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Bariatric surgery may increase risk of alcohol dependence, says research

Bariatric surgery may increase risk of alcohol dependence, says research

A survey conducted by the University of Pittsburgh Medical Center in the United States shows that people undergoing bariatric surgery are at greater risk of becoming dependent on alcohol. The surgery reduces the size of the stomach and directs the food to an area of ​​the intestine that absorbs fewer nutrients and calories. Previous research has already shown that whoever does this surgery will metabolize alcohol differently, feeling changed more quickly and taking longer to return to sobriety.

The study, published in the

Journal of the American Medical Association, involved about two thousand patients who would undergo bariatric surgery. They were followed up before the procedure and two years after the operation. All of them completed a World Health Organization (WHO) survey to identify symptoms of alcohol abuse. The researchers found that 7.6% of patients had problems with alcohol before surgery. Two years after the operation, the rate of alcoholism rose to 9.6%. Patients reported a higher frequency of symptoms such as need to drink in the morning, loss of memory and guilt. Alcohol consumption also increased among patients in the second year after surgery, compared with preoperative and first year.

According to the authors, this is the first study to show that increased sensitivity to alcohol alcohol can lead to an increased risk of alcohol dependence and abuse. Experts say that the fact that alcohol is absorbed more quickly can make it more addictive as well.

Get your questions answered about bariatric surgery

What are the risks of stomach reduction surgery? hears talk about the "miraculous" stomach reduction surgery. The method proves to be truly effective for people suffering from morbid obesity, even losing on average 40% of weight in a year. However, the operation is indicated and permitted only for patients with a Body Mass Index (BMI) of 40 or higher. If the person has a BMI between 35 and 40, surgery will only be performed if other diseases caused by obesity When the diet and exercise are still recommended

The gastro-surgeon at the Federal University of São Paulo (Unifesp), Carlos Haruo Arasaki, explains that if the person is with a BMI below 40, it is still rewarding to adopt other forms of weight loss, such as physical exercises, nutritional counseling, endocrinological, and even psychological. However, because they do not have the exact notion of the risks involved in bariatric surgery and all the restrictions they will face for the rest of their lives, some patients believe that lowering the stomach is the easiest method to lose weight. "Some people even fatten purposefully to get medical permission," he says.

First steps of surgery

Multidisciplinary treatment in the steps leading up to and following the operation is critical. "The patient needs to be accompanied by a multidisciplinary team, formed by a surgeon, gastroenterologist, nutritionist or nutrologist, psychologist and physiotherapist, among other professionals," explains the gastro-surgeon Carlos. The specialist explains that the team guides the patient so that he feels part of the process and prepared for every step of the treatment.

Side effects

The great weight loss, the effect of bariatric surgery, causes the loss of elasticity of skin, a fact that harms not only the aesthetic aspect, but some basic functions of life. Patient problems begin with damage to posture and balance caused by excess skin. "Then we can mention the problems of social integration and sexual relationship, besides the discomfort caused by dermatitis located in the folds of skin," says Carlos Haruo. "Patients are also more susceptible to changes such as anemia, metabolic disorders, depression, alcoholism, and drug use."


Robotic surgery is the safest option for gynecological procedures

Robotic surgery is the safest option for gynecological procedures

Many gynecological diseases need to be treated by surgery. However, in the past, every woman with abnormal bleeding had surgery to remove the uterus (hysterectomy) as the only treatment option. When we talk about benign diseases, such as fibroids, adenomyosis and endometrial polyps, there are hormonal treatments and surgeries that preserve the uterus.

(Health)

Insulin pump reduces risk of death in nearly 50% of diabetics

Insulin pump reduces risk of death in nearly 50% of diabetics

People with type 1 diabetes who treat their insulin pump have about 50% less risk of death related to cardiovascular disease than those who use multiple The study was conducted from the monitoring of 18,168 Swedes with type 1 diabetes between the years 2005 and 2012. Of these, 2,471 used the insulin pump, while the others used multiple daily injections to control their glycemic indexes.

(Health)