Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Study shows more than half of high-risk alcohol users report improvement after surgery

04.04.2014

Previous reports on alcohol use after weight loss surgery may miss these positive effects

Much has been reported about the potential for increased risk of alcohol misuse after weight loss surgery (WLS), with most theories pointing to lower alcohol tolerance and a longer time to return to a sober state after surgery, but a new study from Beth Israel Deaconess Medical Center suggests that upwards of half of high-risk drinkers are actually less likely to report high-risk drinking behavior after weight loss surgery.

The results appear in the journal, Surgery for Obesity and Related Diseases.

"This is the first study to show that high-risk drinking may actually improve post weight loss surgery," says lead author and principal investigator Christina Wee, MD, Director of Obesity Research in the Division of General Medicine and Primary Care.

... more about:
»BIDMC »Medicine »alcohol »drinking »findings »gastric »surgery

Wee and colleagues interviewed patients who participated in the Assessment of Bariatric Surgery or ABS Study, which aims to understand patient preferences and decision making processes about weight loss and weight loss surgery. They followed 541 clinically obese patients who underwent weight loss surgery, interviewing them at baseline and then twice again at the end of one and two years.

Study participants were asked questions assessing frequency of drinking over the past year, quantity of alcohol consumed on an average daily, and binge drinking over the past month. Results were used to determine which individuals were high-risk drinkers.

"Given the greater clinical attention being paid to caloric intake and substance abuse issues after WLS, we hypothesized that a subset of high-risk drinkers who undergo WLS may actually experience amelioration of their high-risk drinking," write the authors.

It turns out they were right.

"So much of the existing literature focuses on increased risk", says senior author George Blackburn, MD, Director of the Center for Nutrition Medicine. "Even though we expected to see something different with this data, we were still surprised by the findings."

About one in six patients reported high-risk drinking before weight loss surgery. At one year after surgery two thirds of gastric bypass patients and nearly half of gastric banding patients reported ceasing high-risk drinking. And at year two "half of gastric bypass and more than half of gastric banding patients reported this improvement," write the authors.

"It's possible that previous studies may have missed this positive effect because post-surgery alcohol use wasn't compared against baseline consumption," says Wee.

While this decrease in high-risk drinking is important, the study also found that seven percent of weight loss surgery patients who did not report high-risk drinking at baseline reported new high-risk drinking at year one and two years post-surgery. These findings were similar between gastric bypass and gastric banding patients.

Wee thinks understanding the complete picture can better prepare clinicians to counsel their patients who are considering weight loss surgery and follow up with them after surgery.

"Often, high-risk drinkers are steered away from weight loss surgery. Knowing that a significant percentage of these patients may actually cease high-risk drinking after weight loss surgery may help us recommend more patients for surgery," says Wee.

"We routinely screen for alcohol misuse as part of routine pre- and post-operative care, with a heavy emphasis on patients who are known to be at risk," says co-author Dan Jones, MD, Director of BIDMC's Bariatric Surgery Center. "This study tells us that we can do a better job of screening for and supporting patients who are newly at risk as opposed to only focusing on those who may have had a problem before surgery."

Wee says more research is necessary to understand why weight loss surgery seems to help some patients improve alcohol misuse, while it increases misuse in others. "We also need to better understand which patients are at highest risk for developing alcohol misuse so that we might better counsel and monitor them."

###

In addition to Wee, Blackburn and Jones, study authors include Kenneth Mukamal, MD, MPH, Karen Huskey, MPH, Roger Davis, ScD of Beth Israel Deaconess Medical Center; Mary Ellen Colten, PhD and Dragana Bolcic-Jankovic, MA, from University of Massachusetts, Boston; and Caroline Apovian from Boston Medical Center.

Beth Israel Deaconess Medical Center is a patient care, teaching and research affiliate of Harvard Medical School, and currently ranks third in National Institutes of Health funding among independent hospitals nationwide.

