Volume 28, Issue 149, July 2024

Binge Eating Disorder and Loss-of-control Eating following bariatric surgery: An update on research

Jan Kościan^1♦, Maria Mitkowska², Zuzanna Dryżałowska¹, Michał Obrębski³, Karolina Szczerkowska⁴, Justyna Chwiejczak⁵, Aleksander Górny⁶, Anna Seroka⁷, Maria Rybicka³, Julita Młynarska⁸, Anna Wójcik⁹

¹Independent Public Hospital them. prof. W. Orlowski Medical Centre of Postgraduate Education, Czerniakowska 231, 00-401, Warsaw, Poland
²HCP Medical Centre, Poznan, Poland
³University Clinical Centre of the Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warsaw, Poland
⁴Military Institute of Medicine - National Research Institute, Warsaw, Poland
⁵Memorial Bielański Hospital, Warsaw, Poland
⁶Prague Hospital of Lord's Transfiguration, Warsaw, Poland
⁷The National Institute of Medicine of the Ministry of Interior and Administration, Warsaw, Poland
⁸Saint Anna Hospital of Trauma Surgery, Warsaw, Poland
⁹Warsaw Southern Hospital, Rotmistrza Witolda Pileckiego 99, 02-781 Warszawa, Poland

^♦Corresponding Author
Independent Public Hospital them. prof. W. Orlowski Medical Centre of Postgraduate Education, Czerniakowska 231, 00-401, Warsaw, Poland

ABSTRACT

Bariatric surgery remains a leading treatment for obesity due to its effectiveness in reducing food intake. However, outcomes may be influenced by various factors, and some patients fail to achieve desired weight reduction. Binge eating disorders or loss of control eating are the subject of interest as there is growing evidence indicating their impact on surgery outcomes. This paper aims to compare recent findings with the existing reviews on eating pathologies in patients undergoing bariatric surgery and summarize the newest discoveries addressing this topic. As patients continue to experience suboptimal weight loss or significant weight regain, there is a growing need to understand the underlying mechanisms of this process better. The comparison of previous reviews and recent findings underscores that greater emphasis should be placed on long-term observation alongside standard pre-surgery preparation. With new medical phenomena emerging, such as nibbling, grazing, and picking, clarification and unification of diagnostic processes should be the aim of future research. All researchers agree that self-monitoring plays a vital role in the postsurgery period. It should be considered a gold standard in all patients undergoing bariatric surgery, enabling the prompt addressing of the needs as they arise.

Keywords: Bariatric surgery, binge eating disorder, loss-of-control eating

Medical Science, 2024, 28, e72ms3375

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DOI: https://doi.org/10.54905/disssi.v28i149.e72ms3375

Published: 07 July 2024