Observational studySurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2017
Alcohol and other substance use after bariatric surgery: prospective evidence from a U.S. multicenter cohort study.
Observational study in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 140 papers, 10 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation and Follow up of Emotional Regulation, Cognition, Impulsivity and Reward System in Obesity, and Determination of Its Biopsychosocial Risk Factors: A Prospective Study of Obese Patients Before and After Bariatric Surgery
Evolution of Alcohol Consumption Patterns After Bariatric Surgery and Associated Factors
Who cites it
140 citing papers in PubMed, 10 syntheses or guidelines pooled it, 292 citations in OpenAlex.
- Alcohol-Related Liver Disease After Metabolic Bariatric Surgery: Reassessing the Hidden Risk-A Meta-Analysis.Obesity surgery · 2026Pooled it
- Depressive symptoms at short-, medium-, and long-term follow-up after bariatric surgical procedures: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Social media use among patients before and after metabolic and bariatric surgery: a systematic review.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025Pooled it
- Alcohol Misuse post Metabolic and Bariatric Surgery: A Systematic Review of Longer-term Studies with Focus on new Onset Alcohol use Disorder and Differences Between Surgery Types.Current obesity reports · 2024Pooled it
- The Development of Feeding and Eating Disorders after Bariatric Surgery: A Systematic Review and Meta-Analysis.Nutrients · 2021Pooled it
- Smoking in bariatric surgery: a systematic review.Surgical endoscopy · 2021Pooled it
- AGA Clinical Practice Update on Bariatric Surgery in Cirrhosis: Expert Review.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021Guideline
- An Overview of Appetite-Regulatory Peptides in Addiction Processes; From Bench to Bed Side.Frontiers in neuroscience · 2021Pooled it
- Pooled it
- Risk of Suicide and Self-harm Is Increased After Bariatric Surgery-a Systematic Review and Meta-analysis.Obesity surgery · 2019Pooled it
- A Technology-Based Intervention to Reduce Alcohol Use After Metabolic and Bariatric Surgery: Examination of Six-month Follow-up Outcomes Following a Pilot Randomized Controlled Trial.Obesity surgery · 2026Trial
- A technology-based intervention to reduce alcohol use after metabolic and bariatric surgery: feasibility, acceptability, and preliminary outcomes.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025Trial
- Sleeve gastrectomy surgery: when 2 alcoholic drinks are converted to 4.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2018Trial
- Ethical Dimensions of Bariatric Surgery: A Narrative Review of Principles, Challenges, and Practice Implications.Obesity surgery · 2026Review
- Impact of bariatric surgery on alcohol-use disorder and alcohol-related liver disease: A retrospective study.Addiction (Abingdon, England) · 2026Article
- Clinical and Psychometric Predictors of a Positive Alcohol Use Disorder Screen after Roux-en-Y Gastric Bypass: A Cross-Sectional Study.Obesity surgery · 2026Article
- Postoperative factors associated with hazardous alcohol use after metabolic and bariatric surgery.Surgical endoscopy · 2026Article
- Alcohol use disorders and related morbidity and mortality after sleeve gastrectomy and Roux-en-Y gastric bypass: a nation-wide registry study (the BAR-REGISTER).International journal of obesity (2005) · 2026Article
- Ethanol pharmacokinetics before and after sleeve gastrectomy and Roux-en-Y gastric bypass: a 3 year prospective study (the BAR-TRIAL).International journal of obesity (2005) · 2026Observational
- Agnostic polygenic prediction of weight loss after bariatric surgery.JCI insight · 2026Article
80 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
16 authors at 10 institutions in 1 country.
Funding
Abstract
backgroundEmpirical evidence suggests Roux-en-Y gastric bypass (RYGB) increases risk of developing alcohol use disorder (AUD). However, prospective assessment of substance use disorders (SUD) after bariatric surgery is limited.
objectiveTo report SUD-related outcomes after RYGB and laparoscopic adjustable gastric banding (LAGB). To identify factors associated with incident SUD-related outcomes.
setting10 U.S. hospitals
methodsThe Longitudinal Assessment of Bariatric Surgery-2 is a prospective cohort study. Participants self-reported past-year AUD symptoms (determined by the Alcohol Use Disorders Identification Test), illicit drug use (cocaine, hallucinogens, inhalants, phencyclidine, amphetamines, or marijuana), and SUD treatment (counseling or hospitalization for alcohol or drugs) presurgery and annually postsurgery for up to 7 years through January 2015.
resultsOf 2348 participants who underwent RYGB or LAGB, 2003 completed baseline and follow-up assessments (79.2% women, baseline median age: 47 years, median body mass index 45.6). The year-5 cumulative incidence of postsurgery onset AUD symptoms, illicit drug use, and SUD treatment were 20.8% (95% confidence interval (CI): 18.5-23.3), 7.5% (95% CI: 6.1-9.1), and 3.5% (95% CI: 2.6-4.8), respectively, post-RYGB, and 11.3% (95% CI: 8.5-14.9), 4.9% (95% CI: 3.1-7.6), and .9% (95% CI: .4-2.5) post-LAGB. Undergoing RYGB versus LAGB was associated with higher risk of incident AUD symptoms (adjusted hazard ratio or AHR = 2.08 [95% CI: 1.51-2.85]), illicit drug use (AHR = 1.76 [95% CI: 1.07-2.90]) and SUD treatment (AHR = 3.56 [95% CI: 1.26-10.07]).
conclusionsUndergoing RYGB versus LAGB was associated with twice the risk of incident AUD symptoms. One-fifth of participants reported incident AUD symptoms within 5 years post-RYGB. AUD education, screening, evaluation, and treatment referral should be incorporated in pre- and postoperative care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.