Henry Ford Health System, Behavioral Health, Detroit, MI USA.
Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, MI, USA.
Psychol Health Med. 2022 Oct;27(9):1884-1890. doi: 10.1080/13548506.2021.1930075. Epub 2021 Jun 6.
The purpose of this study was to estimate the prevalence of hazardous drinking in the four years after bariatric surgery and investigate whether there are differences between those undergoing Roux-en-Y gastric bypass and sleeve gastrectomy. Participants (N = 564) who underwent bariatric surgery between 2014 and 2017 completed a survey regarding post-surgical alcohol use. The rate of alcohol use following bariatric surgery was significantly higher among those between 1- and 4-years post-surgery compared to those less than 1-year post-surgery. Of those who were consuming alcohol at the time of participation, 16.1% had scores indicative of hazardous drinking. The rate of hazardous drinking among those 3-4 years post-surgery was greater than those less than 1-year post-surgery with 33.3% of patients engaging in hazardous drinking at 3-4 years post-surgery. Patients undergoing sleeve gastrectomy had similar rates of hazardous drinking as RYGB (16.3% vs. 15.7%). Thus, findings showed that rates of hazardous drinking were higher among those further removed from bariatric surgery and patients undergoing sleeve gastrectomy appeared to have similar rates of hazardous drinking as those who underwent RYGB. Results suggest a need for monitoring of alcohol use for all patients pursuing bariatric surgery, regardless of surgery type.
本研究旨在评估肥胖症手术四年后危险饮酒的流行情况，并调查 Roux-en-Y 胃旁路术和袖状胃切除术之间是否存在差异。2014 年至 2017 年间接受过肥胖症手术的 564 名参与者完成了一项关于手术后饮酒的调查。与术后不足 1 年的患者相比，术后 1 至 4 年的患者接受肥胖症手术后饮酒的比例明显更高。在参与调查时饮酒的患者中，有 16.1%的人存在危险饮酒的迹象。术后 3 至 4 年危险饮酒的发生率高于术后不足 1 年的患者，术后 3 至 4 年有 33.3%的患者存在危险饮酒行为。接受袖状胃切除术的患者与 RYGB 患者的危险饮酒率相似（16.3%比 15.7%）。因此，研究结果表明，远离肥胖症手术的患者危险饮酒的比例更高，而接受袖状胃切除术的患者与接受 RYGB 的患者危险饮酒率似乎相似。结果表明，无论手术类型如何，所有接受肥胖症手术的患者都需要监测饮酒情况。
