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eating disorders

LSG betters banding for food tolerance and eating disorders

Laparoscopic sleeve gastrectomy (LSG) patients had superior outcomes in both food tolerance and eating disorder behaviours, compared with laparoscopic banding, according to researchers from Bahrain Defence Force Hospital, Riffa, Bahrain. However, despite these differences, the quality of life (QoL) did not significantly differ between the sleeve and gastric banding groups.

Psychiatric disorders should not disqualify adolescents from surgery

Psychiatric disorders, a common comorbidity of severe obesity, especially for youth, should not disqualify an adolescent with severe obesity from bariatric surgery. According to a study published in Pediatrics, identifying anxiety, depressive disorders, ADHD, and eating disorders, while still a crucial pre-surgical evaluation step, had no predictive value for how much post-surgical weight loss an adolescent would achieve.

Prevalence and impact of eating disorders underestimated

A new study revising the outdated estimates of the prevalence of eating disorders in the US estimated that 0.80 percent of US adults will be affected by anorexia nervosa in their lifetime; 0.28 percent will be affected by bulimia nervosa; and 0.85 percent will be affected by binge eating disorder.

Gastric bypass surgery can improve psychiatric behaviours

Bariatric surgery can results in improvements in patients’ psychiatric behaviours such as eating behaviours, mood disorders and body image, although the mechanism as to why is not clear, according to a study by Portuguese researchers. Published in the Archives of Clinical Psychiatry (São Paulo), the paper ‘A psychiatric perspective view of bariatric surgery patients’, states that despite these improvements clinicians should be aware that a risk of suicide and substance abuse (especially alcohol) after gastric bypass surgery remain in some patients.

Eating disorder education needs to reach youth

Eating disorder education needs to reach overweight youth, according to a study published in the International Journal of Eating Disorders. Researchers from the University of Minnesota in Minneapolis said that the findings reveal that there is a need to ensure that “messages about the dangers of disordered eating behaviours are reaching overweight youth”.

EU project to investigate neurology and eating behaviour

The NEUROFAST (Integrated Neurobiology of Food Intake, Addiction and Stress) project, led by the Sahlgrenska Academy at the University of Gothenburg, Sweden, is to investigate brain biology in the context of eating behaviour, addiction and stress.

Surgery and the redevelopment of eating disorders

Research points towards bariatric surgery leading to the redevelopment of existing eating disorders.

Surgeons need to look at bariatric patients’ psychological factors

The psychological condition of a bariatric patient can be an important indicator of the success of his treatment, according to a psychiatric specialist.

Dr Tom Stevens, consultant general adult and liaison psychiatrist at South London and Maudsley NHS Trust, said that psychiatric professionals can help establish whether a patient is psychologically able to cope with the demands of bariatric surgery.

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