Bariatric surgery and bulimia nervosa

  • Débora Elaine de Moraes Schünemann Programa de Pós-Graduação Lato Sensu em Obesidade e Emagrecimento da Universidade Gama Filho - UGF. Nutricionista graduada pela Universidade do Estado do Rio de Janeiro - UERJ
  • Michele de Oliveira da Gama Programa de Pós-Graduação Lato Sensu em Obesidade e Emagrecimento da Universidade Gama Filho - UGF. Nutricionista graduada pela Universidade Veiga de Almeida - UVA
  • Antonio Coppi Navarro Programa de Pós-Graduação Lato Sensu em Obesidade e Emagrecimento da Universidade Gama Filho - UGF
Keywords: Nervous bulemia, Obesity, Bariatric surgery, Edinburgh Bulimic Investigation Test (BITE)

Abstract

Introduction: This study deals with the relation between bariatric surgery and the development of bulimia nervosa. Objective: The aim of this work is to quantify whether bariatric surgery represents a risky factor to the occurrence of bulimia nervosa. Material and method: Sixteen obese women who were submitted to bariatric surgery and attended the support’s meeting between november 2007 to april 2008, were analyzed. The instrument used to investigate the presence of bulimic behavior and its gravity was Bulimic Investigatory Test of Edinburg (BITE). Results: The results showed that 56,25% of the patients presented scores above the normal level (‹ 10). From those, 18,75% presented non-usual feeding standard ( between 10 and 14) and 31,25% were included in the subclinic group (between 15 and 19). It was found out only one case with a score higher than 20, pointing to a possibility of development of this illness. With respect to the seriousness of this disorder, scores above 5 were considered significant, having been found only one case. Conclusion: Taking into consideration the achieved result in this study, bariatric surgery showed not to be a risk factor for the development of bulimia nervosa.

References

- Appolinário, J.C.; Claudino, A.M. Transtornos alimentares. Revista Brasileira de Psiquiatria. Vol. 22. Supl. 2. 2000. p. 28-31.

- Cachelin, F.M.; Striegel-Moore, R.H.; Elder, K.A.; Pike, K.M.; Wilfley, D.E.; Fairburn, C.G. Natural course of a community sample of womem with binge eating disorder. International Journal of Eating Disorder. Vol. 25. 1999. p. 45-54.

- Castilla, D.; Bastin, C. La boulimie: mieux se connaître pour en guérir. Paris. Robert Laffont. 1998.

- Cordás, T.A. Transtornos alimentares: classificação e diagnóstico. Revista de Psiquiatria Clínica. Vol. 31. Núm. 4. 2004. p. 154-157.

- Cordás, T.A.; Hochgraf, P.B. O BITE: instrumento para avaliação da bulimia nervosa. Versão para o português. Jornal Brasileiro de Psiquiatria. Vol. 42. 1993. p. 141-144.

- Goldberg, D.P.; Blackwell, B. The detection of psychiatric illness by questionnaire. Mandsley monograph num. 21. London. Oxford University Press. 1972.

- Henderson, M.; Freeman, C.P.L. A self-rating scale for bulimia: the BITE. British Journal of Psychiatry. Vol. 50. 1987. p. 18-24.

- Hsu, L.K.G.; Betancourt, S.; Sullivan, S.P. Eating disturbances before and after vertical banded gastroplasty: a pilot study. International Journal of Eating Disorder. Vol. 19. 1996. p. 23-34.

- Hsu, L.K.G.; Mulliken, B.; McDonagh, B.; Krupa Das, S.; Rand, W.; Fairburn, C.G.; Rolls, B.; McCrory, M.A.; Saltzman, E.; Shikora, S.; Dwyer, J.; Roberts, S. Binge eating disorder in extreme obesity. International Journal of Obesity. Vol. 26. 2002. p. 1398-1403.

- Hsu, L.K.G.; Sullivan, S.P.; Benotti, P.N. Eating disturbances and outcome of gastric bypass surgery: a pilot study. International Journal of Eating Disorder. Vol. 21. 1997. p. 385-390.

- Kalarchian, M.A.; Wilson, G.T.; Brolin, R.E.; e colaboradores. Effects of bariatric surgery on binge eating and related psychopathology. Eating and Weight Disorder. Vol. 4. 1999. p. 1-5.

- Monteiro, A.; Angelis, I. Cirurgia bariátrica: uma opção de tratamento para a obesidade mórbida. Revista Brasileira de Obesidade, Nutrição e Emagrecimento. São Paulo. Vol. 1. Núm. 3. 2007. p. 19-26.

- Nunes, M.A.; Bagatini, L.F.; Abuchaim, A.L.; Kunz, A.; Ramos, D.; Silva, J.Á.; e colaboradores. Distúrbios da conduta alimentar: considerações sobre o teste de atitudes alimentares (EAT). Revista ABPAPAL. Vol. 16. Núm. 1. 1994. p. 7-10.

- Pories, W.J.; Joseph, E.B. Surgery for obesity: procedures and weight loss. In: Fairbuirn and Brownell (eds) Eating disorders and obesity. 2a ed. New York. 2003. p. 562-567.

- Powers, P.S.; Perez, A.; Boyd, F.; Rosemurgy, A. Eating pathology before and after bariatric surgery: a prospective study. International Journal of Eating Disorder. Vol. 25. 1999. p. 293-300.

- Yale, C.E.; Weiler, S.J. Weight control after vertical banded gastroplasty for morbid obesity. American Journal Surgery. Vol. 162. 1991. p. 13-17.

Published
2012-01-28
How to Cite
Schünemann, D. E. de M., Gama, M. de O. da, & Navarro, A. C. (2012). Bariatric surgery and bulimia nervosa. Brazilian Journal of Obesity, Nutrition and Weight Loss, 3(13). Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/127
Section
Scientific Articles - Original