Cited by 115Bariatric Surgery and OutcomesObesity and Health PracticesBody Contouring and Surgery

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Compliance with Surgical After-care following Bariatric Surgery for Morbid Obesity: a Retrospective Study

Poole, Norman A, Atar, Ashraf AL, Kuhanendran, Dammayanthi, Bidlake, Louise, Fiennes, Alberic, McCluskey, Sara, Nussey, Stephen, Bano, Gal, Morgan, John F·2005·Obesity Surgery

DOI 10.1381/0960892053268499

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Abstract

Background Non-compliant patients fail to match their behavior to the clinical prescription. Laparoscopic adjustable gastric banding requires strict compliance with surgical and dietary advice. Failure to attend follow-up appointments and the persistent consumption of calorie-dense liquid foods are associated with poor weight loss and postoperative complications. Prediction of "poor compliers" would enhance candidate selection and enable specific interventions to be targeted.Methods 9 poor compliers were identified and compared with 9 fully compliant controls. Case-notes were analyzed retrospectively.Results Cases were found to graze on foods and eat more in response to negative affects. They were reluctant to undergo psychiatric assessment, viewed the band as responsible for weight loss, and aroused caution in the psychiatric evaluator. Poor compliance was not associated with binge eating, purging, impulsivity or psychiatric illness.Conclusions Unrealistic expectations and anxiety are known to predict non-adherence. Constant negative affects may be self-modulated by grazing. The results are explored in the context of Self-efficacy Theory, a socio-cognitive account of illness behavior.

