Bariatric weight loss surgery could be at an elevated risk of substance use (alcohol, cigarette smoking, and drug use) in patients after surgery.This is common for those who underwent laparoscopic Roux-en-Y gastric bypass surgery.

The report was published in Archives of Surgery. The candidates suffer from binge-eating disorder and display addictive personalities, therefore after their weight loss surgery (WLS); they may replace overeating with a different substance.  Alexis Conason of New York Obesity Nutrition Research Center conducted a survey from 155 patients (132 women) who under went weight loss surgery.The participants underwent laparoscopic Roux-en-Y gastric bypass surgery (100) or laparoscopic gastric band surgery (55).

All patients answered questionnaires to evaluate eating behaviors and substance use before their operation, and at one, three, six, twelve, and 24 months following surgery.Patients documented noteworthy increases in the amount of substance use (a combination of drug use, alcohol use, and cigarette smoking) 24 months after surgery.

Specifically, the authors saw that participants reported a meaningful increase in the prevalence of substance use from the time of the surgery to 24 months after surgery. Also seen was significant increases from one, three, and six months to 24 months following their operation.

Furthermore, those who had laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) displayed a meaningful jump in the frequency of alcohol use from the period before surgery to 24 months afterwards.

Reference Kelly Fitzgearald