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Obesity Surgery

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31.01.2020 | Original Contributions

Pre-operative Restraint and Post-operative Hunger, Disinhibition and Emotional Eating Predict Weight Loss at 2 Years Post-laparoscopic Adjustable Gastric Banding

verfasst von: Annemarie Hindle, Xochitl De la Piedad Garcia, Melissa Hayden, Paul E. O’Brien, Leah Brennan

Erschienen in: Obesity Surgery | Ausgabe 4/2020

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Abstract

Introduction

A principal mechanism of action in bariatric surgery is reduction in calorie consumption due to decreased hunger and increased satiety. Patients’ ability to perceive post-operative changes to their hunger is therefore central to optimal results. This study examined factors that may impact how patients perceive post-operative hunger and how perception of hunger impacts eating and subsequent weight loss after laparoscopic adjustable gastric banding (LAGB).

Methods

Patients undertaking LAGB (n = 147) provided pre-surgery and 2-year weight loss data and pre-surgery and 12-month psychological data (perception of hunger, disinhibition related to eating, emotional eating).

Results

Path analysis demonstrated that patients with lower levels of pre-surgery cognitive restraint over eating experienced significantly greater reduction in perception of hunger at 12 months post-surgery. Perceived reduction in hunger was significantly associated with lower levels of both emotional eating and disinhibited eating. Finally, reduced emotional eating at 12 months significantly predicted 9% of the variance in percentage of total weight loss (%TWL) at 2 years after surgery.

Conclusion

These initial findings suggest that preparation for bariatric surgery may be enhanced by psychoeducation regarding cognitive restraint over eating and its effect on hunger perception. In addition, psychological treatment that focuses on identifying and responding to changes in hunger may contribute to improved outcomes for those who have difficulty adjusting to post-operative eating behaviours.

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Burton PR, Brown WA. The mechanism of weight loss with laparoscopic adjustable gastric banding: induction of satiety not restriction. Int J Obes. 2011;35(Suppl 3):S26–30. https://doi.org/10.1038/ijo.2011.144.CrossRef

Lowe MR, Butryn ML. Hedonic hunger: a new dimension of appetite? Physiol Behav. 2007;91(4):432–9. https://doi.org/10.1016/j.physbeh.2007.04.006.CrossRefPubMed

Dixon AFR, Dixon JB, O’Brien PE. Laparoscopic adjustable gastric banding induces prolonged satiety: a randomized blind crossover study. J Clin Endocrinol Metab. 2005;90(2):813–9. https://doi.org/10.1210/jc.2004-1546.CrossRefPubMed

Makaronidis JM, Neilson S, Cheung W-H, et al. Reported appetite, taste and smell changes following Roux-en-Y gastric bypass and sleeve gastrectomy: effect of gender, type 2 diabetes and relationship to post-operative weight loss. Appetite. 2016;107:93–105. https://doi.org/10.1016/j.appet.2016.07.029.CrossRefPubMed

Sarwer DB, Wadden TA, Moore RH, et al. Preoperative eating behavior, postoperative dietary adherence, and weight loss after gastric bypass surgery. Surg Obes Relat Dis. 2008;4(5):640–6. https://doi.org/10.1016/j.soard.2008.04.013. PubMed PMID: WOS:000261098100015CrossRefPubMedPubMedCentral

Morínigo MR, Moizé LV, Musri LM, et al. Glucagon-Like Peptide-1, Peptide YY, hunger, and satiety after gastric bypass surgery in morbidly obese subjects. J Clin Endocrinol Metab. 2006;91(5):1735–40.CrossRef

Devlin MJ, King WC, Kalarchian MA, et al. Eating pathology and experience and weight loss in a prospective study of bariatric surgery patients: 3-year follow-up. Int J Eat Disord. 2016;49(12):1058–67.CrossRef

Devlin MJ, King WC, Kalarchian MA, et al. Eating pathology and associations with long-term changes in weight and quality of life in the longitudinal assessment of bariatric surgery study. Int J Eat Disord. 2018;51(12):1322–30.CrossRef

Konttinen H, Peltonen M, Sjöström L, et al. Psychological aspects of eating behavior as predictors of 10-y weight changes after surgical and conventional treatment of severe obesity: results from the Swedish Obese Subjects intervention study. Am J Clin Nutr. 2015;101(1):16–24. https://doi.org/10.3945/ajcn.114.095182.CrossRefPubMed

10.

