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Binge eating and its relationship to outcome after laparoscopic adjustable gastric banding
Junilla K Larsen1, Bert van Ramshorst, Rinie Geenen
1Department of Health Psychology, Utrecht University, Utrecht, and Department of Clinical Psychology, University of Nijmegen, Nijmegen, The Netherlands. j.larsen@maw.kun.nl
Background:
The aim of this cross-sectional study was to examine short and long-term eating behavior after laparoscopic adjustable gastric banding (LAGB) and the relationship of binge eating with weight and quality of life outcome.
Methods:
250 patients (221 female, 29 male, mean age 39.6 years, age range 22-61) filled out questionnaires to evaluate quality of life and eating behavior: 93 patients before LAGB, 48 with a follow-up duration of 8 through 24 months, and 109 patients 25 through 68 months after LAGB.
Results:
Compared with patients before surgery, patients after surgery, in both follow-up groups, reported less binge eating, fat intake, external eating, and more restrained eating and eating self-efficacy. After surgery, about one-third of the patients showed binge eating problems, which were associated with a worse postoperative outcome.
Conclusion:
Our results suggest that eating behavior improves both short- and long-term after surgery for severe obesity. Although LAGB could be a long-term solution to part of preoperatively eating disordered patients, the identification and treatment of postoperative binge eating appear critical to promote successful outcome after bariatric surgery.
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