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“33 No differences between the groups were noted with regard to pre ‐ operative binge eating disorder, bulimia nervosa, mood disorders, alcohol abuse, child sexual abuse history, insight about obesity, and the belief that the band is responsible for weight loss, but non ‐ compliers were more likely…”
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BackgroundResult
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Iranmanesh, P., Rivera, A. R., Bajwa, K. S., Alibhai, M., Snyder, B., Wilson, T. D., Felinski, M. M., Mehta, S. S., Chandwani, K. D., Klein, C. L., et al. (2019) · Surgical Endoscopy · doi:10.1007/s00464-019-06891-y · Cited by 15
The Association between Grazing and Food Addiction: The Italian Version of the Repetitive Eating Questionnaire (Rep(Eat)-Q) and Its Relationships with Food Addiction Criteria
Rossi, A. A., Mannarini, S., Semonella, M., Castelnuovo, G., & Pietrabissa, G. (2024) · Nutrients · doi:10.3390/nu16070949 · Cited by 16
“Compulsive grazing appears to be associated with greater psychological distress [55], including negative affect [61], anxiety, depression, and poorer mental health [49].”
Background
Effects of the Postoepartive Dietetic/Behavioral Counseling on the Weight Loss After Bariatric Surgery
Gradaschi, R., Molinari, V., Sukkar, S. G., Negri, P. D., Adami, G. F., & Camerini, G. B. (2019) · Obesity Surgery · doi:10.1007/s11695-019-04146-2 · Cited by 12
Lifestyle Modification for the Treatment of Obesity
Sarwer, D. B., Butryn, M. L., Forman, E. M., & Bradley, L. E. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1197-4_15 · Cited by 12
Weight loss, adverse events, and loss to follow-up after gastric bypass in young versus older adults: A Scandinavian Obesity Surgery Registry study
Dreber, H., Thorell, A., Torgerson, J., Reynisdottir, S., & Hemmingsson, E. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.06.012 · Cited by 12
Grazing in children: associations with child’s characteristics and parental feeding practices
Conceição, E., Pinheiro, J., Félix, S., Ramalho, S. M., & Gonçalves, S. F. (2020) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-020-00866-y · Cited by 11
Triple reuptake inhibitors: Next-generation antidepressants
Liang, Y., & Richelson, E. (2008) · Primary psychiatry · Cited by 11
Laparoscopic Adjustable Gastric Banding (LAGB) Aftercare Attendance and Attrition
Hochberg, L. S., Murphy, K. D., O’Brien, P. E., & Brennan, L. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1597-7 · Cited by 10
“The first found that depression, emotional eating and traumatic childhood were associated with attrition [5].”
BackgroundResult
Psychosocial presentation of female bariatric surgery patients after multiple revisional surgeries: A qualitative study
van Vuuren, M. J., Strodl, E. S., White, K. M., & Lockie, P. (2016) · Journal of Health Psychology · doi:10.1177/1359105316648673 · Cited by 7
“A sense of loss of control and overeating in response to emotions has been associated with difficulties adjusting to eating smaller volumes of food post surgery (Poole et al., 2005; Saunders, 2001).”
Background
A dual-process psychobiological model of temperament predicts liking and wanting for food and trait disinhibition
Mackey, L., White, M. J., Tyack, Z. F., Finlayson, G., Dalton, M., & King, N. A. (2018) · Appetite · doi:10.1016/j.appet.2018.12.011 · Cited by 10
Effect on Quality of Life of the Changing Body Image of Individuals with Obesity Surgery
EKER, P. Y., & Yılmaz, M. (2019) · Bariatric Surgical Practice and Patient Care · doi:10.1089/bari.2018.0034 · Cited by 8
“…such as diet, exercise, eating behavior modiﬁcation or pharmacotherapy for weight loss, 14 bariatric surgery (BS) is the only treatment modality shown to provide consistent, sustained, long-term weight loss, decrease or reverse obesity-related comorbidities, 15,16 and improve QoL and body image.”
Binge Eating Disorder Prevalence in Bariatric Surgery Patients: Evaluation of Presurgery and Postsurgery Quality of Life, Anxiety and Depression Levels
Erden, S. Ç., Seyit, H., Yazısız, V., Uyar, E. T., Akçakaya, R. Ö., Beşirli, A., Alış, H., Karamustafalıoğlu, O., & Yücel, B. (2016) · Bariatric Surgical Practice and Patient Care · doi:10.1089/bari.2015.0045 · Cited by 7
Decreased emotional eating behavior is associated with greater excess weight loss five years after gastric banding
Nandrino, J., Grynberg, D., Gandolphe, M., Willem, C., Benaisa, K., de Maële, J. V., Taccoen, A., Verkindt, H., & Pattou, F. N. (2020) · Appetite · doi:10.1016/j.appet.2020.104620 · Cited by 8
Early Adherence Targeted Therapy (EATT) for Postbariatric Maladaptive Eating Behaviors
Robinson, A. H., Adler, S., Darcy, A. M., Osipov, L., & Safer, D. L. (2016) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2015.12.003 · Cited by 7
Anxious Attachment Style Predicts Dietary Adherence 1-Year Post-bariatric Surgery
Wnuk, S., Azim, B., Guimond, T. H., Gougeon, L., & Sockalingam, S. (2024) · Obesity Surgery · doi:10.1007/s11695-024-07246-w · Cited by 5
“The types of non-adherent dietary behaviors we identified are similar to those described in other studies [38, 39] [40, 41].”
Efficacy of Meal Replacement Products on Weight and Glycolipid Metabolism Management: A 90-Day Randomized Controlled Trial in Adults with Obesity
Chen, B., Hong, S., Wang, Y., Hu, Q., & Ma, D. (2024) · Nutrients · doi:10.3390/nu16193284 · Cited by 4
Exploring the prevalence and symptom presentation of food addiction among Norwegian bariatric surgery patients: associations with depression, dysregulated eating, and postoperative weight loss
Walø‐Syversen, G., Kristinsson, J. A., Eribe, I., Rø, Ø., & Dahlgren, C. L. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-01170-1 · Cited by 4
Development of a Measure of Barriers to Laparoscopic Adjustable Gastric Banding (LAGB) Aftercare Attendance
Miller, B. M. L., Murphy, K. D., O’Brien, P. E., & Brennan, L. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1814-4 · Cited by 4
“The other two studies considered the impact of mental health on attendance and found that narcissistic personality [1] and depression [2] were associated with poorer attendance, as was emotional eating for females and traumatic childhood for males [2].”
Background
ASMBS Guidelines/Statements Recommendations for the presurgical psychosocial evaluation of bariatric surgery patients
Sogg, S., Lauretti, J. M., & West‐Smith, L. (2016) · Cited by 4
The effect of bariatric surgery on opioid consumption in patients with obesity: a registry-based cohort study
Iranmanesh, P., Barlow, K., & Anvari, M. (2023) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2023.03.004 · Cited by 4
Comparison of single- versus double-anastomosis duodenal switch: a single-center experience with 2-year follow-up
Iranmanesh, P., Boudreau, V., Barlow, K., Malik, P. R. A., Ramji, K., Gmora, S. B., Hong, D., & Anvari, M. (2021) · International Journal of Obesity · doi:10.1038/s41366-021-00844-z · Cited by 3
“Previous reports have shown low follow-up percentages after surgery in the bariatric population [23].”
Result
Obesity and psychiatry
Scholtz, S., & Morgan, J. F. (2009) · Psychiatry · doi:10.1016/j.mppsy.2009.03.015 · Cited by 3
Self-citation
Insecure attachment and impaired reflective functioning mediate the association between childhood trauma and grazing behavior
Rossi, A. A., Tagliagambe, A., Mannarini, S., & Ragione, L. D. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1703521 · Cited by 2
“Compulsive grazing has been associated with heightened psychological distress, including negative affect, anxiety, and depressive symptoms, as well as poorer overall mental health (Poole et al., 2005; Colles et al., 2008; Conceição et al., 2017).”
Individual model of psychological support bariatric surgery patients «12 targets»
Неймарк, А. Е., & Арамовна, Е. Ш. (2024) · Obesity and metabolism · doi:10.14341/omet12936 · Cited by 2
THE RELATIONSHIP OF SELF-EFFICACY AND WEIGHT LOSS MAINTENANCE IN POST-OPERATIVE BARIATRIC PATIENTS
McAllen, P. A. B. (2009) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 2
Pedometer Use as a Motivational Tool for Increased Physical Activity in Bariatric Surgery Patients
Hunka, N. (2011) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 1
Psychosocial Evaluation and Management of Weight Loss Surgery Patients
Shenouda, R. (2018) · Springer eBooks · doi:10.1007/978-3-319-99774-2_12 · Cited by 1
Psychological and Psychiatric Contraindications
Gross, C. M., & van Elst, L. T. (2012) · Springer eBooks · doi:10.1007/978-3-642-02411-5_13 · Cited by 1
Long-Term Follow-Up of Bariatric Patients
Haisley, K. R., & Mattar, S. G. (2018) · Springer eBooks · doi:10.1007/978-3-319-71282-6_19 · Cited by 1
What, when and why we eat: Associations with obesity in adults
Fong, M. (2019) · The Sydney eScholarship Repository (The University of Sydney) · Cited by 1
Special Nursing Considerations in Caring for the Bariatric Patient
Slattery, J. (2013) · Springer eBooks · doi:10.1007/978-1-4419-1710-2_22
“The majority of weight-producing eating habits include grazing and emotionally triggered eating [ 45 ] .”
Background
Characteristics of Bariatric Surgery Patients Lost to Follow-Up
Johnell, P. (2009)
OBEZİTE CERRAHİSİNDE (BARİYATRİK CERRAHİ) HEMŞİRELİK BAKIMI
Usta, E., & Çavdar, İ. (2013) · DergiPark (Istanbul University)
Die Notwendigkeit einer interdisziplinären Nachsorge nach bariatrischen Verfahren aus psychologischer Sicht
Lager, C., Schowalter, M., Bueter, M., Maroske, J., Thalheimer, A., Benecke, A., Fein, M., & Faller, H. (2007) · Visceral Medicine · doi:10.1159/000098167
5 Developing a Successful Bariatric Surgery Program
Wu, A. S., & Herron, D. M. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1637-5_5
Control Eating Following Bariatric Surgery
Conceição, E. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-804011-9.00032-7

