An unexpected post operative outcome: Transfer addiction

I bariatric surgery in overweight individuals can increase alcohol use. Ertelt, T. W. et al. Alcohol abuse and dependence before and after bariatric surgery: a review of the literature and report of a new data set. Surg. Obes. Relat. Dis. 4, 647–650 (2008). Numerous studies have noted the addictive qualities of certain foods. In addition, brain circuitry involved in both obesity and drug addiction have been compared: The evidence for food’s addictive properties is steadily growing. Much as classic drugs of abuse hijack the brain, accumulating evidence with food suggests a similar impact...” Gearhardt, Ashley N; Corbin, William R; Brownell, Kelly D., (2009). Overeating shares many characteristics with substance use disorders and has been characterized as an addiction, most likely arising from a combination of abnormal cognitive and neuroendocrine processes. Joranby, Lantie; Pineda, Kimberly Frost; Gold, Mark S. (2005). The results from many studies suggest that multiple but similar brain circuits are disrupted in obesity and drug addiction... Wang, Gene-Jack; Volkow, Nora D; Thanos, Panayotis K; Fowler, Joanna S., (2009). Sugar, as common as it is, nonetheless meets many of the criteria for a substance of abuse and may be addictive for some individuals when consumed in a ‘binge-like’ manner. Avena, N.M., Rada, P., Hoebel B.G. (2007). The presentation will illustrate the similarities between food as an addictive substance and addiction to alcohol and other drugs of abuse, biologically and behaviorally. Ideas for the psychological treatment of post-surgical weight loss patients in light of this awareness will be discussed.