CHICAGO (AP) - The most common type of obesity surgery may increase patients chances for alcohol abuse, according to the largest study to demonstrate a potential link.
Patients who had gastric bypass surgery faced double the risk for excessive drinking, compared with those who had a less drastic weight-loss operation.
Gastric bypass surgery shrinks the stomachs size and attaches it to a lower portion of the intestine. That limits food intake and the bodys ability to absorb calories. Researchers believe it also changes how the body digests and metabolizes alcohol; some people whove had the surgery say they feel alcohols effects much more quickly, after drinking less, than before the operation. The study suggests that may lead to problem drinking.
The researchers asked nearly 2,000 women and men who had various kinds of obesity surgery at 10 centers nationwide about their drinking habits one year before their operations, versus one and two years afterward. Most didnt drink excessively before or after surgery, and increases in drinking didnt occur until two years post-surgery.
More than two-thirds had gastric bypass surgery and were most at risk. Two years after the surgery, almost 11 percent, or 103 of 996 bypass patients, had drinking problems, a 50 percent increase from before surgery.
By contrast, about 5 percent of patients who had stomach-banding obesity surgery drank excessively two years later, similar to the pre-surgery numbers. Too few patients had other types of weight-loss surgery to make strong comparisons.
The study was released online Monday in the Journal of the American Medical Association.
About 8 percent of U.S. adults abuse alcohol by drinking excessively. The study authors say their results suggest that an additional 2,000 people each year will develop drinking problems because of obesity surgery.
More than 200,000 stomach-reducing surgeries are performed each year. Gastric bypass, also called stomach-stapling, is the most common and generally results in more weight loss than other methods. The benefits of gastric bypass surgery include sometimes reducing diabetes and heart disease risks.
Patients should be screened for alcohol problems before and after surgery and told about the risks, said lead author Wendy King, an assistant professor at the University of Pittsburghs graduate school of public health.
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Shrinking stomach may boost risk for booze abuse
