appear critical to promote successful outcome after bariatric surgery.

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    • "Duration of follow-up was associated with lower WEL after adjusting for other factors; however, our primary predictor of overall WEL score (% weight loss) lost significance in patients with the greatest duration of follow-up time after stratification. Previous studies have demonstrated that self-efficacy after weight loss is preserved in the short and intermediate term but may be compromised in long-term, making weight strategies often unsuccessful in obese patients (Larsen et al., 2004); this observation may not be much different in bariatric surgery patients. Prospective collection of self-efficacy scores are needed to overcome this limitation to ascertain the true impact of time after surgical intervention on self-efficacy scores. "
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    • "Unsuccessful weight loss was defined as a BMI 40 and less than 10 BMI points weight loss at the time of the interview and 2 years after the operation when transition from weight loss to weight maintenance had occurred [19] [20]. Of the 24 LAGB patients who fulfilled these criteria (22%), 6 already had gastric bypass surgery and were excluded, leaving 18 evaluable patients of whom 12 were randomly selected and invited to participate. "
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