Researchers reported that almost 11 percent of nearly 2,000 men and women who underwent gastric bypass surgery (the most common type of obesity surgery) got in trouble with drinking by the second year after surgery.
About 7 percent drank too much before the operation, representing a 50 percent increase.
Bariatric SurgeryIn a gastric bypass procedure, the surgeon uses staples to create a small pouch in the stomach. This bypasses the rest of the stomach. The pouch is hooked to a loop of small intestine beyond the first section of intestine.
Weight Loss SurgeryThe smaller stomach pouch makes the person feel full after eating a small amount of food. Because the first section of the intestine is bypassed, fewer calories are absorbed.
Gastric banding is done through small holes in the abdomen using a laparoscope. The surgeon wraps an adjustable band around the upper stomach. This creates a small pouch with a narrow opening that empties into the rest of the stomach.The risk of alcohol use disorder was twice as high for people who had gastric bypass than for those who had placement of an adjustable stomach band. Although the researchers were not sure why there was such a difference, it does make sense.The stomach lining contains an enzyme called alcohol dehydrogenase that breaks down alcohol. With a much smaller stomach after gastric bypass, less of this enzyme is available and more alcohol gets directly into the blood stream. Also, alcohol remains at higher concentrations for longer periods after gastric bypass.
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