Hsu L K, Betancourt S, Sullivan S P
Eating Disorders Program, New England Medical Center, Boston, MA 02111, USA.
Int J Eat Disord. 1996 Jan;19(1):23-34. doi: 10.1002/(SICI)1098-108X(199601)19:1<23::AID-EAT4>3.0.CO;2-Y.
We interviewed 24 female patients who had undergone vertical banded gastroplasty (VBG) to examine what effect eating disturbances have on weight loss outcome after VBG.
Subjects were recruited from 120 patients who had undergone VBG in the last 3 1/2 years. Subjects were asked questions relating to past and present weight status, weight loss methods, eating behaviors, and psychiatric status.
Eating disturbances before VBG in the form of binge eating disorder (BED), bulimia nervosa (BN), night eating syndrome, and drinking large quantities of fluids were very common (75%), and they tended to persist after VBG. Although VBG led to varying weight loss, some patients exhibited a weight regain as postoperative time increased. Patients currently diagnosed with an eating disturbance were more likely to exhibit weight regain than people without these disturbances. VBG did not affect psychiatric status.
VBG appears to be successful in producing weight loss in the morbidly obese, but less successful in altering eating behavior or psychiatric status. Future studies should aim to clarify the role of eating behavior in determining the outcome of bariatric surgery and examine whether treatments such as cognitive behavior therapy targeted specifically at the eating disturbance can improve surgical outcome.
我们采访了24名接受垂直束带胃成形术（VBG）的女性患者，以研究饮食紊乱对VBG术后体重减轻结果有何影响。
从过去3年半内接受VBG手术的120名患者中招募研究对象。向研究对象询问有关过去和当前体重状况、减肥方法、饮食行为及精神状态的问题。
以暴饮暴食症（BED）、神经性贪食症（BN）、夜间饮食综合征及大量饮水等形式存在的VBG术前饮食紊乱非常常见（75%），且这些紊乱在VBG术后往往持续存在。尽管VBG导致了不同程度的体重减轻，但随着术后时间的增加，一些患者出现了体重反弹。目前被诊断为饮食紊乱的患者比没有这些紊乱的人更有可能出现体重反弹。VBG未影响精神状态。
VBG似乎在使病态肥胖者体重减轻方面取得了成功，但在改变饮食行为或精神状态方面不太成功。未来的研究应旨在阐明饮食行为在决定减肥手术结果中的作用，并研究诸如专门针对饮食紊乱的认知行为疗法等治疗方法是否能改善手术效果。