Pournaras DJ, Osborne A, Hawkins SC, et al. The gut hormone response following Roux-en-Y gastric bypass: cross-sectional and prospective study. Obes Surg. 2010;20(1):56–60. https://doi.org/10.1007/s11695-009-9989-1.CrossRefPubMed

11.

Colles SL, Dixon JB, O’Brien PE. Hunger control and regular physical activity facilitate weight loss after laparoscopic adjustable gastric banding. Obes Surg. 2008;18(7):833–40. https://doi.org/10.1007/s11695-007-9409-3.CrossRefPubMed

12.

Burton PR, Yap K, Brown WA, et al. Changes in satiety, supra- and infraband transit, and gastric emptying following laparoscopic adjustable gastric banding: a prospective follow-up study. Obes Surg. 2011;21(2):217–23. https://doi.org/10.1007/s11695-010-0312-y.CrossRefPubMed

13.

Stefanidis A, Forrest N, Brown WA, et al. An investigation of the neural mechanisms underlying the efficacy of the adjustable gastric band. Surg Obes Relat Dis. 2016;12(4):828–38. https://doi.org/10.1016/j.soard.2015.11.020.CrossRefPubMed

14.

Buchwald H. The evolution of metabolic/bariatric surgery. Obes Surg. 2014;24(8):1126–35. https://doi.org/10.1007/s11695-014-1354-3.CrossRefPubMed

15.

Holst JJ, Madsbad S, Bojsen-Møller KN, et al. Mechanisms in bariatric surgery: gut hormones, diabetes resolution, and weight loss. Surg Obes Relat Dis. 2018;14(5):708–14. https://doi.org/10.1016/j.soard.2018.03.003.CrossRefPubMedPubMedCentral

16.

Alamuddin N, Vetter ML, Ahima RS, et al. Changes in fasting and prandial gut and adiposity hormones following vertical sleeve gastrectomy or Roux-en-Y-gastric bypass: an 18-month prospective study. Obes Surg. 2017;27(6):1563–72. https://doi.org/10.1007/s11695-016-2505-5.CrossRefPubMed

17.

Valderas JP, Irribarra V, Boza C, et al. Medical and surgical treatments for obesity have opposite effects on peptide YY and appetite: a prospective study controlled for weight loss. J Clin Endocrinol Metab. 2010;95(3):1069–75. https://doi.org/10.1210/jc.2009-0983.CrossRefPubMed

18.

Polivy J, Herman CP. Dieting and binging: a causal analysis. Am Psychol. 1985;40(2):193–201.CrossRef

19.

Blundell JE, Hill AJ. Binge eating: psychobiological mechanisms. In: Fairburn CG, Wilson GT, editors. Binge eating: nature, assessment and treatment. New York: Guildford; 1993.

20.

Shimizu M, Wansink B. Watching food-related television increases caloric intake in restrained eaters. Appetite. 2011;57(3):661–4. https://doi.org/10.1016/j.appet.2011.08.006.CrossRefPubMed

21.

Herman CP, Polivy J. External cues in the control of food intake in humans: the sensory-normative distinction. Physiol Behav. 2008;94(5):722–8. https://doi.org/10.1016/j.physbeh.2008.04.014.CrossRefPubMed

22.

Parker K, Mitchell S, Brien PE, et al. Psychometric evaluation of disordered eating measures in bariatric surgery patients. Eat Behav. 2015;19:39–48. https://doi.org/10.1016/j.eatbeh.2015.05.007.CrossRefPubMed

23.

Goldschmidt AB, Conceição EM, Thomas JG, et al. Conceptualizing and studying binge and loss of control eating in bariatric surgery patients—time for a paradigm shift? Surg Obes Relat Dis. 2016;12(8):1622–5. https://doi.org/10.1016/j.soard.2016.09.008. Conceptualizing and studying binge and loss of control eating in bariatric surgery patients-time for a paradigm shift?

24.

Larsen JK, van Strien T, Eisinga R, et al. Dietary restraint: intention versus behavior to restrict food intake. Appetite. 2007;49(1):100–8.CrossRef

25.

Parker K, Mitchell S, O’Brien PE, et al. Psychometric evaluation of disordered eating measures in bariatric surgery candidates. Obes Surg. 2016;26(3):563–75. https://doi.org/10.1007/s11695-015-1780-x.CrossRefPubMed

26.

