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Current Psychiatry Reports
Published in: Current Psychiatry Reports 9/2019

01-09-2019 | Obesity | Eating Disorders (S Wonderlich and S Engel, Section Editors)

Changes in Alcohol Use after Metabolic and Bariatric Surgery: Predictors and Mechanisms

Authors: Valentina Ivezaj, Stephen C. Benoit, Jon Davis, Scott Engel, Celia Lloret-Linares, James E. Mitchell, M. Yanina Pepino, Ann M. Rogers, Kristine Steffen, Stephanie Sogg

Published in: Current Psychiatry Reports | Issue 9/2019

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Abstract

Purpose of Review

This review synthesized the literature on predictors and mechanisms of post-bariatric alcohol problems, in order to guide future research on prevention and treatment targets.

Recent Findings

Consistent evidence suggests an elevated risk of developing problems with alcohol following bariatric surgery. While there is a paucity of empirical data on predictors of problematic alcohol use after bariatric surgery, being male, a younger age, smoking, regular alcohol consumption, pre-surgical alcohol use disorder, and a lower sense of belonging have predicted alcohol misuse post-operatively. This review synthesizes potential mechanisms including specific bariatric surgical procedures, peptides and reinforcement/reward pathways, pharmacokinetics, and genetic influences. Finally, potential misperceptions regarding mechanisms are explored.

Summary

Certain bariatric procedures elevate the risk of alcohol misuse post-operatively. Future research should serve to elucidate the complexities of reward signaling, genetically mediated mechanisms, and pharmacokinetics in relation to alcohol use across gender and developmental period by surgery type.
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Metadata
Title
Changes in Alcohol Use after Metabolic and Bariatric Surgery: Predictors and Mechanisms
Authors
Valentina Ivezaj
Stephen C. Benoit
Jon Davis
Scott Engel
Celia Lloret-Linares
James E. Mitchell
M. Yanina Pepino
Ann M. Rogers
Kristine Steffen
Stephanie Sogg
Publication date
01-09-2019
Publisher
Springer US
Published in
Current Psychiatry Reports / Issue 9/2019
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-019-1070-8

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