Journal
INTERNATIONAL JOURNAL OF EATING DISORDERS
Volume 40, Issue 4, Pages 349-359Publisher
WILEY
DOI: 10.1002/eat.20376
Keywords
Niego; Sara MD; bariatric surgery outcome; binge eating obesity surgery; obesity surgery outcome binge eating
Funding
- NIDDK NIH HHS [R03 DK068603, R03 DK068603-01A2, R03 DK068392-02, R03 DK068392, R03 DK068603-02] Funding Source: Medline
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Objective: This article reviews the status of the literature addressing clinically significant binge eating in the bariatric surgery patient. The goal is to provide a background that will guide patients, surgeons, and mental health practitioners toward the most successful longterm surgical outcome when binge eating is identified. Method: Pubmed and Medline search with subsequent reference list search of identified articles. We searched literature through April 2006 on the influence of binge eating (BE) on surgical outcome. Results: Those with pre-surgical BE are more likely to retain the eating pathology and, if they do, to have poorer weight loss outcome. Many people who binge ate prior to surgery report continued feelings of loss of control when eating small amounts of food after surgery. Studies that employed the DSM-IV definition of a binge episode reported absence of BE after surgery, unlike those that modified binge criteria after surgery. \ Conclusion: Clinically significant BE is related to poorer surgical outcomes, and additional interventions may be needed to improve long term outcomes. Though surgery does alter body's physiology, claims that the psychological aspects of BE are cured by obesity surgery must be viewed with caution. Researchers and practitioners must reach a consensus on how to define BE after gastric surgery so that future long-term prospective studies may further evaluate the effect of BE on surgical outcome and vice versa. (c) 2007 by Wiley Periodicals, Inc.
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