EATING DISORDERS AFTER BARIATRIC SURGERY A CASE SERIES

  17 Jul 2018

Eating Disorders Review 19 4. There is a significant need for specialized screening and comprehensive treatment before and after weight loss surgery. Additionally, there is great variability in screening methods and how symptoms are addressed if reported. Eating disorders have not been widely recognized in bariatric surgery patients, but a number of patients seem to present with symptoms that warrant eating disorder diagnoses and require specialized treatment. Presentations referencing similar topics. Several similarities to the classical EDs were found.

Evaluation of the Eating Disorder Diagnostic Scale. International Journal of Eating Disorders , 46, A psychiatric evaluation to screen for an eating disorder is a mandatory part of the pre-surgical evaluation. Similar Papers Loading similar papers…. I think my basic takeaway from the papers is that bariatric surgery is only the tip of the iceberg for weight management, so a many patients need more holistic services and b clinicians need good protocols for managing these complex needs. Eating Disorders Review 19 4. Kristine Vazzano is a clinical Psychologist that specializes in eating disorders. It is important for patients with an eating disorder to receive comprehensive and effective treatment before considering weight loss surgery.

She is currently in recovery. Wonderlich Published in The International journal of eating disorders Save.

Eating disorders after bariatric surgery: a case series.

Patients presenting with the need for specialized treatment are experiencing a range of eating disorder symptoms associated with binge eating, bulimia, and anorexia nervosa. Some research has suggested that these common gastrointestinal symptoms might facilitate the development of eating disorder behaviors, and possibly trigger the onset of an eating disorder in a subgroup of patients. Research has shown that these behaviors are common amongst post-bariatric patients.

From over- to under-weight: Evaluation of the Eating Disorder Diagnostic Scale. Most of them displayed classic ED symptoms: Additionally, experienced anxiety and fear of gaining weight post-surgery can trigger disordered eating patterns that can reach clinical significance. These techniques are known as gastric banding or gastric stapling. This website uses cookies to improve your experience. To what extent is the surgery itself a potential trigger? In fact, weight loss outcomes eating disorders after bariatric surgery a case series poorer among this group.

Bariatric Surgery and Eating Disorders: A Double-Edged Sword

Eating disorders after bariatric surgery: Surgery shrinks the stomach size and slows down the process of digestion. As the number of patients bariattric undergo bariatric surgery continues to increase, it is important for clinicians to be alert of the range of complications that can be develop. As Marino et al.

If underlying issues contributing to the eating disorder are not effectively addressed and behavioral interventions are not in place to manage eating disorder symptoms prior to the surgery, patients often learn to work around restrictions of surgery to continue eating disorder behaviors.

Presentations referencing similar topics. Any post-surgery follow-ups should include psychosocial evaluation and support should bqriatric involved, regardless of whether patients presented with existing EDs.

I think my basic takeaway from the papers is that bariatric surgery is only the tip of the iceberg for weight management, so a many patients need more holistic services and b clinicians need good protocols for managing these complex needs. Although some may not binge on a large amount of food due to reduced stomach capacity, many still experience a loss of control over eating and grazing patterns.

Lautenbach and colleagues provide a single case report in which doctors did not carry out a psychosocial evaluation before the surgery. Eating Disorders Post-Surgery Many patients with a previous history of an eating disorder continue to have disordered eating patterns following weight loss surgery.

Procedures involving malabsorption eating disorders after bariatric surgery a case series to have greater side eating disorders after bariatric surgery a case series than restrictive surgeries. Similar Papers Loading similar papers…. The prevalence of eating disorders not otherwise specified.

Physical Side Effects Procedures involving malabsorption tend to have greater side effects than restrictive surgeries. Supplemental Content Full text links. These cases are thought to be underreported due to their frequent sub-syndromal presentation.

Comprehensive interview assessment of eating behavior months after gastric bypass surgery for morbid obesity. These kinds of results raise a number of questions: The International Journal of Eating Disorders They acse often bariafric response to eating too quickly, eating large amounts, or ingesting foods that have become intolerable.

Robert Greenstein Obesity surgery These cases are thought to be underreported due to their frequent sub-syndromal presentation.

If you have an eating disorder, you know what to say to get cleared.

Do you think zurgery pre-surgery screening would be sufficient? Overall, there is a lack of adequate data regarding impact of eating disorders on bariatric surgery outcome.

Eating disorders after bariatric surgery: a case series. – Semantic Scholar

National Center for Biotechnology InformationU. This article describes ED syndromes that develop subsequent to BS.

Night eating syndrome and binge eating disorder among persons seeking bariatric surgery: Faster than normal weight loss and abnormal laboratory testing Use of restriction and purging to reduce body image dissatisfaction Extreme anxiety or refusal to alter eating habits upon intervention However, I wonder about the usefulness of delineating this kind bariatrc syndrome from normal eating avoidance behaviors after weight-loss surgery.

The eating disorders after bariatric surgery a case series of eating pathology after bariatric surgery. A psychiatric evaluation to screen for an eating disorder is a mandatory part of the pre-surgical evaluation. If weight loss surgery occurs, it is important a comprehensive treatment plan addressing effective coping skills, managing new dietary restrictions, and emotional adjustment post-surgery is in place.

Maladaptive eating behavior assessment among bariatric eating disorders after bariatric surgery a case series candidates: Eating disorder clinicians are reporting an increase in patients casr help following weight loss surgery. When individuals use food for comfort to manage painful emotions and experiences, as is common with BED, the relationship with food needs to be altered prior to surgery.