Abstract
ABSTRACT Background: Bariatric surgery has been an alternative when conservative methods of weight loss fail. Patients undergoing bariatric surgery have an increased risk of up to 6.5% of problems related to alcohol. Objetive: To review the literature about the changes on alcohol consumption in this public. Method: Database was accessed from June of 2015 to January of 2016 by searching “bariatric surgery” AND “alcoholism”, and their Portuguese equivalents. Science Direct, PubMed, Lilacs and Medline, besides manual search, were searched. To be included, the paper should have been published between 2005-2016 and related to bariatric surgery and alcoholism. Theses, dissertations, unpublished papers, case reports and theoretical studies were excluded. In 2005 there was only one review of change in alcohol metabolism in patients undergoing bariatric surgery. There were no publications in 2006. In 2007, only one study was published, and it did not meet the inclusion criteria. In 2010, there was an increase of 13% in publications and of 20% in 2012, reaching 40% in 2013. Conclusion: The prevalence and incidence of alcohol consumption in relation to the postoperative time was six months to three years with higher incidence in men. Roux-en-Y gastric bypass showed greater association with increased alcohol consumption during the postoperative period. This and other studies showed that the pattern of alcohol consumption is important to be faced as a problem in bariatric surgery follow-up.
Highlights
About 3.4 million adult deaths annually with cases of obesity, and the prevalence of adult obesity is 11% globally and 35% in the United States[1] In cases in which patients do not show positive responses to conventional weight loss attempts as diet, physical activity and drug therapy, surgery has been taken into account, more precisely the bariatric surgery (BS)[24]
The themes addressed by the articles were: characterization of the prevalence of alcohol consumption pre and postoperative check with the independent predictors; description of the disorder phenotypes by alcohol abuse by the Alcohol Use Disorders Identification Test (AUDIT) and analysis of the relationship between the degree of weight loss the incidence of AUDIT
The issues addressed highlighted the verification of the change in alcohol metabolism after bypass; characterization of alcohol consumption pre and postoperative follow-up for two years of surgery and determination of the associated factors and absorption of alcohol before and after laparoscopic sleeve gastrectomy
Summary
About 3.4 million adult deaths annually with cases of obesity, and the prevalence of adult obesity is 11% globally and 35% in the United States[1] In cases in which patients do not show positive responses to conventional weight loss attempts as diet, physical activity and drug therapy, surgery has been taken into account, more precisely the bariatric surgery (BS)[24]. Studies show that there is no intention in correcting the problematic[2,16]. The use of this psychoactive substance prevents regular glycemic control[5] and causes poisoning and changes with less dosage, compared to the period before the surgery[15], being considered a challenge in the rehabilitation process[15]
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