title: Total reversal of weight loss from adjustable gastric banding surgery associated with excessive intake of energy dense liquid and solid foods: A case report.
abstract: We report excessive binging and total reversal of weight loss in a patient after adjustable gastric banding surgery (AGBS). A 42-year-old female who underwent AGBS 4 years earlier was randomized to a diet group in a study on exercise training. The patient was on therapy for pre-diabetes and depression. She weighed 115 kg pre-surgery, lost 27.3 kg post-surgery, and weighed 117.3 kg at the start of the study. Her energy intake, assessed by 3-day food record, was 14,096 kcal/d at the beginning of the study of which 3086 kcal/d was from liquid and 7273 kcal/d from solid energy dense foods. The patient reported that the liquid foods facilitated binging on solid foods despite gastric band adjustments. Following intensive dietary counseling for 5 weeks, her reported energy intake decreased to <3000 kcal/d and body weight by 1 kg. Evaluating and actively addressing any dietary behavioral issues before and after AGBS are recommended.:
authors: Department of Kinesiology, Texas Christian University, Fort Worth, TX, United States. Electronic address:meena.shah@utsouthwestern.edu.
authors: Meena
authors: M
authors: Shah
authors: Division of Nutrition and Metabolic Diseases, Center for Human Nutrition, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, United States.
authors: Sneha
authors: S
authors: Rao
authors: Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, United States.
authors: Peter
authors: P
authors: Snell
authors: Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, United States.
authors: Beverley
authors: B
authors: Adams-Huet
authors: Division of Nutrition and Metabolic Diseases, Center for Human Nutrition, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, United States.
authors: Claudia
authors: C
authors: Quittner
authors: Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, United States. Electronic address:abhimanyu.garg@utsouthwestern.edu.
authors: Abhimanyu
authors: A
authors: Garg