Burger KS, Stice E. Relation of dietary restraint scores to activation of reward-related brain regions in response to food intake, anticipated intake, and food pictures. NeuroImage. 2011;55(1):233–9. https://doi.org/10.1016/j.neuroimage.2010.12.009.CrossRefPubMed

27.

Wang Y, Dong D, Todd J, et al. Neural correlates of restrained eaters’ high susceptibility to food cues: an fMRI study. Neurosci Lett. 2016; https://doi.org/10.1016/j.neulet.2016.08.017.

28.

Coletta M, Platek S, Mohamed FB, et al. Brain activation in restrained and unrestrained eaters: an fMRI study. J Abnorm Psychol. 2009;118(3):598.CrossRef

29.

Eckert ED, Gottesman II, Swigart SE, et al. A 57-year follow-up investigation and review of the Minnesota study on human starvation and its relevance to eating disorders. Arch Psychol. 2018;2(3)

30.

Gibbons LM, Sarwer DB, Crerand C, et al. Previous weight loss experiences of bariatric surgery candidates: how much have patients dieted prior to surgery? Obesity. 2006;14(3S):70S–6S. https://doi.org/10.1038/oby.2006.285.CrossRefPubMed

31.

Roehrig M, Masheb RM, White MA, et al. Chronic dieting among extremely obese bariatric surgery candidates. Obes Surg. 2009;19(8):1116–23. https://doi.org/10.1007/s11695-009-9865-z.CrossRefPubMedPubMedCentral

32.

Conceição EM, Orcutt M, Mitchell JE, et al. Eating disorders after bariatric surgery: a case series. Int J Eat Disord. 2013;46(3):274–9. https://doi.org/10.1002/eat.22074.CrossRefPubMed

33.

Hrabosky JI, White MA, Masheb RM, et al. Psychometric evaluation of the Eating Disorder Examination-Questionnaire for bariatric surgery candidates. Obesity. 2008;16(4):763–9.CrossRef

34.

Lydecker JA, Ivezaj V, Grilo CM. Secretive eating and binge eating following bariatric surgery. Int J Eat Disord. 2019;52(8):935–40. https://doi.org/10.1002/eat.23089.CrossRefPubMed

35.

Meany G, Conceição EM, Mitchell JE. Binge eating, binge eating disorder and loss of control eating: effects on weight outcomes after bariatric surgery. 2014. p. 87–91.

36.

Stunkard AJ, Messick S. The Three Factor Eating Questionnaire to measure dietary restraint, disinhibition, and hunger. J Psychosom Res. 1985;29(1):71–83.CrossRef

37.

Wiedemann AA, Ivezaj V, Grilo CM. An examination of emotional and loss-of-control eating after sleeve gastrectomy surgery. Eat Behav. 2018;31:48–52. https://doi.org/10.1016/j.eatbeh.2018.07.008.CrossRefPubMedPubMedCentral

38.

Conceição EM, Mitchell JE, Pinto-Bastos A, et al. Stability of problematic eating behaviors and weight loss trajectories after bariatric surgery: a longitudinal observational study. Surg Obes Relat Dis. 2017;13(6):1063–70.CrossRef

39.

Arnow B, Kenardy J, Agras WS. The Emotional Eating Scale: the development of a measure to assess coping with negative affect by eating. Int J Eat Disord. 1995;18(1):79–90.CrossRef

40.

Monpellier VM, Janssen IMC, Antoniou EE, et al. Weight change after Roux-en Y gastric bypass, physical activity and eating style: is there a relationship? Obes Surg. 2019;29(2):526–33. https://doi.org/10.1007/s11695-018-3560-x.CrossRefPubMed

41.

Konttinen H, Peltonen M, Sjostrom L, et al. Psychological aspects of eating behavior as predictors of 10-y weight changes after surgical and conventional treatment of severe obesity: results from the Swedish obese subjects intervention study. Am J Clin Nutr. 2015;101(1):16–24. https://doi.org/10.3945/ajcn.114.095182.CrossRefPubMed

42.

Alfonsson S, Sundbom M, Ghaderi A. Is age a better predictor of weight loss one year after gastric bypass than symptoms of disordered eating, depression, adult ADHD and alcohol consumption? Eat Behav. 2014;15(4):644–7. https://doi.org/10.1016/j.eatbeh.2014.08.024.CrossRefPubMed

43.

