Abstract
Background: Bariatric surgery is the treatment of choice for patients with morbid obesity. In addition to surgery, postoperative dietary behavior is an important mediator of weight loss and, therefore, critical in influencing outcome. Surgical treatment of obesity is not an alternative to dieting but a method to enforce dieting.
Methods: We evaluated early weight loss and post-operative eating behavior over time. Preoperatively as well as 6 months, 1 and 2 years after vertical banded gastroplasty (VBG), 91 patients were psychologically assessed using a semi-structured interview and a psychological questionnaire focusing on eating behavior.
Results: Over time, we found significant changes in weight, mostly in the 1st postoperative year (EWL=52.0%); at 2 years, EWL was 61.5%. Patients reported substantial changes in feelings of hunger, appetite, satiety, and eating behavior; however, most improvements waned over time. In addition, there was a wide variability in changes within our patient group, and changes in weight loss appeared to be related to changes in restrained eating.
Conclusion: VBG not only leads to considerable weight loss, but also to significant improvements in eating behavior, at least within 2 years. However, most improvements wane over time and not all patients profit in the same way.
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This study was supported by the Scientific Research Fund of the Catharina Hospital, Eindhoven, the Netherlands.
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van Hout, G.C.M., Jakimowicz, J.J., Fortuin, F.A.M. et al. Weight loss and eating behavior following vertical banded gastroplasty. OBES SURG 17, 1226–1234 (2007). https://doi.org/10.1007/s11695-007-9205-0
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DOI: https://doi.org/10.1007/s11695-007-9205-0