Portal de Periódicos da CAPES

Eating pathology before and after bariatric surgery: A prospective study

1999; Wiley; Volume: 25; Issue: 3 Linguagem: Inglês

10.1002/(sici)1098-108x(199904)25

1098-108X

Pauline S. Powers, Aura Perez, Felecia Boyd, Alexander S. Rosemurgy,

Body Contouring and Surgery

Objective The objectives of the study were (1) to determine the prevalence of eating pathology in patients before bariatric surgery and at follow-up; (2) to assess the relationship of presurgical eating pathology to various measures of psychopathology; and (3) to assess the relationship between presurgical eating pathology and outcome. Method One hundred sixteen patients were evaluated prior to surgery and at follow-up an average of 5.5 years after surgery. Results Preoperative binge eating occurred in 52% of patients, 16% met criteria for binge eating disorder, and 10% had the night eating syndrome. All three forms of presurgical eating pathology were statistically associated with cognitive distortions. At follow-up, 33% of patients were vomiting at least weekly. There was no relationship between presurgical eating pathology and weight outcome or presence of vomiting at follow-up. Discussion Although postoperative vomiting usually does not represent purge behavior, it may represent failed attempts to binge. © 1999 by John Wiley & Sons, Inc. Int J Eat Disord 25: 293–300, 1999.