Abstract
Although evaluations of tobacco and substance use disorders (SUDs) are required before bariatric surgery, the impact of these
factors on postsurgical outcomes is unclear. This study describes (1) the prevalence of tobacco and SUDs in 61 veterans undergoing
bariatric surgery, (2) associations between presurgical tobacco use and postsurgical weight loss, and (3) relationships between
presurgical SUDs and postsurgical weight loss. Height, weight, tobacco, and SUDs were assessed from medical charts at presurgery
and 6, 12, and 24 months postsurgery. Thirty-three patients (55%) were former or recent tobacco users; eight (13%) had history
of SUDs. All patients who quit smoking within 6 months before surgery resumed after surgery, which was associated with increased
weight loss at 6 and 12 months. Presurgical SUDs were related to marginally worse weight loss at 12 and 24 months. Bariatric
surgery candidates with history of smoking and/or SUDs might benefit from additional services to improve postsurgical outcomes.
factors on postsurgical outcomes is unclear. This study describes (1) the prevalence of tobacco and SUDs in 61 veterans undergoing
bariatric surgery, (2) associations between presurgical tobacco use and postsurgical weight loss, and (3) relationships between
presurgical SUDs and postsurgical weight loss. Height, weight, tobacco, and SUDs were assessed from medical charts at presurgery
and 6, 12, and 24 months postsurgery. Thirty-three patients (55%) were former or recent tobacco users; eight (13%) had history
of SUDs. All patients who quit smoking within 6 months before surgery resumed after surgery, which was associated with increased
weight loss at 6 and 12 months. Presurgical SUDs were related to marginally worse weight loss at 12 and 24 months. Bariatric
surgery candidates with history of smoking and/or SUDs might benefit from additional services to improve postsurgical outcomes.
- Content Type Journal Article
- Pages 1-10
- DOI 10.1007/s11414-012-9277-z
- Authors
- Claire E. Adams, Department of Health Disparities Research—Unit 1440, University of Texas MD Anderson Cancer Center, PO Box 301402, Houston, TX 77230-1402, USA
- Jeanne M. Gabriele, G.V. (Sonny) Montgomery VA Medical Center, Psychology/Mental Health (11M), 1500 E. Woodrow Wilson, Jackson, MS 39216, USA
- Lauren E. Baillie, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39211, USA
- Patricia M. Dubbert, South Central VA Mental Illness, Research, and Education Center, MIRECC 16 MIR/NLR, 2200 Fort Roots Drive Building 58, North Little Rock, AR 72114, USA
- Journal The Journal of Behavioral Health Services and Research
- Online ISSN 1556-3308
- Print ISSN 1094-3412