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 A new study shows weight-loss surgery patients are at risk for alcoholism about two years after the procedure.
June 19th, 2012
09:22 AM ET
Weight-loss surgery may raise risk of alcohol abuseCertain patients who undergo weight-loss surgery may have a heightened risk of developing a drinking problem, but the risk is only apparent two years after the procedure and only with one type of surgery. A new study, published today on the website of the Journal of the American Medical Association, examined the drinking habits of almost 2,000 obese adults before and after bariatric surgery. Before the surgery, 7.6% of the study participants met the criteria for an alcohol-use disorder. One year after the procedure that number had actually declined slightly, to 7.3%, but by the end of the second year it had risen to 9.6% - a 57% increase from the pre-surgery rate. But the risk wasn't appreciably higher with other types of weight-loss surgery, such as gastric banding or gastric sleeve surgery. Health.com: Weight-loss surgery may lower heart attack, stroke risk The researchers can only speculate why the uptick in alcohol-use disorders was restricted to Roux-en-Y patients and took two years to become apparent. The most likely culprit is an increased sensitivity to alcohol, coupled with a gradual return to pre-surgery drinking habits, says lead author Wendy King, Ph.D., an assistant professor of epidemiology at the University of Pittsburgh Graduate School of Public Health. Roux-en Y bypass involves reducing the size of the stomach and bypassing part of the small intestine, both of which cause alcohol to pass into the bloodstream more quickly, King explains. In addition, Roux-en-Y patients are advised not to drink for 30 minutes after eating, which increases the likelihood that they'll consume alcohol on an empty or near-empty stomach. "The switch to drinking without food could also impact sensitivity," says King, who presented her findings today at the annual meeting of the American Society for Metabolic and Bariatric Surgery, in San Diego. Health.com: Are you more drunk than you think? Replacing one addiction with another (in this case, food for alcohol), a phenomenon known as addiction swapping, seems not to have played a role here. Binge eaters, who are comparable in many ways to binge drinkers, were no more likely than other people to develop an alcohol-use disorder, King says. Other factors were associated with increased risk, however. Men, younger people, smokers, regular drinkers (including moderate drinkers), recreational drug users, and people who feel like they don't belong — a marker of poor social support — were all at increased risk relative to their peers. Overall, 1 in 8 study participants reported drinking at least three alcoholic drinks per typical drinking occasion two years post-surgery. "That level of drinking, independent of any relationship to alcohol-use disorder, may have negative implications for weight loss, for liver health, and vitamin and mineral absorption," King says. "Those who undergo Roux-en Y surgery already have compromised absorption, and heavy drinking could make it worse." Health.com: Surgery is no quick fix for obese teens The study had some limitations. It shows only an association, not cause and effect, and the participants may have underreported their alcohol consumption, especially since people with alcohol-use disorders are generally advised against bariatric surgery. Candidates for weight-loss surgery should be aware of the risk of alcohol problems, but the new findings by themselves shouldn't dissuade anyone from considering the surgery, King says. "This is the best treatment we have today for severe obesity," King says. "With any medical procedure, there are risks and benefits." Copyright Health Magazine 2011
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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love. Recent Comments
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If you are so powerless over your eating that you need bariatric surgery -- then you should not be surprised if you have trouble controling your drinking too
Over eating is a behavioral problem, not a surgical problem
If you just discovered that you have a cyst on the ovary, you've come to the right place because you discover what not to eat, why certain chemicals are bad & what supplements help you to keep ovarian cysts away...
Clearly you are a fool.
Be nice, Dave. A waist is a terrible thing to mind!
Having had the surgery myself 6 years ago, I can understand the problem. I know first hand that drinking a shot of alcohol for me is probably akin to IV drugs. I was not aware of this before the surgery. I am not an alcoholic, but I can understand why the risk is high. I would still have had the surgery, even if I'd known the risks. I limit my alcohol intake.
