Disordered eating and weight loss after bariatric surgery

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ORIGINAL ARTICLE

Disordered eating and weight loss after bariatric surgery Raffaella Gradaschi1 · Virginia Molinari1 · Samir Giuseppe Sukkar1 · Paola De Negri1 · Gian Franco Adami2 · Giovanni Camerini3 Received: 12 June 2019 / Accepted: 4 July 2019 © Springer Nature Switzerland AG 2019

Abstract Purposes  Aberrant eating patterns are frequently observed in bariatric patients. Since bariatric operations produce alterations in food transit and in appetite/satiety balance, postoperative eating behavior changes are not surprising. Methods  88 consecutive obese patients undergoing Roux-en-Y gastric bypass (RYGBP, 50 cases) and Sleeve Gastrectomy (SG, 38 cases) were retrospectively evaluated. Beside anthropometric data measurement, eating behavior was assessed by direct interview prior to the operation and at the first and second postoperative years: patients were considered as eating disordered (ED) when referred habitual occurrence of binge eating and nibbling/grazing. Weight loss was assessed by percent of BMI loss (% Δ BMI). Together with standard follow-up, patients received additional behavioral/dietetic support upon request. Results  Postoperative ED patients showed lower % Δ BMI than the not ED ones at one (30.7% ± 8,5 vs. 26.8% ± 10, p