Evidence map›Paper›PMID 34583891›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2022

The rewarding effects of alcohol after bariatric surgery: do they change and are they associated with pharmacokinetic changes?

Scott G Engel, Lauren M Schaefer, Gail A Kerver, Lynnette M Leone, Greg Smith, James E Mitchell, John Gunstad, Ross D Crosby, Kristine Steffen

Abstract read
In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. ALCOHOL USE DISORDER AND DEPRESSION IN PATIENTS AFTER UNDERGOING BARIATRIC SURGERY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Deficits in cognitive control during alcohol consumption after bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Scott G EngelSanford Center for Bio-behavioral Research, Sanford Research, Fargo, North Dakota; University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota. Electronic address: scott.engel@sanfordhealth.org.
Lauren M SchaeferSanford Center for Bio-behavioral Research, Sanford Research, Fargo, North Dakota; University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota.
Gail A KerverSanford Center for Bio-behavioral Research, Sanford Research, Fargo, North Dakota; University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota.
Lynnette M LeoneSanford Center for Bio-behavioral Research, Sanford Research, Fargo, North Dakota.
Greg SmithDepartment of Psychology, University of Kentucky, Lexington, Kentucky.
James E MitchellSanford Center for Bio-behavioral Research, Sanford Research, Fargo, North Dakota; University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota.
John GunstadDepartment of Psychology, Kent State University, Kent, Ohio.
Ross D CrosbySanford Center for Bio-behavioral Research, Sanford Research, Fargo, North Dakota; University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota.
Kristine SteffenSanford Center for Bio-behavioral Research, Sanford Research, Fargo, North Dakota; Department of Pharmaceutical Sciences, North Dakota State University, Fargo, North Dakota.

Funding

Technical Services CoreP30GM114748 · NIGMS · NORTH DAKOTA STATE UNIVERSITY · PI MCCOURT, MARK E. · 2016 to 2020
$5.0M
Alcohol-Related Impairment and Reinforcement after Gastric Bypass SurgeryR01AA022336 · NIAAA · SANFORD RESEARCH NORTH · PI ENGEL, SCOTT G, STEFFEN, KRISTINE JAYNE · 2014 to 2018
$2.0M
NIAAA NIH HHS R01 AA022336NIGMS NIH HHS P30 GM114748
6 · The paper itself

Abstract

backgroundResearch shows that surgery patients who have undergone Roux-en-Y gastric bypass (RYGB) are at increased risk for an alcohol use disorder (AUD). However, the mechanisms through which this increased risk is incurred are poorly understood. A host of variables have been proposed as potentially causal in developing AUDs, but empirical examination of many of these variables in human samples is lacking.

objectivesOur objective was to examine the extent to which alcohol pharmacokinetics (PK), the rewarding effects of alcohol, and the relationship between these variables change from before to after weight loss surgery.

settingLarge healthcare facility in the Midwest United States

methodsThirty-four participants completed assessments before and 1 year after RYGB. They completed laboratory sessions and provided data on the PK of alcohol and the extent to which alcohol was reinforcing to them at each timepoint.

resultsFindings show that the PK effects of alcohol (P < .01) and how rewarding alcohol was reported to be (P < .01) changed from before to 1 year after weight loss surgery. Further, statistically significant increases in the association between these variables were witnessed from before to 1 year after surgery (P < .01).

conclusionThese results implicate changes (from before surgery to one year after) in the reinforcing and PK effects of alcohol as possible mechanisms for increased risk of alcohol use disorder following Roux-en-Y gastric bypass surgery.

Indexed as

AlcoholismBariatric SurgeryGastric BypassObesity, MorbidAlcohol DrinkingEthanolHumansUnited StatesEthanolBariatric surgeryPharmacokineticsReinforcementRewardWeight loss surgery

Identifiers

PMID34583891
PMCPMC8792168

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Registered trials

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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.