EditorialAlcohol misuse after bariatric surgery: epiphenomenon or “Oprah” phenomenon?
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Disclosures
The author has no commercial associations that might be a conflict of interest in relation to this article.
Acknowledgments
The author would like to acknowledge Dr. David Sarwer for his assistance and encouragement regarding this manuscript.
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2021, Mayo Clinic ProceedingsAddiction Transfer and Other Behavioral Changes Following Bariatric Surgery
2021, Surgical Clinics of North AmericaCitation Excerpt :Believing the experiences of patients is important, and when overlooked can be catastrophic. Alcohol problems postoperatively, for example, were described by patients for many years and met with some skepticism by providers26 until comprehensive studies began to find empirical support for their claims. There are several problematic assumptions about the addiction transfer theory that highlight its inaccuracies.
Psychopathology, disordered eating, and impulsivity as predictors of outcomes of bariatric surgery
2019, Surgery for Obesity and Related DiseasesCitation Excerpt :Patients at greatest risk for new-onset SUDs were more likely to report problems with high-sugar/low-fat food before surgery, further suggesting the role of impulsivity in eating behavior and substance use both before and after surgery [38]. This increase in substance use after surgery has been described as “addiction transfer” [39] and characterized as a modern example of “symptom substitution” in which abuse of one substance (food) is replaced by another (alcohol or drugs) when patients are unable to consume large amounts of food after surgery. Further evidence of this phenomenon is supported by studies showing that the reverse pattern is also observed.
The Psychosocial Burden of Obesity
2016, Endocrinology and Metabolism Clinics of North AmericaCitation Excerpt :“Addiction transfer” is not an accepted clinical or scientific term. The term and construct have several shortcomings, as detailed by Sogg.71 Chief among these is that the view of food as an addictive substance, or eating as an addictive behavior, is by no means supported by scientific consensus.
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