1. Beeinflusst bariatrische Chirurgie Sucht und Essstörungen?
- Author
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Ardelt-Gattinger, E., Meindl, M., Mangge, H., Neubauer, M., Ring-Dimitriou, S., Spendlingwimmer, J., Thun-Hohenstein, L., Weghuber, D., and Miller, K.
- Subjects
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BARIATRIC surgery , *BULIMIA , *GASTRIC bypass , *GASTRIC banding , *BODY mass index - Abstract
Background: Bariatric surgery is the most effective treatment to reduce weight permanently which is essential to avoid, to improve or even to cure life-threatening comorbidities. Little is known about changes of the psychological etiology and risk factors. Methods: The present study concentrated on psychological variables which are considered to cause or promote obesity. The changes of symptoms were measured by the AD-EVA test inventory. A total of 60 patients (24 male/36 female, age 18-71 years) were tested prior to gastric bypass or gastric banding (body mass index BMI M=44.95, SD=6.91) and postoperatively (BMI M=33.92, SD=7.23). Results: Following surgery the variables addiction (t=11.15, p<0.01) and binge eating disorder (t=2.13, p<0.05) showed significant changes across all patients and therefore confirmed a positive effect but restrained eating and bulimia remained unmodified after surgery. There were significant differences between the two bariatric methods (p<0.01). Discussion: A precise interdisciplinary evaluation is a prerequisite for deciding between gastric banding and the bypass technique as well as to define the need for preoperative and postoperative psychotherapy. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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