Smith KE, Orcutt M, Steffen KJ, et al. Loss of control eating and binge eating in the 7 years following bariatric surgery. Obes Surg. 2019;29(6):1773–80. https://doi.org/10.1007/s11695-019-03791-x.CrossRefPubMed

44.

Chao AM, Wadden TA, Faulconbridge LF, et al. Binge-eating disorder and the outcome of bariatric surgery in a prospective, observational study: two-year results. Obesity. 2016;24(11):2327–33. https://doi.org/10.1002/oby.21648.CrossRefPubMed

45.

Petereit R, Jonaitis L, Kupčinskas L, et al. Gastrointestinal symptoms and eating behavior among morbidly obese patients undergoing Roux-en-Y gastric bypass. Medicina. 2014;50(2):118–23.CrossRef

46.

Turkmen S, Andreen L, Cengiz Y. Effects of Roux-en-Y gastric bypass surgery on eating behaviour and allopregnanolone levels in obese women with polycystic ovary syndrome. Gynecol Endocrinol. 2015;31(4):301–5.CrossRef

47.

Laurenius A, Larsson I, Bueter M, et al. Changes in eating behaviour and meal pattern following Roux-en-Y gastric bypass. Int J Obes. 2012;36(3):348–55.CrossRef

48.

Colles SL, Dixon JB, O’Brien PE. Grazing and loss of control related to eating: two high-risk factors following bariatric surgery. Obesity. 2008;16(3):615–22. https://doi.org/10.1038/oby.2007.101.CrossRefPubMed

49.

Subramaniam K, Low W-Y, Lau P-C, et al. Eating behaviour predicts weight loss six months after bariatric surgery: a longitudinal study. Nutrients. 2018;10(11) https://doi.org/10.3390/nu10111616.

50.

Nasirzadeh Y, Kantarovich K, Wnuk S, et al. Binge eating, loss of control over eating, emotional eating, and night eating after bariatric surgery: results from the Toronto Bari-PSYCH Cohort Study. Obes Surg. 2018;28(7):2032–9. https://doi.org/10.1007/s11695-018-3137-8.CrossRefPubMed

51.

Bryant EJ, King NA, Falkén Y, et al. Relationships among tonic and episodic aspects of motivation to eat, gut peptides, and weight before and after bariatric surgery. Surg Obes Relat Dis. 2013;9(5):802–8. https://doi.org/10.1016/j.soard.2012.09.011.

52.

Novelli IR, Fonseca LG, Gomes DL, et al. Emotional eating behavior hinders body weight loss in women after Roux-en-Y gastric bypass surgery. Nutrition. 2018;49:13–6. https://doi.org/10.1016/j.nut.2017.11.017.CrossRefPubMed

53.

Janse Van Vuuren M, Strodl E, White KM, et al. Psychosocial presentation of revisional LAGB patients: a qualitative study. Clin Obes. 2015;5(5):273–80. https://doi.org/10.1111/cob.12113.CrossRefPubMed

54.

Conceição EM, de Lourdes M, Pinto-Bastos A, et al. Problematic eating behaviors and psychopathology in patients undergoing bariatric surgery: the mediating role of loss of control eating. Int J Eat Disord. 2018;51(6):507–17. https://doi.org/10.1002/eat.22862.CrossRefPubMed

55.

Engström M, Forsberg A. Wishing for deburdening through a sustainable control after bariatric surgery. Int J Qual Stud Health Well Being. 2011;6(1):5901.CrossRef

56.

Kruseman M, Leimgruber A, Zumbach F, et al. Dietary, weight, and psychological changes among patients with obesity, 8 years after gastric bypass. J Am Diet Assoc. 2010;110(4):527–34. https://doi.org/10.1016/j.jada.2009.12.028. PubMed PMID: WOS:000276525200010CrossRefPubMed

57.

Hayden MJ, Murphy KD, Brown WA, et al. Axis I disorders in adjustable gastric band patients: the relationship between psychopathology and weight loss. Obes Surg. 2014;24(9):1469–75. https://doi.org/10.1007/s11695-014-1207-0.CrossRefPubMed

58.

Leahey TM, Crowther JH, Irwin SR. A cognitive-behavioral mindfulness group therapy intervention for the treatment of binge eating in bariatric surgery patients. Cogn Behav Pract. 2008;15(4):364–75. https://doi.org/10.1016/j.cbpra.2008.01.004.CrossRef

59.