Authors: Poole, N. A., Atar, A. A., Kuhanendran, D., Bidlake, L., Fiennes, A., McCluskey, S., Nussey, S., Bano, G., & Morgan, J. F.
Affiliations: St George's Hospital (GB)
ORCID: Poole, Norman A
Nussey, Stephen
Venue: Obesity Surgery
Publisher: Springer Science and Business Media LLC
Published: 2005-02
Volume: 15
Issue: 2
Pages: 261-265
ISSN: 0960-8923 (ISSN-L)
1708-0428
DOI: 10.1381/0960892053268499
OpenAlex: W2016632969
Cited by: 115
References: 16
Citations by year: 2025: 2 · 2024: 7 · 2023: 2 · 2021: 9 · 2020: 5 · 2019: 4 · 2018: 7 · 2017: 6 · 2016: 17 · 2015: 5 · 2014: 7 · 2013: 9 · 2012: 7
FWCI: 3.49
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Obesity Surgery (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Keywords: bariatric surgery, morbid obesity
MeSH terms: Adaptation, Physiological, Adaptation, Psychological, Adult, Female, Follow-Up Studies, Humans, Male, Middle Aged, Obesity, Morbid, Patient Compliance, Postoperative Care, Probability, Retrospective Studies, Time Factors, Gastroplasty, Body Mass Index, Incidence, Case-Control Studies, Age Distribution, Sex Distribution, Risk Assessment, Self Efficacy

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Compliance with Surgical After-care following Bariatric Surgery for Morbid Obesity: a Retrospective Study

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