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Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study

OBJECTIVE: To explore patients’ long-term experiences with drinking alcohol after Roux-n-Y gastric bypass (RYGB) for conceptualizing what may indicate problematic drinking behavior after bariatric surgery. STUDY DESIGN: Three-center, observational study. PATIENTS: 546 adult patients undergoing RYGB...

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Autores principales: Strømmen, Magnus, Klöckner, Christian Andreas, Bjerkan, Kirsti Kverndokk, Græslie, Hallvard, Hoff, Dag Arne Lihaug, Johnsen, Gjermund, Kulseng, Bård, Mårvik, Ronald, Nymo, Siren, Sandvik, Jorunn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253806/
https://www.ncbi.nlm.nih.gov/pubmed/34226824
http://dx.doi.org/10.3389/fendo.2021.679006
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author Strømmen, Magnus
Klöckner, Christian Andreas
Bjerkan, Kirsti Kverndokk
Græslie, Hallvard
Hoff, Dag Arne Lihaug
Johnsen, Gjermund
Kulseng, Bård
Mårvik, Ronald
Nymo, Siren
Sandvik, Jorunn
author_facet Strømmen, Magnus
Klöckner, Christian Andreas
Bjerkan, Kirsti Kverndokk
Græslie, Hallvard
Hoff, Dag Arne Lihaug
Johnsen, Gjermund
Kulseng, Bård
Mårvik, Ronald
Nymo, Siren
Sandvik, Jorunn
author_sort Strømmen, Magnus
collection PubMed
description OBJECTIVE: To explore patients’ long-term experiences with drinking alcohol after Roux-n-Y gastric bypass (RYGB) for conceptualizing what may indicate problematic drinking behavior after bariatric surgery. STUDY DESIGN: Three-center, observational study. PATIENTS: 546 adult patients undergoing RYGB in the period 2003-2009 in Norway. MAIN OUTCOME MEASURES: Self-reported data on drinking behavior and experiences related to alcohol collected 10-15 years after surgery. RESULTS: Out of the 959 patients undergoing RYGB in the period, 29 were diseased and 546 participated in this follow-up study (58.7%). Focusing on suspicious changes in drinking behavior, 8.8% reported drinking more, 11.5% consumed alcohol at least twice a week, and 10.6% consumed at a minimum of 6 units of alcohol at a frequency of at least once monthly. The nature of hangovers had changed for about a third of the patients, with 21.6% reporting these to feel weaker or absent. Repeated alcoholic blackouts were reported by 11.9%. A subgroup of the patients were categorized as displaying presumed problematic drinking behavior(PPDB). Among the PPDB-men there was a significant association to having had a fall last year (6 (100.0%) PPDB-patients vs. 30 (29.7%) non-PPDB, p<.001). Among the PPDB-women, there was a significant association to having had alcohol problems prior to surgery (7 (70.0%) PPDB-patients vs. 67 (17.7%) non-PPDB, p<.001). Less significant associations to PPDB reported for explorative purposes were lack of patient education (men) (16 (26.2%) PPDB-patients vs. 8 (61.5%) non-PPDB, p=.014); more than 3 months persistent musculoskeletal pain (women) (45 (15.3%) PPDB-patients vs. 29 (24.6%) non-PPDB, p=.026); subjective problems with memory (women) (58 (20.7%) PPDB-patients vs. 10 (9.1%) non-PPDB, p=.006); and, receiving professional help for mental problems last 12 months (women) (29 (22.7%) PPDB-patients vs. 45 (14.7%) non-PPDB, p=.043). CONCLUSION: A subset of patients display drinking behaviors that may be consistent with postsurgical alcohol problems. Screening instruments like AUDIT may not be sufficiently specific to capture several risk behaviors occurring after bariatric surgery.
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spelling pubmed-82538062021-07-04 Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study Strømmen, Magnus Klöckner, Christian Andreas Bjerkan, Kirsti Kverndokk Græslie, Hallvard Hoff, Dag Arne Lihaug Johnsen, Gjermund Kulseng, Bård Mårvik, Ronald Nymo, Siren Sandvik, Jorunn Front Endocrinol (Lausanne) Endocrinology OBJECTIVE: To explore patients’ long-term experiences with drinking alcohol after Roux-n-Y gastric bypass (RYGB) for conceptualizing what may indicate problematic drinking behavior after bariatric surgery. STUDY DESIGN: Three-center, observational study. PATIENTS: 546 adult patients undergoing RYGB in the period 2003-2009 in Norway. MAIN OUTCOME MEASURES: Self-reported data on drinking behavior and experiences related to alcohol collected 10-15 years after surgery. RESULTS: Out of the 959 patients undergoing RYGB in the period, 29 were diseased and 546 participated in this follow-up study (58.7%). Focusing on suspicious changes in drinking behavior, 8.8% reported drinking more, 11.5% consumed alcohol at least twice a week, and 10.6% consumed at a minimum of 6 units of alcohol at a frequency of at least once monthly. The nature of hangovers had changed for about a third of the patients, with 21.6% reporting these to feel weaker or absent. Repeated alcoholic blackouts were reported by 11.9%. A subgroup of the patients were categorized as displaying presumed problematic drinking behavior(PPDB). Among the PPDB-men there was a significant association to having had a fall last year (6 (100.0%) PPDB-patients vs. 30 (29.7%) non-PPDB, p<.001). Among the PPDB-women, there was a significant association to having had alcohol problems prior to surgery (7 (70.0%) PPDB-patients vs. 67 (17.7%) non-PPDB, p<.001). Less significant associations to PPDB reported for explorative purposes were lack of patient education (men) (16 (26.2%) PPDB-patients vs. 8 (61.5%) non-PPDB, p=.014); more than 3 months persistent musculoskeletal pain (women) (45 (15.3%) PPDB-patients vs. 29 (24.6%) non-PPDB, p=.026); subjective problems with memory (women) (58 (20.7%) PPDB-patients vs. 10 (9.1%) non-PPDB, p=.006); and, receiving professional help for mental problems last 12 months (women) (29 (22.7%) PPDB-patients vs. 45 (14.7%) non-PPDB, p=.043). CONCLUSION: A subset of patients display drinking behaviors that may be consistent with postsurgical alcohol problems. Screening instruments like AUDIT may not be sufficiently specific to capture several risk behaviors occurring after bariatric surgery. Frontiers Media S.A. 2021-06-18 /pmc/articles/PMC8253806/ /pubmed/34226824 http://dx.doi.org/10.3389/fendo.2021.679006 Text en Copyright © 2021 Strømmen, Klöckner, Bjerkan, Græslie, Hoff, Johnsen, Kulseng, Mårvik, Nymo and Sandvik https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Strømmen, Magnus
Klöckner, Christian Andreas
Bjerkan, Kirsti Kverndokk
Græslie, Hallvard
Hoff, Dag Arne Lihaug
Johnsen, Gjermund
Kulseng, Bård
Mårvik, Ronald
Nymo, Siren
Sandvik, Jorunn
Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study
title Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study
title_full Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study
title_fullStr Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study
title_full_unstemmed Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study
title_short Characteristics of Patients Reporting Presumed Problematic Drinking Behavior After Gastric Bypass: Exploring Long-Term Data From the BAROBS Study
title_sort characteristics of patients reporting presumed problematic drinking behavior after gastric bypass: exploring long-term data from the barobs study
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253806/
https://www.ncbi.nlm.nih.gov/pubmed/34226824
http://dx.doi.org/10.3389/fendo.2021.679006
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