Fischer S, Chen E, Katterman S, et al. Emotional eating in a morbidly obese bariatric surgery-seeking population. Obes Surg. 2007;17(6):778–84. https://doi.org/10.1007/s11695-007-9143-x.CrossRefPubMed

60.

Castellini G, Godini L, Amedei S, et al. Psychological effects and outcome predictors of three bariatric surgery interventions: a 1-year follow-up study. Eat Weight Disord. 2014;19(2):217–24. https://doi.org/10.1007/s40519-014-0123-6.CrossRefPubMed

61.

Muthén LK, Muthén BO. Mplus user’s guide. Seventh Edition ed. Muthén & Muthén: Los Angeles, CA; 1998–2015.

62.

Asparouhov T, Muthén BO. Multiple imputation with MPlus 2010 [cited 2018 2nd July]. Available from: https://www.statmodel.com/download/Imputations7.pdf.

63.

Enders CK, Mansolf M. Assessing the fit of structural equation models with multiply imputed data. Psychol Methods. 2018;23(1):76–93. https://doi.org/10.1037/met0000102.CrossRefPubMed

64.

Burton PR, Brown WA, Laurie C, et al. The effect of laparoscopic adjustable gastric bands on esophageal motility and the gastroesophageal junction: analysis using high-resolution video manometry. Obes Surg. 2009;19(7):905–14. https://doi.org/10.1007/s11695-009-9845-3.CrossRefPubMed

65.

Pinto-Bastos A, Conceição EM, Machado PP. Reoperative bariatric surgery: a systematic review of the reasons for surgery, medical and weight loss outcomes, relevant behavioral factors. Obes Surg. 2017;27(10):2707–15. https://doi.org/10.1007/s11695-017-2855-7.CrossRefPubMed

66.

Haynes C, Lee MD, Yeomans MR. Interactive effects of stress, dietary restraint, and disinhibition on appetite. Eat Behav. 2003;4(4):369–83. https://doi.org/10.1016/j.eatbeh.2003.07.005.CrossRefPubMed

67.

Yeomans MR, Coughlan E. Mood-induced eating. Interactive effects of restraint and tendency to overeat. Appetite. 2009;52(2):290–8. https://doi.org/10.1016/j.appet.2008.10.006.CrossRefPubMed

68.

Larjani S, Spivak I, Hao Guo M, et al. Preoperative predictors of adherence to multidisciplinary follow-up care postbariatric surgery. Surg Obes Relat Dis. 2016;12(2):350–6. https://doi.org/10.1016/j.soard.2015.11.007.CrossRefPubMed

69.

Sunil S, Santiago VA, Gougeon L, et al. Predictors of vitamin adherence after bariatric surgery. Obes Surg. 2017;27(2):416–23. https://doi.org/10.1007/s11695-016-2306-x.CrossRefPubMed

70.

Ogle JP, Park J, Damhorst ML, et al. Social support for women who have undergone bariatric surgery. Qual Health Res. 2016;26(2):176–93.CrossRef

71.

Sharman M, Hensher M, Wilkinson S, et al. What are the support experiences and needs of patients who have received bariatric surgery? Health Expect. 2017;20(1):35–46.CrossRef

72.

Conceição EM, Fernandes M, de Lourdes M, et al. Perceived social support before and after bariatric surgery: association with depression, problematic eating behaviors, and weight outcomes. Eat Weight Disord. 2019:1–14. https://doi.org/10.1007/s40519-019-00671-2.

73.

Ivezaj V, Wiedemann AA, Grilo CM. Overvaluation of weight or shape and loss-of-control eating following bariatric surgery. Obesity. 2019;27(8):1239–43. https://doi.org/10.1002/oby.22514.CrossRefPubMed

74.

Høgestøl IK, Chahal-Kummen M, Eribe I, et al. Chronic abdominal pain and symptoms 5 years after gastric bypass for morbid obesity. Obes Surg. 2017;27(6):1438–45. https://doi.org/10.1007/s11695-016-2499-z.CrossRef

75.

Boerlage T, van de Laar A, Westerlaken S, et al. Gastrointestinal symptoms and food intolerance 2 years after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Br J Surg. 2017;104(4):393–400.CrossRef

76.

Conceição EM, Goldschmidt AB. Disordered eating after bariatric surgery: clinical aspects, impact on outcomes, and intervention strategies. Curr Opin Psychiatry. 2019; https://doi.org/10.1097/YCO.0000000000000549.

77.

