Conference paper

GASTRIC BYPASS AND ALCOHOL USE: A LITERATURE REVIEW

Marie Briegleb ; Psychiatry Departement, Centre Hospitalier Universitaire Brugmann, Brussels, Belgium
Catherine Hanak ; Psychiatry Departement, Centre Hospitalier Universitaire Brugmann, Brussels, Belgium

Abstract

Background: Obesity is public health issue; bariatric surgery is considered as the most efficient treatment. However, the risk of
developing an alcohol use disorder could increase after Roux-en-Y bypass. The purpose of this review is to emphasize the further
research needed in this area.
Methods: Pubmed and Sciencedirect databases were searched. Articles written in another language than French or English as
well as abstracts, conference presentations, editorials and expert opinions were excluded.
Results: Most of studies included in this review show an increased risk of developing an AUD (alcohol use disorder) after gastric
bypass surgery. Male sex, younger age, smoking, regular alcohol consumption, AUD, recreational drug use, lower sense of
belonging and undergoing a RYGB (Roux-en-Y gastric bypass) were identified as risk factors. There is an alteration of alcohol
metabolism after gastric bypass. Gut hormones could also play a role in the development of AUD. The hypothesis of an addiction transfer is still controversial.
Conclusions: The risk of developing an AUD seems to increase after surgery. Long term follow-up, after the second post-surgery
year, is needed. Further researches are needed to understand the mechanisms that underlie the development of AUD.

Keywords

gastric bypass; alcohol use disorder; bariatric surgery

Hrčak ID:

262513

URI

https://hrcak.srce.hr/262513

Publication date:

24.3.2020.

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