Weight Loss and Timing of J Tube Removal in Biliopancreatic Diversion with Duodenal Switch Patients Who Report Physical or Sexual Abuse

Overview

Journal Obes Surg

Date 2018 Mar 8

PMID 29512037

Citations 1

Authors

Polly A Hulme

Kevin A Kupzyk

Gary J Anthone

Kimberly A Capron

Thang Nguyen

Affiliations

Soon will be listed here.

Abstract

Background: Bariatric surgery patients who report physical or sexual abuse form a sizeable cohort that stands out due to psychological comorbidity. Their possible vulnerability to suboptimal weight loss remains of interest. Their risk for malnutrition due to inadequate oral intake following surgery is underexplored.

Objectives: Study aims were to determine the effect of self-reported physical or sexual abuse in patients undergoing open biliopancreatic diversion with duodenal switch (BPD/DS) on (a) 3-year weight loss trajectories and (b) timing of feeding jejunostomy tube (J tube) removal. Delayed J tube removal served as an indicator for inadequate oral intake.

Methods: In this retrospective cohort study, the sample (N = 189) consisted of all patients who underwent primary BPD/DS by the same surgeon during 2009 and 2010 at a Midwestern health system. All patients had a J tube placed during surgery. Longitudinal mixed models were used for testing differences in weight loss trajectories by abuse status.

Results: There were no significant differences in weight loss trajectories by abuse status. The abused group had the J tube in place a mean of 61.9 days (SD = 39.5) compared to 44.8 days (SD = 32.8) for the not abused group, a significant difference.

Conclusions: Our use of the best available statistical methods lends validity to previous findings that suggest physical or sexual abuse does not affect weight loss after bariatric surgery. Increased likelihood of persistent inadequate oral intake in the abused group suggests the need for early multidisciplinary interventions that include mental health and nutrition experts.

Citing Articles

History of abuse and bariatric surgery outcomes: a systematic review.

Mohan S, Samaan J, Premkumar A, Samakar K Surg Endosc. 2022; 36(7):4650-4673.

PMID: 35277764 DOI: 10.1007/s00464-022-09147-4.

References

Hatoum I, Blackstone R, Hunter T, Francis D, Steinbuch M, Harris J . Clinical Factors Associated With Remission of Obesity-Related Comorbidities After Bariatric Surgery. JAMA Surg. 2015; 151(2):130-7. DOI: 10.1001/jamasurg.2015.3231. View

Lodhia N, Rosas U, Moore M, Glaseroff A, Azagury D, Rivas H . Do adverse childhood experiences affect surgical weight loss outcomes?. J Gastrointest Surg. 2015; 19(6):993-8. DOI: 10.1007/s11605-015-2810-7. View

Fujioka K, Yan E, Wang H, Li Z . Evaluating preoperative weight loss, binge eating disorder, and sexual abuse history on Roux-en-Y gastric bypass outcome. Surg Obes Relat Dis. 2008; 4(2):137-43. DOI: 10.1016/j.soard.2008.01.005. View

Bessler M, Daud A, DiGiorgi M, Schrope B, Inabnet W, Davis D . Frequency distribution of weight loss percentage after gastric bypass and adjustable gastric banding. Surg Obes Relat Dis. 2008; 4(4):486-91. DOI: 10.1016/j.soard.2008.05.010. View

Hensel J, Grosman Kaplan K, Anvari M, Taylor V . The impact of history of exposure to abuse on outcomes after bariatric surgery: data from the Ontario Bariatric Registry. Surg Obes Relat Dis. 2016; 12(8):1441-1446. DOI: 10.1016/j.soard.2016.03.016. View

Keshishian A, Zahriya K, Hartoonian T, Ayagian C . Duodenal switch is a safe operation for patients who have failed other bariatric operations. Obes Surg. 2004; 14(9):1187-92. DOI: 10.1381/0960892042387066. View

Ashton D, Favretti F, Segato G . Preoperative psychological testing--another form of prejudice. Obes Surg. 2008; 18(10):1330-7. DOI: 10.1007/s11695-008-9469-z. View

Wedin S, Madan A, Correll J, Crowley N, Malcolm R, Byrne T . Emotional eating, marital status and history of physical abuse predict 2-year weight loss in weight loss surgery patients. Eat Behav. 2014; 15(4):619-24. DOI: 10.1016/j.eatbeh.2014.08.019. View

Dawes A, Maggard-Gibbons M, Maher A, Booth M, Miake-Lye I, Beroes J . Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery: A Meta-analysis. JAMA. 2016; 315(2):150-63. DOI: 10.1001/jama.2015.18118. View

10.

Larsen J, Geenen R . Childhood sexual abuse is not associated with a poor outcome after gastric banding for severe obesity. Obes Surg. 2005; 15(4):534-7. DOI: 10.1381/0960892053723277. View

11.

Hulme P, McBride C, Kupzyk K, French J . Pilot Study on Childhood Sexual Abuse, Diurnal Cortisol Secretion, and Weight Loss in Bariatric Surgery Patients. J Child Sex Abus. 2015; 24(4):385-400. PMC: 5996386. DOI: 10.1080/10538712.2015.1022293. View

12.

Imperatori C, Innamorati M, Lamis D, Farina B, Pompili M, Contardi A . Childhood trauma in obese and overweight women with food addiction and clinical-level of binge eating. Child Abuse Negl. 2016; 58:180-90. DOI: 10.1016/j.chiabu.2016.06.023. View

13.

Striegel-Moore R, Cachelin F, Dohm F, Pike K, Wilfley D, Fairburn C . Comparison of binge eating disorder and bulimia nervosa in a community sample. Int J Eat Disord. 2001; 29(2):157-65. DOI: 10.1002/1098-108x(200103)29:2<157::aid-eat1005>3.0.co;2-8. View

14.

Caslini M, Bartoli F, Crocamo C, Dakanalis A, Clerici M, Carra G . Disentangling the Association Between Child Abuse and Eating Disorders: A Systematic Review and Meta-Analysis. Psychosom Med. 2015; 78(1):79-90. DOI: 10.1097/PSY.0000000000000233. View

15.

Sjostrom L, Lindroos A, Peltonen M, Torgerson J, Bouchard C, Carlsson B . Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004; 351(26):2683-93. DOI: 10.1056/NEJMoa035622. View

16.

Higa K, Himpens J . The Reality of Long-term Follow-up of Bariatric/Metabolic Surgery Patients-A Conundrum. JAMA Surg. 2017; 153(5):435. DOI: 10.1001/jamasurg.2017.5010. View

17.

Bosch J, Weaver T, Arnold L, Clark E . The Impact of Intimate Partner Violence on Women's Physical Health: Findings From the Missouri Behavioral Risk Factor Surveillance System. J Interpers Violence. 2015; 32(22):3402-3419. DOI: 10.1177/0886260515599162. View

18.

Chang S, Stoll C, Song J, Varela J, Eagon C, Colditz G . The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012. JAMA Surg. 2013; 149(3):275-87. PMC: 3962512. DOI: 10.1001/jamasurg.2013.3654. View

19.

Thibault R, Pichard C . Overview on nutritional issues in bariatric surgery. Curr Opin Clin Nutr Metab Care. 2016; 19(6):484-490. DOI: 10.1097/MCO.0000000000000325. View

20.

Grilo C, White M, Masheb R, Rothschild B, Burke-Martindale C . Relation of childhood sexual abuse and other forms of maltreatment to 12-month postoperative outcomes in extremely obese gastric bypass patients. Obes Surg. 2006; 16(4):454-60. DOI: 10.1381/096089206776327288. View