Wood KV, Ogden J. Explaining the role of binge eating behaviour in weight loss post bariatric surgery. Appetite. 2012;59(1):177–80. https://doi.org/10.1016/j.appet.2012.04.019. PubMed PMID: WOS:000305855400025CrossRefPubMed

78.

Lanyon RI, Maxwell BM, Kraft AJ. Prediction of long-term outcome after gastric bypass surgery. Obes Surg. 2009, 19;(4):439–45. https://doi.org/10.1007/s11695-008-9740-3. PubMed PMID: WOS:000264848100008

79.

Mathus-Vliegen EMH. Long-term health and psychosocial outcomes from surgically induced weight loss: results obtained in patients not attending protocolled follow-up visits. Int J Obes. 2006;31(2):299. https://doi.org/10.1038/sj.ijo.0803404.CrossRef

80.

Canetti L, Berry EM, Elizur Y. Psychosocial predictors of weight loss and psychological adjustment following bariatric surgery and a weight-loss program: the mediating role of emotional eating. Int J Eat Disord. 2009;42(2):109–17. https://doi.org/10.1002/eat.20592.CrossRefPubMed

81.

Sioka E, Tzovaras G, Oikonomou K, et al. Influence of eating profile on the outcome of laparoscopic sleeve gastrectomy. Obes Surg. 2013;23(4):501–8. https://doi.org/10.1007/s11695-012-0831-9. PubMed PMID: WOS:000316289100011CrossRefPubMed

82.

Amundsen T, Strømmen M, Martins C. Suboptimal weight loss and weight regain after gastric bypass surgery-postoperative status of energy intake, eating behavior, physical activity, and psychometrics. Obes Surg. 2017;27:1316–23.CrossRef

83.

Weineland S, Brogie M, Dahl J. Do experiential avoidance and emotional eating habits predict outcomes of bariatric surgery at a 2 years follow-up? A short report. Int J Behav Consult Ther. 2015;9(4):29–32.

84.

Seo DC, Lee CG, Torabi MR, et al. The longitudinal trajectory of post-surgical % total weight loss among middle-aged women who had undergone bariatric surgery. Prev Med Rep. 2017;5:200–4. https://doi.org/10.1016/j.pmedr.2016.12.021.CrossRefPubMed

85.

Dixon JB, Eaton LL, Vincent V, et al. LAP-BAND for BMI 30–40: 5-year health outcomes from the multicenter pivotal study. Int J Obes. 2015;40:291–8. https://doi.org/10.1038/ijo.2015.156.CrossRef

86.

Conceição EM, Utzinger LM, Pisetsky EM. Eating disorders and problematic eating behaviours before and after bariatric surgery: characterization, assessment and association with treatment outcomes. Eur Eat Disord Rev. 2015;23:417–25. https://doi.org/10.1002/erv.2397.CrossRefPubMedPubMedCentral

87.

O’Brien PE, MacDonald L, Anderson M, et al. Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013;257(1):87–94. https://doi.org/10.1097/SLA.0b013e31827b6c02.CrossRefPubMed

88.

Colquitt J, Pickett K, Loveman E, et al. Surgery for weight-loss in adults. Cochrane Database Syst Rev. 2014;8:CD003641. https://doi.org/10.1002/14651858.CD003641.pub4.CrossRef

89.

Cohen J. A power primer. Psychol Bull. 1992;112(1):155–9. https://doi.org/10.1037/0033-2909.112.1.155. PubMed PMID: 1992-37683-001CrossRef

90.

Lang T, Hauser R, Buddeberg C, et al. Impact of gastric banding on eating behavior and weight. Obes Surg. 2002;12(1):100–7.CrossRef

91.

Mulla CM, Middelbeek RJ, Patti M-E. Mechanisms of weight loss and improved metabolism following bariatric surgery. Ann N Y Acad Sci 2018;1411(1):53–64.

Titel: Pre-operative Restraint and Post-operative Hunger, Disinhibition and Emotional Eating Predict Weight Loss at 2 Years Post-laparoscopic Adjustable Gastric Banding
verfasst von: Annemarie Hindle
Xochitl De la Piedad Garcia
Melissa Hayden
Paul E. O’Brien
Leah Brennan
Publikationsdatum: 31.01.2020
Verlag: Springer US
Erschienen in: Obesity Surgery / Ausgabe 4/2020
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-019-04274-9

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Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Springer Medizin

Abstract

Introduction

Methods

Results

Conclusion

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