The BIDMC health care team includes Beth Israel Deaconess Hospital-Milton, Beth Israel Deaconess Hospital-Needham, Beth Israel Deaconess Hospital-Plymouth, Anna Jaques Hospital, Cambridge Health Alliance, Lawrence General Hospital, Signature Health Care, Commonwealth Hematology-Oncology, Beth Israel Deaconess HealthCare, Community Care Alliance, and Atrius Health. BIDMC is also clinically affiliated with the Joslin Diabetes Center and Hebrew Senior Life and is a research partner of Dana-Farber/Harvard Cancer Center. BIDMC is the official hospital of the Boston Red Sox. For more information, visit http://www.bidmc.org.

Kelly Lawman | EurekAlert!

Further reports about: BIDMC Medicine alcohol drinking findings gastric surgery

More articles from Studies and Analyses:

nachricht Antarctic Ice Sheet mass loss has increased
14.06.2018 | Technische Universität Dresden

nachricht WAKE-UP provides new treatment option for stroke patients | International study led by UKE
17.05.2018 | Universitätsklinikum Hamburg-Eppendorf

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Temperature-controlled fiber-optic light source with liquid core

In a recent publication in the renowned journal Optica, scientists of Leibniz-Institute of Photonic Technology (Leibniz IPHT) in Jena showed that they can accurately control the optical properties of liquid-core fiber lasers and therefore their spectral band width by temperature and pressure tuning.

Already last year, the researchers provided experimental proof of a new dynamic of hybrid solitons– temporally and spectrally stationary light waves resulting...

Im Focus: Overdosing on Calcium

Nano crystals impact stem cell fate during bone formation

Scientists from the University of Freiburg and the University of Basel identified a master regulator for bone regeneration. Prasad Shastri, Professor of...

Im Focus: AchemAsia 2019 will take place in Shanghai

Moving into its fourth decade, AchemAsia is setting out for new horizons: The International Expo and Innovation Forum for Sustainable Chemical Production will take place from 21-23 May 2019 in Shanghai, China. With an updated event profile, the eleventh edition focusses on topics that are especially relevant for the Chinese process industry, putting a strong emphasis on sustainability and innovation.

Founded in 1989 as a spin-off of ACHEMA to cater to the needs of China’s then developing industry, AchemAsia has since grown into a platform where the latest...

Im Focus: First real-time test of Li-Fi utilization for the industrial Internet of Things

The BMBF-funded OWICELLS project was successfully completed with a final presentation at the BMW plant in Munich. The presentation demonstrated a Li-Fi communication with a mobile robot, while the robot carried out usual production processes (welding, moving and testing parts) in a 5x5m² production cell. The robust, optical wireless transmission is based on spatial diversity; in other words, data is sent and received simultaneously by several LEDs and several photodiodes. The system can transmit data at more than 100 Mbit/s and five milliseconds latency.

Modern production technologies in the automobile industry must become more flexible in order to fulfil individual customer requirements.

Im Focus: Sharp images with flexible fibers

An international team of scientists has discovered a new way to transfer image information through multimodal fibers with almost no distortion - even if the fiber is bent. The results of the study, to which scientist from the Leibniz-Institute of Photonic Technology Jena (Leibniz IPHT) contributed, were published on 6thJune in the highly-cited journal Physical Review Letters.

Endoscopes allow doctors to see into a patient’s body like through a keyhole. Typically, the images are transmitted via a bundle of several hundreds of optical...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Munich conference on asteroid detection, tracking and defense

13.06.2018 | Event News

2nd International Baltic Earth Conference in Denmark: “The Baltic Sea region in Transition”

08.06.2018 | Event News

ISEKI_Food 2018: Conference with Holistic View of Food Production

05.06.2018 | Event News

 
Latest News

Better model of water under extreme conditions could aid understanding of Earth's mantle

21.06.2018 | Earth Sciences

What are the effects of coral reef marine protected areas?

21.06.2018 | Life Sciences

The Janus head of the South Asian monsoon

21.06.2018 | Earth Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>