The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.
Impaired Alcohol Metabolism after Gastric Bypass Surgery: A Case-Crossover Trial
Abstract
BACKGROUND: Severe obesity remains the leading public health crisis of the industrialized world, with bariatric surgery the only effective and enduring treatment. Poor psychological adjustment has been occasionally reported postoperatively. In addition, evidence suggests that patients can metabolize alcohol differently after gastric bypass. STUDY DESIGN: Preoperatively and at 3 and 6 months postoperatively, 19 Roux-en-Y gastric bypass (RYGB) patients' breath alcohol content (BAC) was measured every 5 minutes after drinking 5 oz red wine to determine peak BAC and time until sober in a case-crossover design preoperatively and at 6 months postoperatively. RESULTS: Patients reported symptoms experienced when intoxicated and answered a questionnaire of drinking habits. The peak BAC in patients after RYGB was considerably higher at 3 months (0.059%) and 6 months (0.088%) postoperatively than matched preoperative levels (0.024%). Patients also took considerably more time to return to sober at 3 months (61 minutes) and 6 months (88 minutes) than preoperatively (49 minutes). Postoperative intoxication was associated with lower levels of diaphoresis, flushing, and hyperactivity and higher levels of dizziness, warmth, and double vision. Postoperative patients reported drinking considerably less alcohol, fewer preferred beer, and more preferred wine than before surgery. CONCLUSIONS: This is the first study to match preoperative and postoperative alcohol metabolism in gastric bypass patients. Post-RYGB patients have much higher peak BAC after ingesting alcohol and require more time to become sober. Patients who drink alcohol after gastric bypass surgery should exercise caution.
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Citations
Cites
Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery
Sjöström, L., Lindroos, A.-K., Peltonen, M., Torgerson, J., Bouchard, C., Carlsson, B., Dahlgren, S., Larsson, B., Narbro, K., Sjöström, C. D., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa035622 · Cited by 4,457
Long-term mortality after gastric bypass surgery
Adams, T. D., Gress, R. E., Smith, S. C., Halverson, R. C., Simper, S. C., Rosamond, W. D., LaMonte, M. J., Stroup, A. M., & Hunt, S. C. (2007) · New England Journal of Medicine · doi:10.1056/nejmoa066603 · Cited by 2,572
Gastrointestinal Surgery for Severe Obesity
Panel, C. D. C. (1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-115-12-956 · Cited by 2,163
Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients
Christou, N. V., Sampalis, J. S., Liberman, M., Look, D., Auger, S., McLean, A. P. H., & MacLean, L. D. (2004) · Annals of Surgery · doi:10.1097/01.sla.0000137343.63376.19 · Cited by 1,288
Nonsurgical Factors That Influence the Outcome of Bariatric Surgery: A Review
Hsu, L. K. G., Benotti, P. N., Dwyer, J., Roberts, S. B., Saltzman, E., Shikora, S., Rolls, B. J., & Rand, W. (1998) · Psychosomatic Medicine · doi:10.1097/00006842-199805000-00021 · Cited by 440
Why is the developed world obese?
Bleich, S. N., Cutler, D., Murray, C., & Adams, A. (2008) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.29.020907.090954 · Cited by 404
Cited by
Mechanick, J. I., Youdim, A., Jones, D. B., Garvey, W. T., Hurley, D. L., McMahon, M. M., Heinberg, L. J., Kushner, R., Adams, T. D., Shikora, S., et al. (2013) · Obesity · doi:10.1002/oby.20461 · Cited by 1,650
Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery
King, W. C., Chen, J.-Y., Mitchell, J. E., Kalarchian, M. A., Steffen, K. J., Engel, S. G., Courcoulas, A. P., Pories, W. J., & Yanovski, S. Z. (2012) · JAMA · doi:10.1001/jama.2012.6147 · Cited by 509
Mechanick, J. I., Youdim, A., Jones, D. B., Garvey, W. T., Hurley, D. L., McMahon, M. M., Heinberg, L. J., Kushner, R., Adams, T. D., Shikora, S., et al. (2013) · Endocrine Practice · doi:10.4158/ep12437.gl · Cited by 395
Nutritional Recommendations for Adult Bariatric Surgery Patients: Clinical Practice
Sherf Dagan, S., Goldenshluger, A., Globus, I., Schweiger, C., Kessler, Y., Kowen Sandbank, G., Ben-Porat, T., & Sinai, T. (2017) · Advances in Nutrition · doi:10.3945/an.116.014258 · Cited by 348
Changes in alcohol use after metabolic and bariatric surgery: predictors and mechanisms.
Ivezaj, V., Benoit, S. C., Davis, J., Engel, S., Lloret-Linares, C., Mitchell, J. E., Pepino, M. Y., Rogers, A. M., Steffen, K., & Sogg, S. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1070-8 · Cited by 121
Metadata
- Authors
- Woodard, G. A., Downey, J., Hernandez-Boussard, T., & Morton, J. M.
- Venue
- Journal of the American College of Surgeons
- Published
- 2011-02
- Volume
- 212
- Issue
- 2
- Pages
- 209-214
- ISSN
- 1072-7515 (ISSN-L)
- OpenAlex
- W2075975747
- Cited by
- 166
- References
- 6
- FWCI
- 11.49
- Type
- journal article
- Language
- en
- Open access
- closed
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- Woodard, G. A., Downey, J., Hernandez-Boussard, T., & Morton, J. M. (2011). Impaired Alcohol Metabolism after Gastric Bypass Surgery: A Case-Crossover Trial. Journal of the American College of Surgeons. https://doi.org/10.1016/j.jamcollsurg.2010.09.020
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