Abstract
Early satiety following gastroplasty is due to the new anatomic conditions created by the operation and refers to a distressing or painful epigastric sensation after food consumption. Early satiation may act as an aversive stimulus, shaping eating habits and behaviour in such a way as to promote satisfactory weight loss and maintenance. This hypothesis was tested in patients who had undergone vertical banded gastroplasty (VBG). The duration of the sensation of early satiety was associated with the scores of questionnaires assessing eating behaviour, but seemed to be completely unrelated to the radiologically measured proximal pouch volume, energy intake and weight loss data. These findings suggest that cognitive factors play a substantial role in determining food intake and therefore in achieving weight goals following gastric restriction.
References
Blundell J.E.: Regulation of appetite and management of obesity. In: Bjöntorp P. (Ed.), International textbook of obesity. New York, John Wiley & Sons, Ltd, 2001, pp. 113–124.
Mason E.E.: Gastric surgery for morbid obesity. Surg. Clin. North Am., 72, 501–513, 1992.
Reinhold R.B.: Critical analysis of long term weight loss following gastric bypass. Surg. Gynaecol. Obstet., 155, 385–394, 1982.
Versélewel de Witte Hamer P.C., Hunfels M.A.J.M., Tuinebreijer W.E.: Obesity surgery: discouraging long term results with Mason’s vertical banded gastroplasty. Eur. J. Surg., 165, 855–860, 1999.
Pappas T.N.: Physiological satiety implication of gastrointestinal antiobesity surgery. Am. J. Clin. Nutr., 55 (2 Suppl), 571S–572S, 1992.
Hsu L.K.G., Benotti P.N., Dwyers J., Roberts S.B., Saltzman E., Shikora S, Rolls B.J., Rand W.: Nonsurgical factors that influence the outcome of bariatric surgery: a review. Psychosom. Med., 60, 338–346, 1998.
Näslund I.: The size of gastric outlet and the outcome of surgery for obesity. Acta Chir. Scand., 152, 205–210, 1986.
Backman L., Rosenborg M.: The significance of gastric pouch size and emptying time for results of gastric surgery for massive obesity. Acta Chir. Scand., 150, 549–555, 1984.
Mac Lean L.D., Rhode B.M., Forse R.A.: A gastroplasty that avoid stapling in continuity. Surgery, 113, 380–388, 1993.
Pretolesi F., Camerini G., Bonifacino E., Nardi F., Marinari G., Scopinaro N., Derchi L.: Radiology of adjustable silicone gastric banding for morbid obesity. Br. J. Radiol., 71, 717–722, 1998.
Garner M.G., Olmsted P., Polivy J.: Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int. J. Eat. Disord., 2, 15–34, 1983.
Stunkard A.J., Messik S.: The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J. Psychosom. Res., 29, 71–83, 1985.
Hsu L.K.G., Betancourt S., Sullivan S.P.: Eating disturbances before and after vertical banded gastroplasty: a pilot study. Int. J. Eat. Disord., 19, 23–34, 1996.
Powers P.S., Perez A., Boyd F., Rosemurgy A.: Eating pathology before and after bariatric surgery: a prospective study. Int. J. Eat. Disord., 25, 293–300, 1999.
Atchinson M., Wade T., Higgins B., Slavotinck T.: Anorexia nervosa following gastric restriction surgery for morbid obesity. Int. J. Eat. Disord., 23, 111–116, 1998.
Ringel M.: Post-gastroplasty bulimia in a 40-year-old woman. Psychosomatics, 28, 158–159, 1987.
Balsiger B.M., Poggio J.L., Mai J., Kelly K.A., Sarr M.G.: Ten and more years after vertical banded gastroplasty as primary operation for morbid obesity. J. Gastroenterol. Surg., 46, 598–605, 2000.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Camerini, G., Adami, G.F., Marinari, G. et al. Satiety after vertical banded gastroplasty. Eat Weight Disord 8, 80–83 (2003). https://doi.org/10.1007/BF03324994
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03324994