Binge eating and its relationship to outcome after laparoscopic adjustable gastric banding.
BACKGROUND
The aim of this cross-sectional study was to examine short and long-term eating behavior after laparoscopic adjustable gastric banding (LAGB) and the relationship of binge eating with weight and quality of life outcome.


METHODS
250 patients (221 female, 29 male, mean age 39.6 years, age range 22-61) filled out questionnaires to evaluate quality of life and eating behavior: 93 patients before LAGB, 48 with a follow-up duration of 8 through 24 months, and 109 patients 25 through 68 months after LAGB.


RESULTS
Compared with patients before surgery, patients after surgery, in both follow-up groups, reported less binge eating, fat intake, external eating, and more restrained eating and eating self-efficacy. After surgery, about one-third of the patients showed binge eating problems, which were associated with a worse postoperative outcome.


CONCLUSIONS
Our results suggest that eating behavior improves both short- and long-term after surgery for severe obesity. Although LAGB could be a long-term solution to part of preoperatively eating disordered patients, the identification and treatment of postoperative binge eating appear critical to promote successful outcome after bariatric surgery.
Department of Health Psychology, Utrecht University, Utrecht, and Department of Clinical Psychology, University of Nijmegen, Nijmegen, The Netherlands. j.larsen@maw.kun.nl
Junilla K
JK
Larsen
Bert
B
van Ramshorst
Rinie
R
Geenen
Nico
N
Brand
Wolfgang
W
Stroebe
Lorenz J P
LJ
van Doornen
D000328:Adult; D001835:Body Weight; D002032:Bulimia / Q000150:complications / Q000601:surgery*; D003430:Cross-Sectional Studies; D005260:Female; D015391:Gastroplasty; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D011788:Quality of Life; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss