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Reduced caloric intake following small bowel bypass surgery: a systematic study of possible causes

Published online by Cambridge University Press:  09 July 2009

Robert G. Robinson ,
Marshal F. Folstein  and
Paul R. McHugh
Robert G. Robinson*
Affiliation:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Marshal F. Folstein
Affiliation:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Paul R. McHugh
Affiliation:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
*
1Address for correspondence: Dr Robert G. Robinson, Department of Psychiatry, Phipps Clinic, Johns Hopkins Hospital, Baltimore, Maryland 21205, USA.
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Synopsis

Food intake, appetite and a variety of feelings were measured pre- and post-operatively in obese patients undergoing jejuno—ileal bypass surgery. Decreased food intake correlated closely with the amount of weight loss at both 4 and 30 months after surgery. Malabsorption correlated with weight loss at 4 months but not 30 months post-operatively. The cause of the decreased food intake is unknown and cannot be completely explained by either depression, nausea, malabsorption, liver disease, an attempt to avert diarrhoea, or decreased appetite.

Type
Research Article
Information
Psychological Medicine , Volume 9 , Issue 1 , February 1979 , pp. 37 - 53
Copyright
Copyright © Cambridge University Press 1979

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References

Aitken, R. C. (1969). Measurement of feelings using visual analogue scales. Proceedings of the Royal Society of Medicine 62, 989–993.CrossRefGoogle ScholarPubMed
Barry, R. E., Barish, J., Bray, G. A., Sperling, M. A., Morin, R. J. & Benfield, J. (1977). Intestinal adaptation after jejunoileal bypass in man. American Journal of Clinical Nutrition 30, 32–41.CrossRefGoogle ScholarPubMed
Benfield, J. R., Greenway, F. L., Bray, G. A., Barry, R. E., Lechago, J., Mena, I. & Schedewie, H. (1976). Experience with jejunoileal bypass for obesity. Surgery, Gynecology and Obstetrics 143, 401–410.Google ScholarPubMed
Bray, G. A. & Benfield, J. R. (1977). Intestinal bypass for obesity: a summary and perspective. American Journal of Clinical Nutrition 30, 121–127.CrossRefGoogle ScholarPubMed
Bray, G. A., Barry, R. E., Benfield, J. R., Castelnuovo-Tedesco, P. & Rodin, J. (1976 a). Intestinal bypass surgery for obesity decreases food intake and taste preferences. American Journal of Clinical Nutrition 29, 779–783.CrossRefGoogle ScholarPubMed
Bray, G. A., Dahms, W. T., Greenway, F. L., Marriott, M., Molitch, M. & Atkinson, R. L. (1976 b). Evaluation of the obese patient: 2 clinical findings. Journal of the American Medical Association 235, 2008–2010.CrossRefGoogle ScholarPubMed
Bray, G. A., Greenway, F. L., Barry, R. E., Benfield, J. R., Fiser, R. L., Dahms, W. T., Atkinson, R. L. & Schwartz, A. A. (1977). Surgical treatment of obesity: a review of our experience and an analysis of published reports. International Journal of Obesity 1, 331–367.Google Scholar
Brewer, C., White, H. & Baddeley, M. (1974). Beneficial effects of jejunoileostomy on compulsive eating and associate psychiatric symptoms. British Medical Journal iv, 314–315.CrossRefGoogle Scholar
Bruch, H. (1957). The Importance of Overweight. Norton: New York.Google Scholar
Buchwald, H. & Varco, R. L. (1970). A bypass operation for obese hyperlipidemics. Surgery 70, 62–69.Google Scholar
Buchwald, H., Schwartz, M. Z. & Varco, R. L. (1973). Surgical treatment of obesity. Advances in Surgery 7, 235–255.Google ScholarPubMed
Castelnuovo-Tedesco, P. & Schiebel, D. (1976). Studies of superobesity: II. Psychiatric appraisal of jejunoileal bypass surgery. American Journal of Psychiatry 133, 26–31.Google Scholar
Crisp, A. H., Kalway, R. S., Pilkington, T. R. E. & Gazet, J. C. (1977). Some psychosocial consequences of ileo-jejunal bypass surgery. American Journal of Clinical Nutrition 30, 109–120.CrossRefGoogle Scholar
DeWind, L. T. & Payne, J. H. (1976). Intestinal bypass surgery for morbid obesity: long-term results. Journal of the American Medical Association 236, 2298–2301.CrossRefGoogle ScholarPubMed
Fenyo, G., Backman, L. & Hallberg, D. (1976). Morphological changes of small intestine following jejunoileal shunt in obese subjects. Acta Chirurgica Scandinavica 142, 154–159.Google ScholarPubMed
Fikri, E. & Cassella, R. R. (1974). Obesity: jejunoileal bypass for massive obesity – results and complications in 52 patients. Annals of Surgery 179, 460–464.CrossRefGoogle Scholar
Folstein, M. F. & Luria, R. (1973). Reliability, validity and clinical application of the visual analogue mood scale. Psychological Medicine 3, 479–486.CrossRefGoogle ScholarPubMed
Iber, F. L. & Cooper, M. (1977). Jejunoileal bypass for the treatment of massive obesity. Prevalence, morbidity, and short- and long-term consequences. American Journal of Clinical Nutrition 30, 4–15.CrossRefGoogle ScholarPubMed
Iversen, B. M., Schjonsby, H., Skagen, D. W. & Solhaug, J. G. (1976). Intestinal adaptation after jejunoileal bypass operation for massive obesity. European Journal of Clinical Investigation 6, 355–360.CrossRefGoogle ScholarPubMed
Kalucy, R. S. & Crisp, A. H. (1974). Some psychological and social implications of massive obesity. Journal of Psychosomatic Research 18, 465–473.CrossRefGoogle ScholarPubMed
Kremen, A. N., Linnen, J. H. & Nelson, C. H. (1954). Experimental evaluation of the nutritional importance of proximal and distal small intestine. Annals of Surgery 140, 439–448.CrossRefGoogle ScholarPubMed
Mann, G. V. (1974). The influence of obesity on health: parts I and II. New England Journal of Medicine 291, 178–185, 226–232.CrossRefGoogle Scholar
Mason, E. E. & Ito, C. (1970). Gastric bypass. Annals of Surgery 170, 329–339.CrossRefGoogle Scholar
McHugh, P. R., Moran, T. H. & Barton, G. N. (1975). Satiety: a graded behavioural phenomenon regulating caloric intake. Science 190, 167–169.CrossRefGoogle ScholarPubMed
McHugh, P. R. & Moran, T. (1977). Gastric emptying and satiety for food in rhesus monkeys. Federation Proceedings 36, No. 3, 461.Google Scholar
Mills, M. J. & Stunkard, A. J. (1976). Behavioural changes following surgery for obesity. American Journal of Psychiatry 133, 527–531.Google ScholarPubMed
Moberg, S. & Carlberger, G. (1976). Gastric emptying and bile acid concentration in the duodenum after bypass operation of the small intestine because of obesity. Scandinavian Journal of Gastroenterology 11, 151–154.CrossRefGoogle ScholarPubMed
Moxley, R. T., Pozefsky, T. & Lockwood, D. H. (1974). Protein nutrition and liver disease after jejunoileal bypass for morbid obesity. New England Journal of Medicine 290, 921–926.CrossRefGoogle ScholarPubMed
Nisbett, R. E. (1972). Psychiatric observations on obesity. Advances in Psychosomatic Medicine 7, 173–193.CrossRefGoogle Scholar
Payne, J. H. & DeWind, L. T. (1969). Surgical treatment of obesity. American Journal of Surgery 118, 141–147.CrossRefGoogle ScholarPubMed
Payne, J. H., DeWind, L. T. & Commons, R. R. (1963). Metabolic observations on patients with jejunocolic shunts. American Journal of Surgery 106, 273–289.CrossRefGoogle ScholarPubMed
Pilkington, T. R. E., Gazet, J. C., Ang, L., Kalucy, R. S., Crisp, A. H. & Day, S. (1976). Explanation for weight loss after ileojejunal bypass in gross obesity. British Medical Journal i, 1504–1505.CrossRefGoogle Scholar
Quaade, F., Juhl, E., Feldt-Rasmussen, K. & Baden, H. (1971). Blind-loop reflux in relation to weight loss in obese patients treated with jejunoileal anastomosis. Scandinavian Journal of Gastroenterology 6, 537–541.CrossRefGoogle ScholarPubMed
Rimm, A. A., Werner, L. H., Yserloo, B. V. & Bernstein, R. A. (1975). Relationship of obesity and disease in 73, 532 weight-conscious women. Public Health Reports 90, 44–51.Google ScholarPubMed
Robinson, R. G., McHugh, P. R. & Folstein, M. F. (1975). Measurement of appetite disturbances in psychiatric disorders. Journal of Psychiatric Research 12, 59–68.CrossRefGoogle ScholarPubMed
Rodin, J., Moskowitz, H. R. & Bray, G. A. (1976). Relationship between obesity, weight loss and taste responsiveness. Physiology and Behaviour 17, 591–597.CrossRefGoogle ScholarPubMed
Salmon, P. A. (1971). The results of small intestinal bypass operations for the treatment of obesity. Surgery, Gynecology and Obstetrics 132, 965–979.Google ScholarPubMed
Schachter, S. (1971). Some extraordinary facts about obese humans and rats. American Psychologist 26, 129–144.CrossRefGoogle ScholarPubMed
Scott, H. W., Law, D. H., Sandstead, H. H., Lanier, V. C. Jr & Younger, R. K. (1970). Jejunoileal shunt in surgical treatment of morbid obesity. Annals of Surgery 171, 770–782.CrossRefGoogle ScholarPubMed
Sherman, C. D., May, A. G., Nye, W. & Waterhouse, C. (1965). Clinical and metabolic studies following bowel bypassing for obesity. Annals of the New York Academy of Sciences 131, 614–622.CrossRefGoogle ScholarPubMed
Solow, C., Silberfarb, P. M. & Swift, K. (1974). Psychosocial effects of intestinal bypass surgery for severe obesity. New England Journal of Medicine 290, 300–304.CrossRefGoogle ScholarPubMed
Starkloff, G. B., Donovan, J. F., Ramach, R. & Wolfe, B. M. (1975). Metabolic intestinal surgery. Archives of Surgery 110, 652–657.CrossRefGoogle ScholarPubMed
Stunkard, A. J. & McLaren-Hume, M. (1959). The results of treatment for obesity. Archives of Internal Medicine 103, 79–85.Google ScholarPubMed
Weismann, R. E. (1973). Surgical palliation of massive and severe obesity. American Journal of Surgery 125, 437–446.CrossRefGoogle ScholarPubMed
White, J. J., Moxley, R. T., Pozefsky, T. & Lockwood, D. H. (1974). Transient kwashiorkor: a cause of fatty liver following small bowel bypass. Surgery 75, 829–840.Google ScholarPubMed
Wise, T. N. (1976). Adverse psychological reactions to ileal bypass surgery. Southern Medical Journal 69, 1533–1535.CrossRefGoogle ScholarPubMed
Wise, T. N. & Fernandez, F. (1978). Psychological profiles of candidates seeking surgical correction for obesity. Psychosomatics (in the press).Google Scholar