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Obesity Surgery

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01-03-2016 | Original Contributions

Self-Reported Eating Disorder Symptoms Before and After Gastric Bypass and Duodenal Switch for Super Obesity—a 5-Year Follow-Up Study

Authors: M. S. Morseth, S. E. Hanvold, Ø. Rø, H. Risstad, T. Mala, J. Šaltytė Benth, M. Engström, T. Olbers, S. Henjum

Published in: Obesity Surgery | Issue 3/2016

Abstract

Background

This study assessed eating disorder pathology in persons with obesity before and after Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (DS), in a 5-year follow-up study.

Methods

Sixty participants with BMI 50–60 kg/m² were randomly assigned to RYGB (n = 31) or DS (n = 29). The participants completed the Eating Disorder Examination-Questionnaire (EDE-Q) before and 6 months, 1 year, 2 years, and 5 years after surgery.

Results

Before surgery, the prevalence of objective bulimic episodes was 29 % in the RYGB group and 32 % in the DS group. The prevalence improved during the first 12 months after surgery in both groups. After 5 years, the prevalence of objective bulimic episodes was 22 % in the RYGB group and 7 % in the DS group. The difference between groups throughout follow-up was non-significant (logistic regression model). A linear mixed model showed that global EDE-Q score was not a significant predictor for weight loss after surgery, but participants reporting objective bulimic episodes before surgery had significantly lower BMI than those with no episodes after 2 years (p = 0.042) and 5 years (p = 0.013). Global EDE-Q score was significantly lower in the DS group after 5 years (p = 0.009) (linear mixed model).

Conclusions

Objective bulimic episodes but not global EDE-Q score before surgery predicted greater weight loss after RYGB and DS. The DS group had a significantly lower global EDE-Q score than the RYGB group 5 years after surgery.

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Title: Self-Reported Eating Disorder Symptoms Before and After Gastric Bypass and Duodenal Switch for Super Obesity—a 5-Year Follow-Up Study
Authors: M. S. Morseth
S. E. Hanvold
Ø. Rø
H. Risstad
T. Mala
J. Šaltytė Benth
M. Engström
T. Olbers
S. Henjum
Publication date: 01-03-2016
Publisher: Springer US
Published in: Obesity Surgery / Issue 3/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-015-1790-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Self-Reported Eating Disorder Symptoms Before and After Gastric Bypass and Duodenal Switch for Super Obesity—a 5-Year Follow-Up Study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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