Pouch Dilatation After Laparoscopic Adjustable Gastric Banding
Stomach Pouch Problems After Gastric Surgery Caused by Psychological Factors
| Bariatric Surgery information Pouch Dilatation After Laparoscopic Adjustable Gastric Banding |
Stomach Pouch Problems After Gastric Surgery Caused by Psychological Factors |
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Weight Loss Surgery Operations - Research Into Gastric Reduction Surgery |
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Pouch Dilatation After Laparoscopic Adjustable Gastric Banding Laparoscopic stomach banding is increasingly being performed in morbidly obese individuals for weight loss. Some patients develop pouch dilatation as a post-operative complication that limits the utility of the procedure. Surgical variables are poor predictors of this complication. Methods Psychiatric and bariatric surgical case-notes were analyzed retrospectively for the presence of operationally defined psychiatric disorders and compared to 10 controls from the same population. Results Cases of pouch dilatation were significantly more likely to have past or current binge eating, emotionally triggered eating with reduced awareness of the link, a history of affective disorder, reduced sexual functioning and successful preoperative weight loss. No difference between groups was observed for compliance with orlistat, childhood sexual abuse, relationships with parents, history of bulimia nervosa, rate of band inflation or preoperative BMI. Conclusions Psychological factors may be better predictors of pouch dilatation than biomedical variables. Disordered eating can be an attempt to modulate negative emotions. Pouch dilatation may be a consequence of this eating behavior. Authors: Source: Stomach Bypass Surgery Information |