Nazmin Farhana, Gunturu Sasidhar, Jaka Sanobar, Rahman Saidur
Department of Psychiatry, Bronx Care Health System, New York, NY 10457, USA.
Department of Psychiatry, Bronx Care Health System, New York, NY 10457, USA; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Actas Esp Psiquiatr. 2025 May;53(3):605-615. doi: 10.62641/aep.v53i3.1830.
To explore the incidence of alcohol use disorder (AUD) after bariatric surgery and the associated risk factors and specific manifestations of increased AUD risk, such as increased alcohol sensitivity and earlier symptom onset.
This review adhered to PRISMA guidelines. Data were sourced from PubMed, Google Scholar, Cochrane, and Science.gov using search terms related to alcohol, bariatric surgery, and nutrition. Articles were screened based on inclusion and exclusion criteria: Inclusion criteria were English language articles published from 2013-present, availability in full text or open access, and adult patients (≥18 years) who had bariatric surgery. Exclusion criteria were non-English articles, articles written before 2013, unavailable full text or open access, articles that featured pediatric patients or patients who did not use alcohol or had bariatric surgery, and abstracts or opinion pieces. A final total of 11 studies were found.
Studies published from 2013 to the present that involved adult bariatric surgery patients with a history of alcohol consumption.
Findings suggest an elevated risk of AUD post-bariatric surgery, particularly following sleeve gastrectomy or Roux-en-Y gastric bypass surgery. There was strong evidence of increased alcohol sensitivity and AUD symptoms post-surgery, causing potential health effects.
These results underscore the importance of comprehensive preoperative assessments and tailored interventions for bariatric surgery patients with AUD.
探讨减肥手术后酒精使用障碍（AUD）的发生率、相关危险因素以及AUD风险增加的具体表现，如酒精敏感性增加和症状出现更早。
本综述遵循PRISMA指南。数据来源于PubMed、谷歌学术、Cochrane和Science.gov，使用与酒精、减肥手术和营养相关的搜索词。根据纳入和排除标准筛选文章：纳入标准为2013年至今发表的英文文章、全文可获取或开放获取，以及接受减肥手术的成年患者（≥18岁）。排除标准为非英文文章、2013年之前撰写的文章、无法获取全文或开放获取的文章、涉及儿科患者或不饮酒或未接受减肥手术的患者的文章，以及摘要或评论文章。最终共找到11项研究。
2013年至今发表的涉及有饮酒史的成年减肥手术患者的研究。
研究结果表明减肥手术后AUD风险升高，尤其是在袖状胃切除术或Roux-en-Y胃旁路手术后。有强有力的证据表明术后酒精敏感性和AUD症状增加，会对健康产生潜在影响。
这些结果强调了对患有AUD的减肥手术患者进行全面术前评估和量身定制干预措施的重要性。