Joy, while to many people, the souitlon to losing weight is simple – don't eat as much and exercise regularly – the reality is that eating disorders are complex and multi-layered. Unravelling the root cause involves examining everything from genes to environment to emotional issues. Eating is so intricately woven into the fabric of our daily lives that extricating that which is emotional unhealthy eating from that which fuels our bodies is a difficult task.Statistics show that for the morbidly obese, there is a less than 2% chance of sustaining weight loss from diet and lifestyle change alone and I think it is irresponsible to keep giving that message to someone like myself who has lost and regain large amounts of weight, each time gaining more than I started with. That is the reality, we are doing more harm to our bodies by continuing this pattern while developing life threatening co-morbidities. We don't need education, we are already very knowledgeable about how to eat properly from years of dieting.Perhaps if the health care system would pay for extensive therapy to help deal with the deep seated and long term emotional issues that many have, it might help, but that can takes years – years that many obese individuals don't have. I also had the Vertical Sleeve Gastrectomy and have lost 164 pounds. I have a new life, renewed health and will be costing the health care system a lot less money.Lorraine
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Let's not only deal with the alcohol consumption. Let us also deal with the 5 year success rate that Roux-En-Y patients must accept. Everything goes along great until the 5 year threshhold, at which point the success of the surgery goes away, and the weight, despite total conformance to the rules, piles on like never before!!! My weight gain prior to surgery was caused by medications blowing me up by 150 lbs! I was not, and have never been, an overeater. But the 5 year threshhold took me down with it, despite my exercise and food limitation. Let us give prospective patients the truth about THAT!
kit4wit, somehow I doubt that if you kept your calorie consumption below 2000 and you kept you activity level high with 30-60 minute workouts 6 days a week that you would just start gaining weight. Our bodies are fairly simple, if calories burned is greater than calories consumed, then you will lose weight. The only exception to this, is if the calorie consumption is too low and the body starts operating in starvation mode, in which case the body will resist shedding of weight. If you have bariatric surgery and you want to maximize your weight loss, then you need to consume no more than 1300 calories per day, at least 70g of protein per day, keep starches below 150g, and about 64 fl oz of water per day. Also, monitor your weight, there will always be some day to day fluctuation but over a 7 day period you should be trending down and if not, see a doctor (assuming you did stick to the diet).
@Kit4wit, also if you were 150 pounds over weight. If at any time you were a plus size person those fat cells don't leave and go running away it is said and my doctors told me this. If you are a plus sized person you have to work out a minimum of 90 minutes a day to keep the weight off. If your not excerising everyday and doing about 90 minutes and adjusting your calorie intake accordingly your body is going to think your straving. no matter what diet plan or surgery you did.
Hello,
Alcohol consumption cause weight gain. also so many other disease also. After having surgery we should take so care to avoid alcohol and other oily food also.
Weight loss is a risky task!!After the surgery We should not consume the alcohol it may cause many side effects;it may even lead to death some times!! We should be very careful after the surgery!! We should take the advice of doctor after the surgery to reduce the weight!!
Weight Gain
alcohol abuse should be prevented because it can lead to a more serious disease like liver cirrhosis. ;
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This is all great information regarding weight loss surgery and the risks associated. Also important is learning about whether or not you are a qualified candidate for the surgery. At Pacific Bariatric, we conduct free seminars for you to attend and ask questions. Our physicians are also onsite. Contact us for further information about these seminars to locate one near you.
Nice blog .... I read all post, I like it. Thanks web master
What are the effects of alcohol consumption
I had the gastric sleeve surgery in 2009. I lost weight and struggle to keep weight on. I began to drink beer again about a year ago. My body craves it once I start drinking. I don't eat sweets but I believe my body craves the sugars in the beer. Has anyone else had this same problem?
Alcohol abuse is a pattern of drinking that results in harm to one’s health, interpersonal relationships, or ability to work. According to Gelder, Mayou & Geddes (2005) alcohol abuse is linked with suicide. They state the risk of suicide is high in older men who have a history of drinking, as well as those suffering from depression.